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Exhibit 300 (BY2009) for Center for Medicare and Medicaid Services, Plan Enrollment (HPMS)

PART ONE


OVERVIEW


1. Date of Submission:
2008-02-04
2. Agency:
009
3. Bureau:
38
4. Name of this Capital Asset:
CMS Plan Enrollment (HPMS)
5. Unique Project Identifier:
009-38-01-02-01-1075-00
6. What kind of investment will this be in FY2009?
Operations and Maintenance
7. What was the first budget year this investment was submitted to OMB?
FY2005
8. Provide a brief summary and justification for this investment, including a brief description of how this closes in part or in whole an identified agency performance gap.
The Health Plan Management System (HPMS) collects data for and manages the following plan enrollment processes for the MA and Part D programs: application process, bid/benefit package submissions, formulary submissions, marketing material reviews, plan oversight, complaints tracking, survey data, operational data feeds for enrollment and payment, and data support for the Medicare & You handbook and www.medicare.gov website. HPMS supports these processes for all private plans participating in the MA and Part D programs. As the central e-government system for managing the day-to-day operations of these programs, HPMS ensures that there is a single mechanism by which plans and CMS can communicate electronically in an easy and efficient manner. With limited staff resources, HPMS is critical to CMS in managing the over 700 MA and PDP organizations to ensure that they are fulfilling the significant number of statutory, regulatory, and administrative requirements of the MA and Part D programs. The efficiencies produced by HPMS are also vital in enabling CMS to review and approve the ever-increasing number of new plans, which in turn leads to a greater and more diverse set of benefit package options available to Medicare beneficiaries. HPMS supports the "Expanded Electronic Government" government-wide initiative on the PMA and the "High-Value Health Care" and "Confident, Informed Consumers" objectives of the CMS Strategic Action Plan. This investment makes significant contributions to an expanded e-government, implementation of the Federal Enterprise Architecture, and CMS' IT modernization blueprint. It builds the basic computing infrastructure needed to support several CMS systems; supports common standards and practices; and integrates security and privacy protections throughout the lifecycle. With HPMS, CMS will focus on improving services to citizens and other CMS customers through the use of web-based communication and data transfer and various e-business technologies that depend on the Internet. This initiative will provide tools and capabilities to improve internal CMS operations and enable robust collaboration between CMS and its business partners. In an operations and maintenance state, HPMS will use future funding to maintain current operations (e.g., system/database administration, data processing/exchanges, web hosting infrastructure, and telecommunications) and perform routine updates to existing HPMS modules in response to policy changes.
9. Did the Agency's Executive/Investment Committee approve this request?
yes
9.a. If "yes," what was the date of this approval?
2007-06-26
10. Did the Project Manager review this Exhibit?
yes
11.a. What is the current FAC-P/PM certification level of the project/program manager?
TBD
12. Has the agency developed and/or promoted cost effective, energy-efficient and environmentally sustainable techniques or practices for this project.
no
12.a. Will this investment include electronic assets (including computers)?
yes
12.b. Is this investment for new construction or major retrofit of a Federal building or facility? (answer applicable to non-IT assets only)
no
13. Does this investment directly support one of the PMA initiatives?
yes
If yes, select the initiatives that apply:
Initiative Name
Expanded E-Government
13.a. Briefly and specifically describe for each selected how this asset directly supports the identified initiative(s)? (e.g. If E-Gov is selected, is it an approved shared service provider or the managing partner?)
E-Gov - HPMS provides a single point of access via the Internet for CMS information, services, and products. HPMS enables MA/Part D plans to submit application, formulary, bid, marketing, and oversight data via online web data entry pages and file uploads. State, local, and tribal governments will benefit from the ease with which the data warehousing environments permits access to and use of appropriate program data through the Internet.
14. Does this investment support a program assessed using the Program Assessment Rating Tool (PART)?
yes
14.a. If yes, does this investment address a weakness found during the PART review?
yes
14.b. If yes, what is the name of the PARTed program?
2003: CMS - Medicare Program
14.c. If yes, what rating did the PART receive?
Moderately Effective
15. Is this investment for information technology?
yes
16. What is the level of the IT Project (per CIO Council's PM Guidance)?
Level 3
17. What project management qualifications does the Project Manager have? (per CIO Council's PM Guidance)
(1) Project manager has been validated as qualified for this investment
18. Is this investment identified as high risk on the Q4 - FY 2007 agency high risk report (per OMB memorandum M-05-23)?
no
19. Is this a financial management system?
no
20. What is the percentage breakout for the total FY2009 funding request for the following? (This should total 100%)
AreaPercentage
Hardware6
Software2
Services92
Other1
21. If this project produces information dissemination products for the public, are these products published to the Internet in conformance with OMB Memorandum 05-04 and included in your agency inventory, schedules and priorities?
yes
22. Contact information of individual responsible for privacy related questions.
NameMaribel Franey
Phone Number410-786-0757
TitleDirector, Privacy Compliance
Emailmaribel.franey@cms.hhs.gov
23. Are the records produced by this investment appropriately scheduled with the National Archives and Records Administration's approval?
yes
24. Does this investment directly support one of the GAO High Risk Areas?
yes

