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AgendaFunctionalRequirementsFunctionalRequirements n andEligibilityDetermination)Management and CaseWork, Provider andBusiness PartnerManagement)(FinancialManagement,Reporting andAnalytics)FunctionalRequirements(Program Management,Infrastructure andSupport Functions)CostDiscussionQuestion andAnswerFunctional Requirements(Information Verification and Eligibility Determination)Copyright 2012 Accenture All rights reserved.1
ACCESS FLORIDAThe Next WaveCopyright 2012 Accenture All rights reserved.2
Functional RequirementsInformation Verification and Eligibility DeterminationGloria CarterShawn, age 4After Gloria submitted her online application,the following events occurred:1. A case worker completed data collection in the Worker Portal2. Most information has been verified (Identity, Citizenship)3. Income verification remains pendingCopyright 2012 Accenture All rights reserved.3
Functional RequirementsInformation Verification and Eligibility DeterminationGloria received a message in her Secure Mailbox:Verification Needed.Copyright 2012 Accenture All rights reserved.4
Functional RequirementsInformation Verification and Eligibility DeterminationGloria viewed her missing verifications through the “Access my Benefits”portlet on the Self-Service Portal.Copyright 2012 Accenture All rights reserved.5
Functional RequirementsInformation Verification and Eligibility DeterminationGloria viewed her missing verifications through the “Access my Benefits”portlet on the Self-Service Portal.Copyright 2012 Accenture All rights reserved.6
Functional RequirementsInformation Verification and Eligibility DeterminationGloria uploaded her pay stub electronicallythrough the Self-Service Portal.Copyright 2012 Accenture All rights reserved.7
Functional RequirementsInformation Verification and Eligibility DeterminationWe are now ready to view the case in the Worker Portal, review datacollection, verify income, and run an Eligibility Determination.Copyright 2012 Accenture All rights reserved.8
Functional RequirementsComplex Family Household Jill Richards is pregnant with her husband’s child Robert Richards is Jill’s husband (Step-father) Robert’s 20 year old child, Nancy Richards, goes to school out of state Robert’s 16 year old child, Sally Richards, has income from working of 250 per month Jill’s 5-year-old child, Sarah Hunter, has child support of 250 per month. Jill has no income, Robert earns 2,500 a month in gross wagesRobertJillCopyright 2012 Accenture All rights reserved.NancySallySarah9
Functional RequirementsInformation Verification and Eligibility DeterminationInformation Collection:Enrollment: Simplified data collection for a faster andeasier application process Adaptable for policy changes or to supportother programs Information only collected once Streamlined enrollment processInformation Verification: Pre-built interfaces to other Federalapplications for verificationAuthorization: One click authorization of benefitsClient Management: Automatic, rules-driven verification increases Built-in client management capabilitiesaccuracy and efficiency Cross-program dependencies applied asEligibility Determination and BenefitsneededCalculation: One click initiation of the process Quickly and easily implement policychanges Automated and customized Notice of ActiongenerationCopyright 2012 Accenture All rights reserved.10
AgendaBreakCopyright 2012 Accenture All rights reserved.11
AgendaFunctionalRequirementsFunctionalRequirements n andEligibilityDetermination)Management and CaseWork, Provider andBusiness PartnerManagement)(FinancialManagement,Reporting andAnalytics)FunctionalRequirements(Program Management,Infrastructure andSupport Functions)CostDiscussionQuestion andAnswerFunctional Requirements(Case Management and Case Work, Provider and Business Partner Management)Copyright 2012 Accenture All rights reserved.12
Functional RequirementsCase Management and Case Work /Provider and Business Partner ManagementACSSPFuture ApplicationsABMS Presentation ServicesServicesOracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& WorkflowServiceLayersServices &FrameworksAdaptersServiceLayersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business vices &FrameworksServiceLayersServices &FrameworksAdaptersAdapters Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle BIPublisherCommonServiceLayersServices &FrameworksDataServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business ServicesOLTPRulesKnowledgeIntegration& WorkflowServiceLayersAdaptersReportingOracle Identity& AccessManagement(Security) Oracle DBOracle BPM Suite(Business ProcessEngine) Oracle DB Enables workflow flexibility Improves worker efficiency Facilitates process transparencyBPM Provides a Flexible, Efficient, Low-Cost Way to ImplementOngoing Application ImprovementsCopyright 2012 Accenture All rights reserved.13
Functional RequirementsCase Management and Case Work /Provider and Business Partner ManagementThe Special Units tab in ABMS focuses on integrated functionality: Special Investigations State Hearings Quality ReviewCopyright 2012 Accenture All rights reserved.14
