Attachment B - Requirements _xlsx_

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Attachment B - Requirements _xlsx_ Powered By Docstoc
					Proposer Fit Rating Response Codes: In the "Response" column please provide a Yes or No indicating whether or not the requirement is met. In a
to what level the proposed solution meets thewithout any customization or configuration to implement.
Fit Rating 5: Solution meets the requirement requirement. (Example of Response - Yes/3)
Fit Rating 3: Solution mostly meets the requirement, but will require minor customization or configuration to implement.
Fit Rating 1: Solution somewhat meets the requirement, but will require significant customization or configuration to implement.
Fit Rating 0: Solution does not meet the requirement at all, and cannot do so through customization.

Fit/Gap Analysis
                Workbook                          Req #                              Requirement

 Public Self-Service Portal Workbook           PSSP-001       Single website (homepage) must be used for
                                                              central access to multiple system applications
                                                              (e.g. complete application/review, report changes,
                                                              check status, complete self assessment, check
                                                              eligibility).
 Public Self-Service Portal Workbook           PSSP-002       Portal must be accessible from multiple entry
                                                              points, e.g. other state agency websites,
                                                              community partners, public locations, etc.

 Public Self-Service Portal Workbook           PSSP-003       Portal must be accessible using devices such as
                                                              smart phones, laptop, net books, iPad, etc.
 Public Self-Service Portal Workbook           PSSP-004       Content on the Portal must be accessible in
                                                              multiple languages. At a minimum, the following
                                                              languages will be supported at implementation:
                                                              English, Spanish, Chinese, French, Japanese,
                                                              Korean, Arabic, Farsi, German, Hmong, Lao,
                                                              Russian, Somali, Swahili, and Vietnamese.
                                                              Additional language support may be required at a
                                                              later date.


 Public Self-Service Portal Workbook           PSSP-005       Must accommodate diverse populations of users
                                                              including those with visual and hearing
                                                              impairments, persons with low and moderate
                                                              educational levels, and the elderly. (508
                                                              compliant) http://www.section508.gov/
 Public Self-Service Portal Workbook           PSSP-006       Must capture website traffic statistics and
                                                              associated details (for example; customer kiosks,
                                                              libraries, clinics, homes, completes, hits, counties,
                                                              etc.) and have the ability to generate reports
                                                              based upon traffic statistics. (Web analytics)

 Public Self-Service Portal Workbook           PSSP-007       Must have a customer satisfaction survey option
                                                              (e.g. is this helpful?). Must provide the ability to
                                                              generate reports based upon survey results.

 Public Self-Service Portal Workbook           PSSP-008       Must track types of inquiries received and click-
                                                              through from our site to other sites through links.



 Public Self-Service Portal Workbook           PSSP-009       Must provide multiple output options for customer
                                                              to include but not limited to, e-mail, print, 'save-to-
                                                              file', etc.
Public Self-Service Portal Workbook   PSSP-010   Must allow a customer to securely log into the self-
                                                 service system to access personal and protected
                                                 information. The following two requirements
                                                 PSSP-010 and PSSP-011, are applicable if the
                                                 customer has securely logged on.

Public Self-Service Portal Workbook   PSSP-011   Must allow a customer acting on behalf of an
                                                 applicant/recipient to have the same access as
                                                 the applicant/recipient, but with their own log on.
                                                 For example, a guardian or responsible person
                                                 can complete an application and check benefits.

Public Self-Service Portal Workbook   PSSP-012   Must not allow a customer to view information on
                                                 any other account.
Public Self-Service Portal Workbook   PSSP-013   Must provide a single sign on option for persons
                                                 with access to multiple records. For example, an
                                                 attorney who serves as a guardian for multiple
                                                 programs or a foster parent with several foster
                                                 children does not have to log into the system when
                                                 viewing multiple records they are authorized to
                                                 view.
Public Self-Service Portal Workbook   PSSP-014   Must have the option to establish a username and
                                                 password upon initial entry to any secure module.

Public Self-Service Portal Workbook   PSSP-015   System must lock out a previous household
                                                 member from viewing case information. (for
                                                 example, an ex husband accused of domestic
                                                 violence, previous foster parent)
Public Self-Service Portal Workbook   PSSP-016   Must automatically save information for a
                                                 customer who is logged on. (KHPA will define
                                                 automatic time parameter.)
Public Self-Service Portal Workbook   PSSP-017   Customer must have the ability to save work in
                                                 progress (e.g. form, application or review, etc.)

Public Self-Service Portal Workbook   PSSP-018   Customer must have the ability to regain access to
                                                 saved work.
Public Self-Service Portal Workbook   PSSP-019   Must have automatic expiration of incomplete
                                                 work to be determined by KHPA.
Public Self-Service Portal Workbook   PSSP-020   Must have the ability to notify the applicant prior to
                                                 expiration that their incomplete work will be
                                                 deleted.