SUMMARY OF SPEND


1. Provide the total estimated life-cycle cost for this investment by completing the following table. All amounts represent budget authority in millions, and are rounded to three decimal places. Federal personnel costs should be included only in the row designated Government FTE Cost, and should be excluded from the amounts shown for Planning, Full Acquisition, and Operation/Maintenance. The total estimated annual cost of the investment is the sum of costs for Planning, Full Acquisition, and Operation/Maintenance. For Federal buildings and facilities, life-cycle costs should include long term energy, environmental, decommissioning, and/or restoration costs. The costs associated with the entire life-cycle of the investment should be included in this report.

All amounts represent Budget Authority

Note: For the cross-agency investments, this table should include all funding (both managing partner and partner agencies).

Government FTE Costs should not be included as part of the TOTAL represented.
Cost TypePy-1 & Earlier
-2006
PY
2007
CY
2008
BY
2009
Planning Budgetary Resources0.0000.0000.0000.000
Acquisition Budgetary Resources5.8020.0000.0000.000
Maintenance Budgetary Resources8.62710.6989.93312.213
Government FTE Cost1.6000.6151.4001.428
# of FTEs521414
2. Will this project require the agency to hire additional FTE's?
no

PERFORMANCE


In order to successfully address this area of the exhibit 300, performance goals must be provided for the agency and be linked to the annual performance plan. The investment must discuss the agency's mission and strategic goals, and performance measures (indicators) must be provided. These goals need to map to the gap in the agency's strategic goals and objectives this investment is designed to fill. They are the internal and external performance benefits this investment is expected to deliver to the agency (e.g., improve efficiency by 60 percent, increase citizen participation by 300 percent a year to achieve an overall citizen participation rate of 75 percent by FY 2xxx, etc.). The goals must be clearly measurable investment outcomes, and if applicable, investment outputs. They do not include the completion date of the module, milestones, or investment, or general goals, such as, significant, better, improved that do not have a quantitative measure.
Agencies must use the following table to report performance goals and measures for the major investment and use the Federal Enterprise Architecture (FEA) Performance Reference Model (PRM). Map all Measurement Indicators to the corresponding Measurement Area and Measurement Grouping identified in the PRM. There should be at least one Measurement Indicator for each of the four different Measurement Areas (for each fiscal year). The PRM is available at www.egov.gov. The table can be extended to include performance measures for years beyond FY 2009.
RowFiscal YearStrategic Goal SupportedMeasurement AreaMeasurement GroupingMeasurement IndicatorBaselinePlanned Improvement to the BaselineActual Results
12006S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of contracts processed in HPMS93%95%97%
22006S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsDelivery TimePercent of HPMS help desk inquiries completed within 24 hours93%95%97%
32006S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.90%95%93%
42006S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of HPMS system availability during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.93%95%98%
52007S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of contracts processed in HPMS95%97%98%
62007S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsResponse TimePercent of HPMS help desk inquiries completed within 24 hours95%97%97%
72007S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.95%97%96%
82007S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of HPMS system availability during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.95%97%98%
92007S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of unload processing for bids within the specified time period.95%97%97%
102007S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual formulary submissions within 4 business days following due date.95%97%97%
112008S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual bid submissions within 4 business days following due date97%99%TBD
122008S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of contracts processed in HPMS97%99%TBD
132008S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsDelivery TimePercent of HPMS help desk inquiries completed within 24 hours99%99%TBD
142008S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.97%99%TBD
152008S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of the availability of HPMS to users during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.99%99%TBD
162008S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual formulary submissions within 4 business days following due date.99%99%TBD
