Requirements Analysis. California devoted substantial effort to analysis of key documents, including in particular the relevant portions of the ACA, Department of Health and Human Services (DHHS) Guidance for Exchange and Medicaid Information Technology Systems, Versions 1.0 and 2.0, Exchange Business Architecture Supplements ("Blueprints"), Section 1501 Recommendations, Center for Medicare and Medicaid Services (CMS), Final Rule on Federal Funding for Medicaid Eligibility Determination and Enrollment Activities and the supporting guidance: Enhanced Funding Requirements: Seven Conditions and Standards . CHHS, Exchange staff and consultants have developed various summary presentations of requirements for use in stakeholder communications and begun engaging key stakeholders in the requirements elicitation process. In California, as in every state, the input of key stakeholders is a fundamental component of successful analysis and planning related to federal requirements and guidance. In addition, this work has been informed by detailed review of other states' grant applications, consultant reports and discussions with other state staff. California recognizes that a clear understanding of federal requirements is critical to understanding the "to be" state in an accurate gap analysis and is a key element in supporting effective due diligence in assessing the applicability of models developed by Early Innovator States. The state’s objective is to develop a requirements specification that is adequate to support effective business process modeling and successful acquisition of vendor services to construct the necessary Exchange IT support in accordance with the timelines over the next year as outlined in this Level I grant application. The gap analysis evaluates the disparity between a goal, or “to-be” state, and the current state. In the case of Exchange IT, the gap analysis is an iterative process driven in part by the evolving nature of the requirements and the ongoing evaluation of information about existing systems that may offer opportunities for reuse, sharing, or interoperability. To date, California's gap analysis has focused primarily on eligibility and enrollment functions, with detailed information gathering and analysis of the several existing systems that support eligibility and enrollment in public programs. More detail on the state’s IT gap analysis is included below in the Summary of Exchange IT Gap Analysis section.
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Sources: Cooperative Agreement, Cooperative Agreement