Public Self-Service Portal Workbook   PSSP-021   Available message center for the customer with
                                                 automatic notification of new/unread
                                                 messages/alerts upon log on (e.g. new program
                                                 for which this household may be eligible, change
                                                 of address, ID card changes.
Public Self-Service Portal Workbook   PSSP-022   Must provide the ability to establish one logon that
                                                 works for all components of the portal.
Public Self-Service Portal Workbook   PSSP-023   System must timeout when it has been idle for a
                                                 set time. Length of time to be determined by
                                                 KHPA.
Public Self-Service Portal Workbook   PSSP-024   Must have the ability to electronically submit
                                                 supporting documentation to be routed with the
                                                 submission of online work. (e.g. report, application
                                                 or review.)
Public Self-Service Portal Workbook   PSSP-025   Must provide a summary page of customer
                                                 information entered and must have the ability to
                                                 allow the user to update customer information via
                                                 hyperlink.
Public Self-Service Portal Workbook   PSSP-026   Content of the portal must be easily modifiable by
                                                 business staff. (e.g. customer application
                                                 questions.)
Public Self-Service Portal Workbook   PSSP-027   Must capture and track all customer information
                                                 entered through the portal.
Public Self-Service Portal Workbook   PSSP-028   Must have the ability to generate reports based on
                                                 flexible criteria which can be produced by
                                                 business staff. (eg. ad hoc)
Public Self-Service Portal Workbook   PSSP-029   All portal web pages must provide a logical flow to
                                                 questions, must direct the customer to the next
                                                 logical step based on the responses. (for example,
                                                 a single male is not asked about pregnancy and a
                                                 person is asked about the value of a resource only
                                                 after indicating there is a resource.)

Public Self-Service Portal Workbook   PSSP-030   Each portal web page provides a brief description
                                                 of the content and use of the page.
Public Self-Service Portal Workbook   PSSP-031   Must provide an optional online demonstration to
                                                 walk the user through each module (e.g. the
                                                 application process, reporting a change.)
Public Self-Service Portal Workbook   PSSP-032   Must confirm successful transmission of submitted
                                                 customer information (change, application, review)
                                                 and include confirmation number and contact
                                                 information for the receiving location(s). (e.g.
                                                 Clearinghouse field office.)

Public Self-Service Portal Workbook   PSSP-033   The system must be able to identify and route one
                                                 application to multiple locations due to program
                                                 and policy rules. (e.g. SOBRA)
Public Self-Service Portal Workbook   PSSP-034   Must be able to automatically notify customer and
                                                 worker when applications are sent to multiple
                                                 locations.

Public Self-Service Portal Workbook   SELF-001   Must provide a self assessment portal to be used
                                                 by external partners and customers to evaluate
                                                 potential eligibility. This process does not replace
                                                 the formal application process and determination.

Public Self-Service Portal Workbook   SELF-002   Must apply eligibility rules and identify and flag
                                                 potential categorical and financial eligibility.


Public Self-Service Portal Workbook   SELF-003   Must identify and flag expedited or accelerated
                                                 benefits cases.
Public Self-Service Portal Workbook   SELF-004   Must be able to use summarized household data
                                                 for self assessment process. (e.g. two adults and
                                                 two kids and estimated income.)
Public Self-Service Portal Workbook   SELF-005   Must automatically recommend medical programs
                                                 for which customer may be eligible based on
                                                 customers answers to a series of questions and
                                                 allow them to apply for the benefits.

Public Self-Service Portal Workbook   SELF-006   Must inform customer in real time of general
                                                 verification requirements and timelines.
Public Self-Service Portal Workbook   SELF-007   Must inform customer in real time of other
                                                 potential program eligibility and/or resources (with
                                                 appropriate web links). (e.g. SNAP (Food
                                                 Assistance), TANF, WIC, Lions Club, Voc Rehab,
                                                 etc.)
Public Self-Service Portal Workbook   SELF-008   Must have the ability to provide informational fact
                                                 sheets on recommended programs.


Public Self-Service Portal Workbook   SELF-009   The information entered into the self assessment
                                                 portal web page must populate the online
                                                 application if an customer chooses to apply.



Public Self-Service Portal Workbook   SELF-010   Must track applications that originate from self
                                                 assessment portal web page.
Public Self-Service Portal Workbook   SELF-011   Must allow a customer to use the web portal
                                                 without entering personally identifying information.

Public Self-Service Portal Workbook   SELF-012   Must allow a customer to securely log into the
                                                 application system to access a view of the self
                                                 assessment portal with personal information.

Public Self-Service Portal Workbook   SELF-013   Must have the ability to use existing information on
                                                 a known customer, securely logged into the portal,
                                                 to complete a new self assessment.

Public Self-Service Portal Workbook   SELF-014   The self assessment portal must detect and by-
                                                 pass programs for which a securely logged in
                                                 customer is already receiving benefits.

Public Self-Service Portal Workbook   SELF-015   Must provide a solution to discourage and reduce
                                                 the use of the self assessment portal to
                                                 manipulate a situation to determine responses
                                                 necessary to qualify. (e.g., a customer completes
                                                 multiple assessments each with varying income
                                                 amounts to determine qualifying income level.)

Public Self-Service Portal Workbook   SELF-016   Must allow KHPA the ability to limit the use of the
                                                 assessment portal web page for certain programs
                                                 and eligibility conditions to state staff only, or to
                                                 other authorized staff only. (e.g. the transfer of
                                                 property calculator will not be available to the
                                                 public as it may encourage Medicaid Estate
                                                 Planning.)
Public Self-Service Portal Workbook   INTK-001   Must provide a web application to apply for any
                                                 medical assistance program.