172009S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of successful support of the annual MA and PDP contract renewal process, including application, formulary, and bid submissions and reviews.99%99%TBD
182009S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsResponse TimePercent of HPMS help desk inquiries completed within 24 hours99%99%TBD
192009S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.99%99%TBD
202009S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of HPMS system availability during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.99%99%TBD
212009S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual formulary submissions within 4 business days following due date.99%99%TBD
222010S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of successful support of the annual MA and PDP contract renewal process, including application, formulary, and bid submissions and reviews.TBD99%TBD
232010S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsResponse TimePercent of HPMS help desk inquiries completed within 24 hoursTBD99%TBD
242010S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.TBD99%TBD
252010S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of HPMS system availability during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.TBD99%TBD
262010S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual formulary submissions within 4 business days following due date.TBD99%TBD
272011S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of successful support of the annual MA and PDP contract renewal process, including application, formulary, and bid submissions and reviews.TBD99%TBD
282011S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsResponse TimePercent of HPMS help desk inquiries completed within 24 hoursTBD99%TBD
292011S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.TBD99%TBD
302011S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of HPMS system availability during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.TBD99%TBD
312011S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual formulary submissions within 4 business days following due date.TBD99%TBD
322012S.O. 1.2 - Increase health care service availability and accessibilityMission and Business ResultsHealth Care AdministrationPercent of successful support of the annual MA and PDP contract renewal process, including application, formulary, and bid submissions and reviews.TBD99%TBD
332012S.O. 1.2 - Increase health care service availability and accessibilityCustomer ResultsResponse TimePercent of HPMS help desk inquiries completed within 24 hoursTBD99%TBD
342012S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of successful monthly data updates to the www.medicare.gov web tools as well as quarterly data updates to the Medicare & You handbook.TBD99%TBD
352012S.O. 1.2 - Increase health care service availability and accessibilityTechnologyAvailabilityPercent of HPMS system availability during normal business hours, at a minimum from 6:00 a.m. EST to 10:00 p.m. EST.TBD99%TBD
362012S.O. 1.2 - Increase health care service availability and accessibilityProcesses and ActivitiesEfficiencyPercent of complete unload processing of annual formulary submissions within 4 business days following due date.TBD99%TBD

Enterprise Architecture


In order to successfully address this area of the business case and capital asset plan you must ensure the investment is included in the agency's EA and Capital Planning and Investment Control (CPIC) process, and is mapped to and supports the FEA. You must also ensure the business case demonstrates the relationship between the investment and the business, performance, data, services, application, and technology layers of the agency's EA.
1. Is this investment included in your agency's target enterprise architecture?
yes
2. Is this investment included in the agency's EA Transition Strategy?
yes
2.a. If yes, provide the investment name as identified in the Transition Strategy provided in the agency's most recent annual EA Assessment.
CMS Plan Enrollment (Health Plan Management System)
3. Is this investment identified in a completed (contains a target architecture) and approved segment architecture?
yes
3.a. If yes, provide the name of the segment architecture as provided in the agency’s most recent annual EA Assessment.
Plan Enrollment
4. Identify the service components funded by this major IT investment (e.g., knowledge management, content management, customer relationship management, etc.). Provide this information in the format of the following table. For detailed guidance regarding components, please refer to http://www.whitehouse.gov/omb/egov/.

Component: Use existing SRM Components or identify as NEW. A NEW component is one not already identified as a service component in the FEA SRM.

Reused Name and UPI: A reused component is one being funded by another investment, but being used by this investment. Rather than answer yes or no, identify the reused service component funded by the other investment and identify the other investment using the Unique Project Identifier (UPI) code from the OMB Ex 300 or Ex 53 submission.