Functional RequirementsCase Management and Case Work /Provider and Business Partner ManagementSpecialInvestigationsBob Cobb – SNAP TraffickingState HearingsMissy McGee – Pending HearingQuality ReviewMary Doe – High Risk ErrorCopyright 2012 Accenture All rights reserved.15
Functional RequirementsCase Management and Case Work /Provider and Business Partner ManagementProvider ManagementNorth CommunityResource CenterCopyright 2012 Accenture All rights reserved.Family CounselingNovember FamilyCounseling Session16
Functional RequirementsCase Management and Case WorkCaseworker Management:Waitlist Management: Flexible and adaptable solution Increased caseworker efficiencyaccommodates waitlist requirementsthrough role-specific access Management alerts of potential case Supervisory Review:backlogs Pre-built rules based on latest Federalrequirements from ACAWorkflow Management: Secure, user-id based workflows Out-of-the-box pre-configuredProgram Integrity:workflows for 14 key businessprocesses expedites the design Evaluating programs and programprocessmetrics are part of the core solution User friendly workflow tool to design Legal and Appeals Management:and simulate process changes Support Appeals Management andService Plans:continuation of benefits following anappeal Intelligent rules engine drives Statespecific Service PlansCopyright 2012 Accenture All rights reserved.17
Functional RequirementsProvider and Business Partner ManagementProvider/Partner Recruitment:Resource Directory: Security controlled search access to Recruitment functionality bolsteredthrough experience with other Florida Provider InformationagenciesCompliance and Audits:Provider/Partner Eligibility: Built-in capability to capture programdata in one place and then shared for Resource Databank in ABMS toservice deliverymaintain providers and employers Out-of-the-box provider and partnerAgreement Management:notifications and site visit Pre-built edits and controls preventdocumentationpayments where there is notLicensing:approved agreements Pre-configured functionality for the Automated correspondence forcapture, display and maintenance ofagreement information is configurableprovider license informationfor the DepartmentCopyright 2012 Accenture All rights reserved.18
AgendaLunchCopyright 2012 Accenture All rights reserved.19
AgendaFunctionalRequirementsFunctionalRequirements n andEligibilityDetermination)Management and CaseWork, Provider andBusiness PartnerManagement)(FinancialManagement,Reporting andAnalytics)FunctionalRequirements(Program Management,Infrastructure andSupport Functions)CostDiscussionQuestion andAnswerFunctional Requirements(Financial Management, Reporting and Analytics)Copyright 2012 Accenture All rights reserved.20
Functional RequirementsFinancial Management 350 in OctoberLinda and Ava GarciaLinda misreported herincome as 200 insteadof 1200 starting onOctober 1st, 2012Copyright 2012 Accenture All rights reserved.CaptureOverpayment AutomatedRecoupment21
Functional RequirementsFinancial ManagementBenefit Issuance: Automation and rules-driven benefits determination Individual program evaluation without losing cross program dependenciesRecovery and Recoupment: Automatically requires workers to create overpayment accounts Workers guided through account creation processProvider Payments, Billing and Collections, Settlement andReconciliation, and Recovery and Recoupment: Experience with Florida financial management and controlsCopyright 2012 Accenture All rights reserved.22
Functional RequirementsReporting and AnalyticsACSSPFuture ApplicationsABMS Presentation ServicesDataServicesServicesOracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& vices &FrameworksServiceLayersServiceLayersServices &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdaptersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business ProcessEngine) Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle BIPublisherDataServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business ServicesOLTPOLTPRulesRulesKnowledgeReportingOracle Identity& AccessManagement(Security)Knowledge Oracle DBReporting Oracle BusinessIntelligence Oracle BIPublisher Oracle DB Tracks key performance indicators to deliver better outcomes Single view of “The Truth” – reduction in data inconsistency acrossmultiple systems Tools are intuitive to provide more meaningful outputsReal-time dashboards provide improved visibility into program outcomesCopyright 2012 Accenture All rights reserved.23
Functional RequirementsReporting and AnalyticsOutcome, Evaluation and PerformanceAnalysis: Real-time ad-hoc access and sophisticateddashboard capabilitiesFederal and State ComplianceReporting: More than 30 Federal reports included in thenext release of APSP Pre-built Quality Assurance and Quality Maintains all data sets required by CMS andControl reports for performance analysis andmeets the CMS Federal reporting guidelinesexternal reviewsProgram Analytics:Forecasting and Trends: Tools for faster and more reliable reporting Real-time access to reports, charts, keyperformance indicators and data Rapid and efficient data access and analysisProgram Integrity Reporting: Real-time access to case records to reviewand assess the quality of the case On-line capability to select cases randomlymandated for quality control reviews Solution allows for identification of error ratetrendsCopyright 2012 Accenture All rights reserved.24