Public Self-Service Portal Workbook   INTK-002   Must provide a web application that captures
                                                 demographic information about the household and
                                                 individual members of the household.
Public Self-Service Portal Workbook   INTK-003   Must capture basic information for each person
                                                 (e.g. name, SSN, date of birth, etc.)
Public Self-Service Portal Workbook   INTK-004   Must capture all required data elements for each
                                                 medical program.


Public Self-Service Portal Workbook   INTK-005   System must identify and process information
                                                 based on customer information entered on the
                                                 application. (e.g. less information required for
                                                 some expedited services/benefits.)
Public Self-Service Portal Workbook   INTK-006   Must automatically populate information for
                                                 customers known to the system and securely
                                                 logged on to the portal (e.g. SSN, dob, name,
                                                 address, etc.)
Public Self-Service Portal Workbook   INTK-007   Must automatically determine, set and capture
                                                 application date timestamp.
Public Self-Service Portal Workbook   INTK-008   Must determine application date based on
                                                 timestamp and program rules (e.g. if application
                                                 received on a holiday or non-business day,
                                                 12/25/10 - application date would be the next
                                                 business day.)
Public Self-Service Portal Workbook   INTK-009   Must allow applicant to specify the programs they
                                                 are applying.
Public Self-Service Portal Workbook   INTK-010   Must have the ability to void an application.

Public Self-Service Portal Workbook   INTK-011   Must store all voided applications.

Public Self-Service Portal Workbook   INTK-012   Must have the ability to view all voided applications.

Public Self-Service Portal Workbook   INTK-013   Must have the ability for applicant to withdraw
                                                 application.
Public Self-Service Portal Workbook   INTK-014   Must identify mandatory fields which were not
                                                 completed during the application process.
Public Self-Service Portal Workbook   INTK-015   Must identify information and documents needed
                                                 to complete the application process, based on the
                                                 responses provided by the customer.
Public Self-Service Portal Workbook   INTK-016   Must allow customers to submit the application
                                                 electronically with an electronic signature that
                                                 complies with state, federal and agency
                                                 requirements and standards. The signature shall
                                                 require an acknowledgement, under penalty of
                                                 perjury, by the applicant or authorized person
                                                 completing application that the rights and
                                                 responsibilities related to the application process
                                                 have been read and are understood.


Public Self-Service Portal Workbook   INTK-017   Must route the application to the appropriately
                                                 designated staff person or work queue (KHPA,
                                                 SRS, KDHE, etc.)

Public Self-Service Portal Workbook   INTK-018   Must notify the appropriately designated staff that
                                                 an application has been submitted (e.g. provide a
                                                 hyperlink).
Public Self-Service Portal Workbook   INTK-019   Must provide the option for a customer to apply on
                                                 behalf of a different customer (e.g. guardian,
                                                 DPOA).
Public Self-Service Portal Workbook   INTK-020   Must capture name, address, phone number and
                                                 relationship of customer who applies on behalf of
                                                 a different customer.



Public Self-Service Portal Workbook   INTK-021   Must capture the name, address and phone
                                                 number of community partners or advocacy
                                                 organizations that have assisted the customer with
                                                 the application.



Public Self-Service Portal Workbook   INTK-022   Must identify a customer who is currently receiving
                                                 medical benefits if they are known to the system.

Public Self-Service Portal Workbook   INTK-023   Must have the ability to allow the customers to
                                                 gauge progress in application process.
Public Self-Service Portal Workbook   INTK-024   Must retain completed applications with various
                                                 retention schedules. All application data must be
                                                 easily retrievable.
Public Self-Service Portal Workbook   INTK-025   Must place ninety-nine percent (99%) of all
                                                 submitted applications to the correct location and
                                                 work unit.
Public Self-Service Portal Workbook   INTK-026   Applications must be loaded on the State imaging
                                                 system
Public Self-Service Portal Workbook   CHNG-001   Check information about their case, including but
                                                 not limited to case status, coverage levels,
                                                 pending information needed and due dates,
                                                 outstanding claims, and patient liability.
Public Self-Service Portal Workbook   CHNG-002   Report changes to their case, including but not
                                                 limited to household changes, marital status,
                                                 income, resources , requests for case closure.

Public Self-Service Portal Workbook   CHNG-003   Must be able to view all notices of action, including
                                                 dates sent.
Public Self-Service Portal Workbook   CHNG-004   Access information for all members of the case
                                                 with a single log on.
Public Self-Service Portal Workbook   CHNG-005   System must interface with the MMIS Member
                                                 Web Services portal operated by HP, by allowing
                                                 a customer to access information in the HP
                                                 member portal to be accessed without an
                                                 additional log on.
Public Self-Service Portal Workbook   CHNG-006   Must have the ability to interface with web portals
                                                 of other entities delivering benefits. (e.g. coverage
                                                 plans offered by healthcare reform)

Public Self-Service Portal Workbook   CHNG-007   The system must generate an e-mail notifying
                                                 customer that new information is available online
                                                 (if e-mail address was provided). Can also apply
                                                 for text message option.

Public Self-Service Portal Workbook   CHNG-008   Must allow a customer to view overpayment and
                                                 repayment history.