Internal or External Reuse?: Internal reuse is within an agency. For example, one agency within a department is reusing a service component provided by another agency within the same department. External reuse is one agency within a department reusing a service component provided by another agency in another department. A good example of this is an E-Gov initiative service being reused by multiple organizations across the federal government.

Funding Percentage: Please provide the percentage of the BY requested funding amount used for each service component listed in the table. If external, provide the funding level transferred to another agency to pay for the service.
RowAgency Component NameAgency Component DescriptionService TypeComponentReused Component NameReused UPIInternal or External Reuse?Funding %
1Data WarehouseDefines the set of capabilities that support the archiving and storage of large volumes of data.Data ManagementData Warehouse  No Reuse25
2Meta Data ManagementDefines the set of capabilities that support the maintenance and administration of data that describes data.Data ManagementMeta Data Management  No Reuse25
3Contact and Profile ManagementDefines the set of capabilities that provide a comprehensive view of all customer interactions, including calls, email, correspondence and meetings; also provides for the maintenance of a customer's account, business and personal information.Customer Relationship ManagementContact and Profile Management  No Reuse50
5. To demonstrate how this major IT investment aligns with the FEA Technical Reference Model (TRM), please list the Service Areas, Categories, Standards, and Service Specifications supporting this IT investment.

FEA SRM Component: Service Components identified in the previous question should be entered in this column. Please enter multiple rows for FEA SRM Components supported by multiple TRM Service Specifications.

Service Specification: In the Service Specification field, Agencies should provide information on the specified technical standard or vendor product mapped to the FEA TRM Service Standard, including model or version numbers, as appropriate.
RowSRM Component>Service AreaService CategoryService StandardService Specification (i.e., vendor and product name)
1Contact and Profile ManagementComponent FrameworkData InterchangeData ExchangeData Direct ODBC
2Meta Data ManagementComponent FrameworkData InterchangeData ExchangeData Direct ODBC
3Contact and Profile ManagementService Access and DeliveryDelivery ChannelsInternetMicrosoft Internet Explorer
4Data WarehouseService Access and DeliveryDelivery ChannelsInternetMicrosoft Internet Explorer
5Data WarehouseService Platform and InfrastructureDelivery ServersWeb ServersMicrosoft Windows 2000
6Data WarehouseService Platform and InfrastructureDelivery ServersWeb ServersMicrosoft Windows 2000
7Contact and Profile ManagementService Platform and InfrastructureDelivery ServersWeb ServersMicrosoft Windows 2000
8Data WarehouseService Access and DeliveryAccess ChannelsCollaboration / CommunicationsNortel Alteon SSL VPN
9Contact and Profile ManagementService Access and DeliveryAccess ChannelsCollaboration / CommunicationsNortel Alteon SSL VPN
10Meta Data ManagementService Platform and InfrastructureDatabase / StorageDatabaseOracle
11Data WarehouseService Platform and InfrastructureDatabase / StorageDatabaseOracle
12Contact and Profile ManagementService Platform and InfrastructureDatabase / StorageDatabaseOracle
6. Will the application leverage existing components and/or applications across the Government (i.e., FirstGov, Pay.Gov, etc)?
no

PART THREE


RISK


You should perform a risk assessment during the early planning and initial concept phase of the investment's life-cycle, develop a risk-adjusted life-cycle cost estimate and a plan to eliminate, mitigate or manage risk, and be actively managing risk throughout the investment's life-cycle.

Answer the following questions to describe how you are managing investment risks.
1. Does the investment have a Risk Management Plan?
yes
1.a. If yes, what is the date of the plan?
2007-03-30
1.b. Has the Risk Management Plan been significantly changed since last year's submission to OMB?
no

COST & SCHEDULE


1. Was operational analysis conducted?
yes
1.a. If yes, provide the date the analysis was completed.
2007-09-10
What were the results of your operational analysis?
The system is meeting its performance objectives and the needs of stakeholders are being met. The investment is continually analyzed to ensure continuous service as the provisions of MMA are implemented.