AgendaBreakCopyright 2012 Accenture All rights reserved.25
AgendaFunctionalRequirementsFunctionalRequirements n andEligibilityDetermination)Management and CaseWork, Provider andBusiness PartnerManagement)(FinancialManagement,Reporting andAnalytics)FunctionalRequirements(Program Management,Infrastructure andSupport Functions)CostDiscussionQuestion andAnswerFunctional Requirements(Program Management, Infrastructure and Support Functions)Copyright 2012 Accenture All rights reserved.26
Functional RequirementsBusiness Rules ManagementACSSPFuture ApplicationsABMS Presentation ServicesServicesOracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& vices &FrameworksServiceLayersServiceLayersServices &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdaptersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business ProcessEngine) Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle BIPublisherDataServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business ServicesOLTPRulesKnowledgeReportingOracle Identity& AccessManagement(Security) Oracle DBDataServicesApplication &Rules EngineServiceLayersServices le PolicyAutomation(Business RulesEngine) Oracle BusinessIntelligence Oracle BIPublisher Oracle DB Model system logic according to policy Update system logic through configuration, not code Manage system logic in one placeBusiness Rules Provide Flexible System Logic for the ACCESSReplacement SolutionCopyright 2012 Accenture All rights reserved.27
Functional RequirementsProgram ManagementPolicy and Planning:Staff Management: Flexibility to evolve and adapt as Case worker supervisors andbusiness needs change or Federalprogram management can identify,mandates happenrecord, and report on a series of staffperformance metrics More accurate policy change impactanalysis Integration between operations andstaff management that seamlesslyOutreach:presents oversight and early warning Automation to identify prospectiveand current beneficiary populations Training: Robust training approach leads to selfquickly and accurately Outreach efforts become part of case sufficiency User support resources includesfilesystem documentation and on-line helpCopyright 2012 Accenture All rights reserved.28
Functional RequirementsCorrespondence ManagementACSSPFuture ApplicationsABMS Presentation ServicesPresentationServicesOracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& vices ces &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business ProcessEngine) Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle BIPublisherDataServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business ServicesOLTPRulesKnowledgeReportingOracle Identity& AccessManagement(Security) Oracle DBServiceLayersServices &FrameworksAdapters Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle DB System-generated correspondence Delivered to the customer’s ACSSP Secure Message box Fragment architecture to support complex, rule-driven notices Correspondence is created and maintained in Adobe LiveCycleCorrespondence Framework Improves Communications with CustomersCopyright 2012 Accenture All rights reserved.29
Functional RequirementsData ManagementACSSPFuture ApplicationsABMS Presentation ServicesSecurityCommonServiceLayersServices ces &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business ProcessEngine) Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle Oracle Identity& AccessManagement(Security) Oracle DBEnterpriseService BusLegacy ApplicationsPresentationServicesIntegration& WorkflowServicesTechnical ServicesApplication &Rules EngineExternal ApplicationsServicesOracleService BusPre-built ServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business Services APSP allows a comprehensive integration platform for third party andlegacy integrations Supports batch and real-time interfaces APSP ships with several Federal Interfaces Oracle Service bus manages real-time interfacesAPSP Provides a Common SOA Platform for Integration and Data ExchangeCopyright 2012 Accenture All rights reserved.30
Functional RequirementsRecords ManagementACSSPFuture ApplicationsABMS Presentation ServicesPresentationServicesOracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& vices ces &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business ProcessEngine) Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle BIPublisherDataServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business ServicesOLTPRulesKnowledgeReportingOracle Identity& AccessManagement(Security) Oracle DBServiceLayersServices &FrameworksAdapters Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle DB Upload capabilities for providers and customers Captured images linked to Case and Person data through metadata Document and image handling using BPM Improved communication between customers and workersThe Solution gives Users Control of Images and DocumentsCopyright 2012 Accenture All rights reserved.31