Public Self-Service Portal Workbook   CHNG-009   Must allow customer and approved external
                                                 entities. (e.g. nursing homes, facilitator, HCBS
                                                 case manager, etc.) Access to view information on
                                                 authorized accounts.
Functional Eligibility Requirements   PILT-001   Must provide a lock-out solution that shall allow
            Workbook                             only designated pilot participants to access the
                                                 online system (such as a pilot only login page).

Functional Eligibility Requirements   PILT-002   Must have all issues identified during the pilot
            Workbook                             phase to be resolved as per the time period as
                                                 defined by KHPA.




Functional Eligibility Requirements   PILT-003   Must provide full technical support as needed
            Workbook                             during the pilot phase.
Functional Eligibility Requirements   PILT-004   Must provide updates as required, to KHPA
            Workbook                             regarding issues identified during the pilot as well
                                                 as proposed solutions to resolve any issues.

Functional Eligibility Requirements   PILT-005   Must maintain an Issue, actions, resolutions,
            Workbook                             status logs for all calls received throughout the
                                                 pilot phase.
Functional Eligibility Requirements   PILT-006   Must have any issues identified during the pilot
            Workbook                             phase resolved within 5 business days of
                                                 completion of the pilot.




Functional Eligibility Requirements   PETL-001   Must capture, allow change, retain and display
            Workbook                             information required for eligibility determinations.
                                                 (e.g. PE submit date, PE date of service, income,
                                                 house hold composition, etc.)

Functional Eligibility Requirements   PETL-002   Must capture, allow change, retain and display
            Workbook                             individual consumer demographic information.
                                                 (e.g. name, birth date, age, SSN, citizenship
                                                 status, etc.)
Functional Eligibility Requirements   PETL-003   Must automatically determine PE eligibility for
            Workbook                             multiple medical programs and benefits based on
                                                 eligibility criteria and hierarchy.
Functional Eligibility Requirements   PETL-004   Must allow PE entities computer system to
            Workbook                             interface with the online PE tool. This allows the
                                                 entity to auto populate the PE tool with data
                                                 already captured in the entity's system.




Functional Eligibility Requirements   PETL-005   Must automatically determine eligibility start date.
            Workbook
Functional Eligibility Requirements   PETL-006   Must automatically reject incomplete PE
            Workbook                             application.
Functional Eligibility Requirements              PE tool must auto populate the online application.
                                      PETL-007
            Workbook
Functional Eligibility Requirements              Must accommodate diverse populations of users
            Workbook                             including those with visual and hearing
                                      PETL-008   impairments, persons with low and moderate
                                                 educational levels, and the elderly. (508
                                                 compliant) http://www.section508.gov/
Functional Eligibility Requirements              Must direct the entity to the next logical step based
            Workbook                  PETL-009   on previous responses. (e.g. Males are not asked
                                                 about pregnancy)
Functional Eligibility Requirements              Must route the PE determination to the designated
            Workbook                             staff person or work queue (KHPA or contractor).
                                                 The subsequent online application must be routed
                                                 to the same designated staff person or work
                                      PETL-010
                                                 queue.



Functional Eligibility Requirements              When a subsequent online application is
            Workbook                  PETL-011   submitted, must auto identify the non PE
                                                 application originated from a PE determination.
Functional Eligibility Requirements              System must create a window that will allow the
            Workbook                             PE entity to print a temporary PE medical card
                                      PETL-012
                                                 with applicable eligibility start date.

Functional Eligibility Requirements              Must automatically create PE notices.
            Workbook
                                      PETL-013


Functional Eligibility Requirements              Must automatically suppress PE notices.
            Workbook
                                      PETL-014


Functional Eligibility Requirements              Must allow user to manually create PE notices.
                                      PETL-015
            Workbook
Functional Eligibility Requirements              Must allow user to manually suppress PE notices.
                                      PETL-016
            Workbook
Functional Eligibility Requirements              Must automatically create a customer
            Workbook                             release/authorization to contact.
                                      PETL-017



Functional Eligibility Requirements              Must automatically generate a customer
                                      PETL-018
            Workbook                             release/authorization to contact to be sent.
Functional Eligibility Requirements              Must allow user to manually create a customer
                                      PETL-019
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must allow user to manually generate a customer
            Workbook                  PETL-020   release/authorization to contact to be sent.

Functional Eligibility Requirements              Must automatically track status of customer
                                      PETL-021
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must identify a consumer who has had previous
            Workbook                  PETL-022   PE coverage and prevent a new PE determination.

Functional Eligibility Requirements              Must identify a consumer who is currently
            Workbook                  PETL-023   receiving medical benefits if they are known to the
                                                 system.
Functional Eligibility Requirements              Must automatically establish the assistance plan
            Workbook                  PETL-024   and household size for the PE determination.

Functional Eligibility Requirements              Must provide a quality assurance module to track
                                      PETL-025
            Workbook                             entities' decisions.
Functional Eligibility Requirements              Must provide indication of met, failed or potential
            Workbook                             eligibility for all medical program’s eligibility criteria
                                                 at initial determination and any time eligibility is
                                      PETL-026
                                                 redetermined. If failed include reason(s) for
                                                 failure. If potential, identify gaps.

