The NYS Health Benefit Exchange submitted a series of documents to HHS in advance of the state's in-person design review scheduled for October 9th and 10th in Bethesda, MD. The sections covered during the design review correspond with requirements of the State's Exchange Blueprint Application for Exchange Certification due November 16, 2012. A copy of the Blueprint application can be found here. NYS submitted a Declaration Letter in July (see attached).
The following Documents were submitted:
1.0 Legal Authority and Governance
- Exchange Blueprint Section 1.0 Legal Authority and Governance
- Detailed Design Review Summary for 1.0 Legal Authority and Governance, October 9-10, 2012
2.0 Stakeholders
2.1 Stakeholder Consultation
Stakeholder Consultation Plan
Regional Advisory Committees
- Regional Advisory Committee September 2012 Meetings
- Agenda, Regional Advisory Committee Meeting, September 2012
- Health Benefit Exchange Regional Advisory Committees
- Sample of RAC Meeting Invitation and Meeting Details Correspondence
- Invitational Letter for Regional Advisory Committees
Stakeholder Meetings
- Detailed Design Review Summary for Section 2.1 - Stakeholder Consultation Plan, October 9-10, 20121
- Agenda, Health Benefit Exchange Stakeholder Meeting: Urban Institute Health Reform Simulation Modeling Results, February 2, 2012
- Agenda, Health Benefit Exchange Stakeholder Meeting: Wakely Consulting Group Overview of Business Operations Blueprint, February 16, 2012
- Agenda - Health Benefit Exchange Stakeholder Meeting: Wakely Consulting Group Study on the Role of Third Party Assistors, March 14, 2012
- New York State Health Insurance Exchange Options: Stakeholder Discussion - Agenda, April 21, 2011
- Agenda - Health Benefit Exchange Stakeholder Meeting Wakely Consulting Group Study on Risk Adjustment and Reinsurance Programs, May 11, 2012
- Agenda - Essential Health Benefits, August 2, 2012
- Agenda, Health Benefit Exchange Stakeholder Meeting: Health Disparities Panel Discussion, September 7, 2012
- Essential Health Benefits Overview, August 2, 2012
- Health Disparities Stakeholder Meeting - Invitation to Comment
- Health benefit Exchange - Quality and Satisfaction ratings Proposal - Comments Invited
- Events - September 7, 2012 Exchange Stakeholder Meeting: Utilizing the Exchange to Decrease Health Disparities
2.2 Tribal Consultation
- Detailed Design Review Summary for Section 2.2 Tribal Consultation Plan, October 9 & 10, 2012
- Agenda, Tribal Health Centers Conference Call, August 3, 2012
- Federal Health Care Reform and Health Insurance Exchange Planning in New York
- Agenda, Tribal Health Centers Conference Call, June 15, 2012
- Update on State Implementation of Federal Health Care Reform
2.3 Outreach and Education
2.4 Call Center
2.5 Website
2.6 and 2.7 Navigators and IPAs - Design Review
2.8 and 2.9 Agents and Brokers
Wakely - Role of Third Party Assistors
3.0 Eligibility and Enrollment
- Detailed Design Review Summary for Sections 3.1 - 3.14 Enrollment and Eligibility, October 9-10, 2012
- Detailed Design Review Summary for Section 3.1 Single Streamlined Application, October 9 and 10
- 3.1 Streamlined Application
- Detailed Design Review Summary for Section 3.2 Coordination Strategy with Other Agencies, October 9 – 10, 2012
- 3.2 Coordination Strategy
- Detailed Design Review Summary for Section 3.3e Approach for Application Acceptance for Persons with Disabilities and Limited Language Proficiency, October 9 - 10, 2012
- 3.3e Application Acceptance
- Detailed Design Review Summary for Section 3.4 Notices and Data Matching, October 9 – 10, 2012
- 3.4 Notices, Data Matching
- Map-010: Create Account
- Detailed Design Review Summary for Section 3.11 Eligibility Appeals, October 9 & 10, 2012
4.0 Plan Management
- 4.0 PNDS Proposed Model
- 4.1 Authority to cert and oversee QHPs
- 4.2 Certification Process
- 4.2 QHP Certification Flow
- 4.3 IT - Plan Management - QHP Certification Process - Business Requirements Document
- 4.3 Systems and Processes to Support Collection of QHP Data
- 4.4 Ensure Ongoing QHP Compliance
- 4.5 Support Health Plans and Provide Technical Assistance
- 4.6 Issuer Recertification, Decertification and Appeals
- 4.7 Addendum QHP Accreditation.pdf
- 4.7 Timeline for QHP Accreditation
- 4.8 QHP Quality Reporting
- Milliman - Essential Health Benefit Options
- Wakely - Benefit Standardization Study
5.0 Risk Adjustment and Reinsurance
6.0 SHOP
- Detailed Design Review Summary for Sections 6.0 - 6.3 SHOP, October 9-10, 2012 Item Number
- Detailed Design Review Summary for Section 6.1.1 h-Centive Screen Shots, October 9-10, 2012
- Detailed Design Review Summary for Section 6.1.2 Epics for SHOP, October 9-10, 2012
- Market Simulation Research for New York SHOP Exchange, Scope of Work: Wakely Consulting
8.0 Finance and Accounting
9.0 Technology
- Detailed Design Review Summary for .1 Compliance with HHS IT Guidance, October 9 and 10
- Detailed Design Review Summary for 9.3.1 Description of front end system engineering work, including IT and Quality Assurance processes and IV&V services, October 9 & 10, 2012
- Detailed Design Review Summary for 9.3.2 Test Plan, October 9 & 10, 2012
- Detailed Design Review Summary for 9.3.3 IV&V Reports, Quality Management section of the PMP, October 9 & 10, 2012 Item
- Detailed Design Review Summary for 9.4.1 Project Schedule, October 9 & 10, 2012
- (NY-HX) Integrated Master Plan (IMS) 2012.09.14
- Detailed Design Review Summary for 9.4.2 Risk Register October 9 & 10, 2012
- Detailed Design Review Summary for 9.4.3 Communication Matrix October 9 & 10, 2012
- Detailed Design Review Summary for 9.4.4 Scope and Change Control Management Plan October 9 and 10
- Detailed Design Review Summary for 9.4.5 Configuration Management Plan October 9 & 10, 2012
- ExchangeDetailed Design Review Summary for 9.4.6 Staff Management section in PMPOctober
- Detailed Design Review Summary for 9.7.4 Data Management Plan October 9 & 10, 2012
- Detailed Design Review Summary for 9.4.8 Performance Measurement Plan October 9 & 10, 2012
- Detailed Design Review Summary for 9.4.9 Performance Measures October 9 and 10 Item Number Topic 9.4.9 Performance
- Detailed Design Review Summary for 9.4.11 Training Plan October 9 & 10, 2012
- Detailed Design Review Summary for 9.4.12 Release Plan October 9 and 10 Item Number Topic 9.4.12 Release
- Detailed Design Review Summary for 9.5.1 Business Rules / Business Requirements October 9 & 10, 2012
- Detailed Design Review Summary for 9.6.1 System Requirements October 9 & 10, 2012
- Detailed Design Review Summary for 9.7.4 Data Management Plan October 9 & 10, 2012
- Detailed Design Review Summary for 9.7.7 Contingency / Recovery Plan October 9 & 10, 2012
- Detailed Design Review Summary for 9.7.8 Manuals and Training Materials October 9 & 10, 2012
News Type
Updates