sec-1311-101222.doc - Massachusetts Application for the...

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Massachusetts Application for the Cooperative Agreement to Support Innovative Exchange Information Technology Systems CFDA: 93.525 Funding Opportunity Number: IE-HBE-11-001 New England States Collaborative Insurance Exchange Systems (NESCIES) PROJECT NARRATIVE The University of Massachusetts Medical School (UMMS) is pleased to submit this application for the Commonwealth of Massachusetts in response to the Cooperative Agreement to Support Innovative Exchange Information Technology Systems (CFDA: 93.525; FON: IE-HBE-11-00) in collaboration with its partner entities and the New England states. The overall goal of the New England States Collaborative Insurance Exchange Systems (NESCIES) project is to create Health Insurance Exchange (HIX) Information Technology components that are consumer-focused, cost-effective, reusable, and sustainable that can be leveraged by the New England states to operate Health Insurance Exchanges (HIX). The NESCIES project approach will be to create a flexible HIX Information Technology framework in Massachusetts designed to connect consumers, small businesses, and health plans that can be tailored to the needs of the New England states and beyond. Achieving this goal will require the creation of solutions that are component-based, adaptable, and based on national standards. As described in the narrative and related appendices that follow, Massachusetts and the New England states have made substantial progress in assessing and analyzing information technology (IT) gaps for establishing HIX solutions, have demonstrated an advanced state of readiness, and possess the technical expertise to deliver standards based, system components on an accelerated development cycle in cooperation with the Office of Consumer Information and Insurance Oversight (OCIIO). NESCIES is collectively prepared to share all IT solutions developed under this cooperative agreement amongst the New England states as well as with other states nationally, and is committed to building systems that are “cost effective, consumer oriented, and account for the interests of employers, especially small businesses”. A. Commitment Statutory Authority: All of the New England states – Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont – have indicated their support and commitment to the process of exploring, designing, and implementing information technology system components that can be used as part of the overall envisioned HIX Information Technology infrastructure. The participation of all New England states serves to demonstrate our region’s commitment to the HIX IT system initiative and to the implementation of the Affordable Care Act (ACA). The New England states have all passed or are planning for the passage of relevant state statutory and/or regulatory changes required to implement health care reform. In Massachusetts, the role of the Health Connector (the Massachusetts Exchange) and the operation of its programs are
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