Functional Eligibility Requirements              Must notify the appropriately designated staff or
            Workbook                             work queue that an application and/or PE tool has
                                      PETL-027
                                                 been submitted. (e.g. provide a hyperlink.)
Functional Eligibility Requirements              The entry screen must display a brief description
            Workbook                             of the online PE tool as well as links to policy and
                                      PETL-028   training related to the PE determination.


Functional Eligibility Requirements              Must capture the name and phone number of staff
                                      PETL-029
            Workbook                             completing the PE tool.
Functional Eligibility Requirements              Must automatically indicate the name, address,
            Workbook                  PETL-030   and phone number of the entity the PE tool was
                                                 submitted from.
Functional Eligibility Requirements              Must automatically confirm acceptance of
                                      PETL-031
            Workbook                             complete PE determination.
Functional Eligibility Requirements              Must allow the entity to place a PE determination
            Workbook                             on hold and complete at a later date.
                                      PETL-032



Functional Eligibility Requirements              Must provide multiple options for the entity to
            Workbook                             retain a copy of their PE determination. This is to
                                      PETL-033
                                                 include but not limited to print, 'save-to-file.'

Functional Eligibility Requirements              KHPA requires piloting the application system (
            Workbook                             PE, Self Assessment and the Online Application -
                                                 PHASE I) prior to full implementation. KHPA will
                                      PETL-034
                                                 use the existing PE providers at the time of
                                                 implementation as the pilot locations.

Functional Eligibility Requirements              During the pilot the vendor must provide a lock-out
            Workbook                             solution that will allow only designated pilot
                                      PETL-035
                                                 participants to access the online system (such as
                                                 a pilot only login page).
Functional Eligibility Requirements              Must provide full technical support as needed
                                      PETL-036
            Workbook                             during the pilot phase.
Functional Eligibility Requirements              Must provide updates to KHPA as agreed
            Workbook                             regarding issues identified during the pilot as well
                                      PETL-037
                                                 as proposed solutions to resolve any issues.

Functional Eligibility Requirements              Must maintain an Issue log for all calls received
                                      PETL-038
            Workbook                             throughout the pilot phase.
Functional Eligibility Requirements              Must have any issues identified during the pilot
            Workbook                             phase resolved within 5 business days of
                                                 completion of the pilot.
                                      PETL-039



Functional Eligibility Requirements              Must provide a summary page of information
            Workbook                  PETL-040   entered and must allow the user to edit from that
                                                 page.
Functional Eligibility Requirements              Must automatically save information as entity
                                      PETL-041
            Workbook                             completes PE determination.
Functional Eligibility Requirements              Must timeout when the PE tool has been idle for a
            Workbook                  PETL-042   set time. This time will be defined by KHPA.
Functional Eligibility Requirements                Must allow automatic expiration of incomplete PE
            Workbook                               determinations. Will notify entity of incomplete
                                      PETL-043
                                                   determination prior to exiting system.

Functional Eligibility Requirements                Must retain completed PE applications and
            Workbook                               determination in accordance with the retention
                                      PETL-044
                                                   schedule. All applications must be easily
                                                   retrievable.
Functional Eligibility Requirements                Must provide reports to monitor the Presumptive
            Workbook                               Eligibility program. These will include the following
                                      PETL-045     specific reports, with additional reports to be
                                                   added as need requires:

Functional Eligibility Requirements              Provide a report that identifies the total number of
            Workbook                             PE determinations completed per entity, with
                                      PETL-045.1 details regarding the number of approvals/denials,
                                                 denial reasons and program approved.

Functional Eligibility Requirements              Provide a report that identifies the percentage of
            Workbook                             PE determinations completed per entity where a
                                      PETL-045.2 subsequent HealthWave application is received.


Functional Eligibility Requirements              Provide a report that identifies the HealthWave
            Workbook                             application outcome with details regarding the
                                      PETL-045.3 number of approvals/denials, denial reasons and
                                                 programs approved.

Functional Eligibility Requirements              Provide a report that identifies the percentage of
            Workbook                             PE determinations that result in approval of
                                      PETL-045.4 HealthWave coverage.


Functional Eligibility Requirements              Provide a report that identifies PE determinations
            Workbook                             submitted to the Clearinghouse within two
                                      PETL-045.5 business days.


Functional Eligibility Requirements              Provide a report that identifies the average
            Workbook                             number of dates to process the HealthWave
                                      PETL-045.6 applications associated with PE determinations.


Functional Eligibility Requirements                Must automatically assign a unique client identifier
            Workbook                  REGI-001     (High Level Client Index).

Functional Eligibility Requirements                Must automatically create a case by grouping
            Workbook                               associated customers together. (e.g. A case is a
                                      REGI-002     group of family members, members who are part
                                                   of the same household or are part of a mandatory
                                                   filing unit, etc.)
Functional Eligibility Requirements                Must allow user to manually create a case. (e.g. A
            Workbook                               case is a group of family members, members who
                                      REGI-003
                                                   are part of the same household or are part of a
                                                   mandatory filing unit, etc.)
Functional Eligibility Requirements              Must automatically assign a customer to a case.
                                      REGI-004
            Workbook
Functional Eligibility Requirements              Must allow user to manually assign a customer to
                                      REGI-005
            Workbook                             a case.
Functional Eligibility Requirements              Must automatically use an existing case number
                                      REGI-006
            Workbook                             when appropriate.
Functional Eligibility Requirements              Must automatically assign a unique case number
                                      REGI-007
            Workbook                             to a case.
Functional Eligibility Requirements              Must have ability for a member to be associated to
            Workbook                             multiple cases at the same time. (e.g. member
                                                 may receive medical benefits on one case number
                                      REGI-008
                                                 and be the case name for a different case number
                                                 on which their child is receiving benefits, etc.)