Functional RequirementsSecurity ManagementACSSPFuture ApplicationsABMS Presentation ServicesServicesOracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& vices &FrameworksServiceLayersServiceLayersServices &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdaptersAdaptersOracle PolicyAutomation(Business RulesEngine)Oracle BPM Suite(Business ProcessEngine) Adobe LiveCycle(Forms Engine) ImageAPIiCenter (ECM) Oracle BusinessIntelligence Oracle BIPublisherDataServicesKidCare, FFF, IBRS, ServicesFederal Data Hub, Business ServicesOLTPRulesKnowledgeReportingOracle Identity& AccessManagement(Security) Oracle DBSecurityServiceLayersServices &FrameworksAdaptersOracle Identity& AccessManagement(Security) Provides centralized security administration Fine-grained and coarse-grained control of resources Agile security processes for user provisioning, account, authorization andentitlement management Security is managed and enforced by the Oracle Identity and AccessManagement SuiteReduced Risk by Centralizing Administration of Rights, Roles and EntitlementsCopyright 2012 Accenture All rights reserved.32
Functional RequirementsAPSP Products and Security Management Centralized SecurityPolicy AdministrationCentral Provisioning Built-in Single Sign-on Centralized ApproachMinimizes RiskBPMOBIEEAdministrationProvides MaintenanceFlexibilityACSSPLocal ProvisioningABMS DelegatedOther/FutureOracle Accessand Identity ManagerReduced Risk by Centralizing Administration of Rights, Roles and EntitlementsCopyright 2012 Accenture All rights reserved.33
Functional emFutureCompositeApplications:HBE, OthersAccentureCitizen SelfService PortalPresentation ServicesPresentation ServicesSecurityCommonServiceLayersServices ces &FrameworksServiceLayersServices &FrameworksServiceLayersServices &FrameworksAdaptersAdaptersAdapters Rules Forms Reporting ECM BPM EAI AddressNormalization IdentityResolution IDM Access Mgmt tionServicesDatabaseFL FIES 12.0005OracleService BusPre-built ServicesTechnical ServicesApplication &Rules EngineIntegration& vices &FrameworksServiceLayersServiceLayersServices &FrameworksServiceLayersServices &FrameworksServiceLayersServices vicesKidCare, FFF, IBRS, PresentationServicesIntegration& WorkflowServicesTechnical ServicesApplication &Rules EngineBusiness ServicesFederal Data Hub, ServicesServicesEnterpriseService BusPre-built ServicesLegacy ApplicationsExternal ApplicationsBusiness ServicesOLTPRulesKnowledgeReporting Spell-check is provided by WinterTree Help is delivered in both ABMS and ACSSP using FAQs, video tutorialsand contextual page help APSP provides a platform for mobile deliveryThe Solution’s Products are Integrated Using APSPCopyright 2012 Accenture All rights reserved.34
Functional RequirementsInfrastructure and Support FunctionsCorrespondence:Security Management: Includes hundreds of pre-configured and pre Role and profile maintenance portal supports adefined correspondences, Notice of Actions (NOA)flexible business modeland forms that are being used for eligibility programs Solution based on Health Insurance Portability andtodayAccountability Act (HIPAA), Health Information Message Center provides your clients with theTechnology for Economic and Clinical Healthdirect, secure, and always-available(HITECH), Centers for Medicare and Medicaidcommunications channel to their case workerServices (CMS), International Organization forStandardization (ISO) 27002 and other preferredRecords Management:practice standards Integrated records management solution thatData Management:supports client and Partner-initiated documentuploads and connection with online cases Real-time access to case and individual records Allows future integration with scanning kiosks Existing data exchange connections to partnerorganizations and Federal data hubsGeneral: Context-sensitive guides and on-line job aids Generation of notices in multiple formats anddistribution through multiple channelsCopyright 2012 Accenture All rights reserved. Automated backup routines35
Wrap-UpFlorida and Accenture: A Team for ResultsWe are Focused on DCF's End ResultsCopyright 2012 Accenture All rights reserved.36
Wrap-UpWhy Accenture?MostExperiencedDelivery TeamTrue eliveredOn-TimeOn-BudgetOn-TimeOn-BudgetEvery Time forState of FloridaAPSPEnablesLow O&MCostAccenture is theBest Value forUniversalEligibilityUniversalEligibilityThe right solution, team, approach, value and collaboration with FloridaCopyright 2012 Accenture All rights reserved.37
AgendaBreakCopyright 2012 Accenture All rights reserved.38
AgendaFunctionalRequirementsFunctionalRequirements n andEligibilityDetermination)Management and CaseWork, Provider andBusiness PartnerManagement)(FinancialManagement,Reporting andAnalytics)FunctionalRequirements(Program Management,Infrastructure andSupport Functions)CostDiscussionQuestion andAnswerCost DiscussionCopyright 2012 Accenture All rights reserved.39
AgendaFunctionalRequirementsFunctionalRequirements n andEligibilityDetermination)Management and CaseWork, Provider andBusiness PartnerManagement)(FinancialManagement,Reporting andAnalytics)FunctionalRequirements(Program Management,Infrastructure andSupport Functions)CostDiscussionQuestion andAnswerQuestion and AnswerCopyright 2012 Accenture All rights reserved.40
Service Layers Services & Frameworks Adapters Security Service Layers Services & Frameworks Adapters Common Service Layers Services & Frameworks Knowledge « ACSSP ABMS Future Applications Oracle Policy Automation (BusinessRules Engine) Adobe LiveCycle (Forms Engine) ImageAPI iCenter(ECM) Oracle Business Intelligence Oracle BI .