Functional Eligibility Requirements              Must automatically associate multiple cases to
            Workbook                             each other. (e.g. cases that share members must
                                      REGI-009
                                                 be associated to each other, etc.)

Functional Eligibility Requirements              Must have ability to manually associate multiple
                                      REGI-010
            Workbook                             cases to each other.
Functional Eligibility Requirements              Must automatically associate members to each
            Workbook                             other. (e.g. children who share an absent parent
                                                 must show an association, etc.)
                                      REGI-011



Functional Eligibility Requirements              Must allow user to manually associate members to
                                      REGI-012
            Workbook                             each other.
Functional Eligibility Requirements              Must record receipt of hard copy documents. (e.g.
                                      REGI-013
            Workbook                             paper applications, review forms, etc.)
Functional Eligibility Requirements              Must allow user to manually create intake. (e.g.
            Workbook                             member requests determination of eligibility for a
                                      REGI-014
                                                 new program during a phone call, etc.)

Functional Eligibility Requirements              Must automatically create intake. (e.g. if
            Workbook                             information learned from an interface suggests
                                                 entitlement to a different program an application
                                      REGI-015
                                                 for the new program must automatically be
                                                 created, etc.)

Functional Eligibility Requirements              Must allow user to record a review without a paper
                                      REGI-016
            Workbook                             review form.
Functional Eligibility Requirements              Must automatically close a program for failure to
                                      REGI-017
            Workbook                             complete a required review.
Functional Eligibility Requirements              Must automatically determine if a request is an
            Workbook                  REGI-018   application, review, case management request,
                                                 duplicate, etc.
Functional Eligibility Requirements              Must automatically create tasks.
                                      REGI-019
            Workbook
Functional Eligibility Requirements              Must automatically identify and link duplicate
            Workbook                             applications to the case and member receiving
                                      REGI-020
                                                 benefits.

Functional Eligibility Requirements              Must capture, retain and display benefit history,
                                      REGI-021
            Workbook                             request history, program history, etc.
Functional Eligibility Requirements              All histories must be easily retrievable, searchable
            Workbook                             and be displayed appropriately with the ability to
                                      REGI-022   recall date specific eligibility, financial, non
                                                 financial, demographic, content information, etc.

Functional Eligibility Requirements              Must automatically identify an individual currently
            Workbook                  REGI-023   participating upon inquiry.

Functional Eligibility Requirements              Must automatically determine eligibility for multiple
            Workbook                  REGI-024   programs and benefits based on eligibility criteria
                                                 and hierarchy.
Functional Eligibility Requirements              Must accommodate multiple application forms.
            Workbook                             (e.g. Family Med only, disability, etc.)
                                      REGI-025


Functional Eligibility Requirements              Must have ability to capture prior medical requests.
                                      REGI-026
            Workbook
Functional Eligibility Requirements              Must automatically establish eligibility
            Workbook                             periods/dates (e.g. budget period, base period,
                                      REGI-027
                                                 effective and thru date, review thru date,
                                                 continuous eligibility date, etc.).
Functional Eligibility Requirements              Must allow the user to manually override
            Workbook                  REGI-028   automatically established eligibility periods/dates.

Functional Eligibility Requirements              Must automatically set ‘special situation’
            Workbook                             indicators. (e.g. Eligible for expedited benefits,
                                      REGI-029
                                                 case needs immediate attention, special needs
                                                 associated with this case, etc.)
Functional Eligibility Requirements              Must allow user to manually set ‘special situation’
            Workbook                             indicators. (e.g. eligible for expedited benefits,
                                      REGI-030   case needs immediate attention, special needs
                                                 associated with this case.)

Functional Eligibility Requirements              Must allow user to manually override all
                                      REGI-031
            Workbook                             automatically set ‘special situation’ indicators.
Functional Eligibility Requirements              Must automatically create intake from processing
                                      REGI-032
            Workbook                             an online application.
Functional Eligibility Requirements              Must automatically create multiple cases. (e.g.
            Workbook                             Disabled HCBS parent with a HW child - one case
                                                 would go to the Clearinghouse worker, and the
                                      REGI-033   other case would go to the SRS Field office.)



Functional Eligibility Requirements              Must determine eligibility for multiple medical
            Workbook                  ELIG-001   programs and benefits based on eligibility criteria
                                                 and hierarchy.
Functional Eligibility Requirements              Provide the ability to perform completely
            Workbook                             automated eligibility determinations (without the
                                      ELIG-002   involvement of a human eligibility worker) upon
                                                 receipt of an application.

Functional Eligibility Requirements              Must have the ability to require an eligibility worker
            Workbook                  ELIG-003   to authorize an automated eligibility determination.
Functional Eligibility Requirements              Must evaluate eligibility criteria against all data
            Workbook                             available. (e.g. consumer entered information,
                                      ELIG-004   data already existing in the system, manually
                                                 entered data, data gleaned from interfaces, etc.)

Functional Eligibility Requirements              Must provide indication of met, failed or potential
            Workbook                             eligibility for all medical program’s eligibility criteria
                                                 at initial determination and any time eligibility is
                                      ELIG-005
                                                 redetermined. If failed, include reason(s) for
                                                 failure. If potential, identify gaps.

Functional Eligibility Requirements              Must automatically determine mandatory filing
                                      ELIG-006
            Workbook                             unit(s).
Functional Eligibility Requirements              Must automatically determine assistance plan(s),
                                      ELIG-007
            Workbook                             including multiple plans within groups.
Functional Eligibility Requirements              Must determine Pro-rata share of resources. (e.g.
                                      ELIG-008
            Workbook                             jointly owned property, etc.)
Functional Eligibility Requirements              Must determine Pro-rata share of income. (e. g.
                                      ELIG-009
            Workbook                             partial month eligibility, etc.)
Functional Eligibility Requirements              Must limit program determination when applicable.
            Workbook                             (e.g. If an applicant requests a determination of
                                      ELIG-010   eligibility for only the TB program then the system
                                                 must limit determinations to the TB program only.)

Functional Eligibility Requirements              Must have the ability to manually override eligibility
                                      ELIG-011
            Workbook                             determination.
Functional Eligibility Requirements              Must automatically deny an application if the
                                      ELIG-012
            Workbook                             consumer fails to provide required verification.
Functional Eligibility Requirements              Must automatically redetermine eligibility. (e.g. an
            Workbook                             SSA SDX record is received and automatically
                                                 processed for an ongoing SSI Medicaid member.
                                                 The SDX record indicates the member is no
                                                 longer in current pay status for SSI benefits due to
                                      ELIG-013
                                                 excess income. The system shall redetermine
                                                 eligibility for SSI Medicaid for this member and will
                                                 show the member is no longer eligible for this SSI
                                                 medical program, etc.)

Functional Eligibility Requirements              Must have ability to manually initiate a
            Workbook                             redetermination of eligibility. (e.g. eligibility staff
                                      ELIG-014   learn of a member’s death, enters this information
                                                 into the system and causes a redetermination of
                                                 eligibility, etc.)
Functional Eligibility Requirements              Must determine, capture, allow change, retain and
            Workbook                             display indicators of possible future eligibility. (e.g.
                                                 Potential Pickles, etc.)
                                      ELIG-015
Functional Eligibility Requirements              Must have ability to create a holding status
            Workbook                             following eligibility determination, allowing the
                                                 customer the opportunity to agree to benefits,
                                                 obligations, responsibilities, etc. of the program
                                      ELIG-016   prior to final benefit authorization. (e.g. consumer
                                                 is eligible for multiple categories and must choose
                                                 category or must agree to pay premiums prior to
                                                 benefit authorization.)

Functional Eligibility Requirements              Must accept applications for persons with a date
                                      ELIG-017
            Workbook                             of death.
Functional Eligibility Requirements              Must have ability to allow responsible persons and
            Workbook                             medical representatives and associate them to
                                      ELIG-018
                                                 specific members on whose behalf they may act.

Functional Eligibility Requirements              Must automatically identify discrepant information.
            Workbook                             (e.g. address reported by non agency partner is
                                      ELIG-019
                                                 different than address on file, etc.)

Functional Eligibility Requirements              Must automatically associate multiple cases to
            Workbook                  ELIG-020   each other (e.g. cases that shard members must
                                                 show an association, etc.).
Functional Eligibility Requirements              Must automatically associate multiple members to
            Workbook                             each other. (e.g. children who share an absent
                                      ELIG-021   parent must show an association, etc.)


Functional Eligibility Requirements              Must have ability to manually associate multiple
                                      ELIG-022
            Workbook                             cases to each other.
Functional Eligibility Requirements              Must have ability to manually associate multiple
                                      ELIG-023
            Workbook                             customers to each other.
Functional Eligibility Requirements              Must have ability for multiple users to access the
                                      ELIG-024
            Workbook                             same case at the same time.
Functional Eligibility Requirements              Must provide electronic on line scripts for common
            Workbook                             case maintenance changes based on information
                                                 reported. (e.g. member reports a disabled child
                                      ELIG-025   will be entering the home – script must lead staff
                                                 thru appropriate questions to ask based on the
                                                 information reported, etc.)

Functional Eligibility Requirements              Must create forms in multiple formats. (e.g. hard
            Workbook                             copy, electronic formats receivable by phone,
                                      ELIG-026
                                                 PDA, e-mail, etc.) (Two examples of forms are
                                                 review forms and referrals.)
Functional Eligibility Requirements              Must automatically populate forms with
            Workbook                             information already in the system as well as
                                                 information learned thru an interface. (e.g.
                                      ELIG-027   automatic query of non agency partner’s computer
                                                 system indicates earnings, these earning shall be
                                                 used to populate the review form, etc.)

Functional Eligibility Requirements              Must track case maintenance actions. (e.g. how
            Workbook                  ELIG-028   many address changes were completed by worker
                                                 X within a date range, etc.)
Functional Eligibility Requirements
                                                  Determine eligibility/ineligibility periods/dates
            Workbook
Functional Eligibility Requirements              Must automatically establish eligibility
            Workbook                             periods/dates. (e.g. budget period, base period,
                                      ELIG-029
                                                 effective and thru date, review thru date,
                                                 continuous eligibility date, etc.)
Functional Eligibility Requirements              Must automatically recalculate eligibility
            Workbook                             periods/dates (e.g. budget periods, base period,
                                                 effective dates, review thru date, continuous
                                      ELIG-030
                                                 eligibility date, etc.) when changes occur.


Functional Eligibility Requirements              Must allow manual override of automatically
                                      ELIG-031
            Workbook                             established eligibility periods/dates.
Functional Eligibility Requirements              Must allow day specific eligibility. (e.g. eligibility for
            Workbook                             some programs begins the day after the program
                                      ELIG-032   is authorized and others begin the first of the
                                                 month for which an eligibility determination has
                                                 been made, etc.)
Functional Eligibility Requirements              Must allow month specific eligibility. (e.g. eligibility
            Workbook                             for some programs begins the day after the
                                      ELIG-033   program is authorized and others begin the first of
                                                 the month for which an eligibility determination has
                                                 been make, etc.)
Functional Eligibility Requirements              Must automatically identify penalty situations. (e.g.
            Workbook                             inappropriate transfer of property, etc.)
                                      ELIG-034


Functional Eligibility Requirements              Must calculate and determine penalty period.
            Workbook
                                      ELIG-035



Functional Eligibility Requirements              Must automatically apply penalty period(s)
            Workbook                             preventing authorization of select benefits (e.g.
                                      ELIG-036
                                                 deny LTC and approve QMB, etc.) during penalty
                                                 period.
Functional Eligibility Requirements              Must have ability to manually initiate
                                      ELIG-037
            Workbook                             calculation/recalculation of penalty periods.
Functional Eligibility Requirements              Must automatically recalculate penalty periods.
                                      ELIG-038
            Workbook
Functional Eligibility Requirements              Must automatically set due dates for action
            Workbook                  ELIG-039   required. (e.g. auto set alert when expected date
                                                 of delivery is near or review is due, etc.)
Functional Eligibility Requirements              Must have ability to manually set due dates for
                                      ELIG-040
            Workbook                             action required.
Functional Eligibility Requirements              Must automatically calculate, retain and display
                                      ELIG-041
            Workbook                             any applicable premium.
Functional Eligibility Requirements              Must set correct premium amount with the correct
                                      ELIG-042
            Workbook                             effective date.
Functional Eligibility Requirements
                                                                Alert staff to situations
            Workbook
Functional Eligibility Requirements              Must identify, flag and alert staff when new data is
            Workbook                             found to be in error or conflicts with known data.
                                                 (e.g. consumer entered SSN is one digit different
                                                 than the SSN already known to the system for a
                                      ELIG-043   consumer with the same name, information
                                                 learned thru an interface conflicts with existing
                                                 information, etc.)


Functional Eligibility Requirements              Must identify, flag and alert staff to outstanding
                                      ELIG-044
            Workbook                             mandatory information.
Functional Eligibility Requirements              Must automatically notify staff of existing or
            Workbook                             previous benefits. (e.g. staff initiate action to add a
                                                 person to an ongoing program, if this person is
                                      ELIG-045
                                                 already a member on another medical program
                                                 the system will recognize this and alert the worker
                                                 to the situation, etc.)
Functional Eligibility Requirements              Must automatically assign program, person, case
            Workbook                             and action required alerts. (e.g. duplicate ID,
                                      ELIG-046   potential fraud, non-cooperation, medical
                                                 subrogation, CSE, age-related, SSI change, etc.)

Functional Eligibility Requirements              Must have ability to manually set program, person,
            Workbook                             case and action required alerts.
                                      ELIG-047


Functional Eligibility Requirements              Must notify all appropriate staff when case,
            Workbook                             program or individual circumstances change. (e.g.
                                      ELIG-048   benefits are approved, denied, changed, closed,
                                                 address changes, resource is liquidated, etc.)

Functional Eligibility Requirements              Must notify appropriate non agency partners when
            Workbook                             case, program or individual circumstances
                                                 change. (e.g. benefits are approved, denied,
                                                 changed, closed, address changes, resource is
                                      ELIG-049
                                                 liquidated, etc.) Notifications may be in the form or
                                                 an electronic, hard copy or phone communication,
                                                 etc.

Functional Eligibility Requirements              Must notify all appropriate staff when changes
            Workbook                             occur on cases associated with each other. (e.g.
                                                 staff located in a field office are responsible for a
                                                 child’s HCBS program and other staff located at
                                                 the Clearinghouse who are responsible for a
                                      ELIG-050
                                                 sibling child’s SI program, Mom is case name on
                                                 both cases, change the address on their case the
                                                 system must notify the appropriate HCBS staff of
                                                 this address change, etc.)

Functional Eligibility Requirements                    Capture, Allow, Change and Retain
            Workbook                                           information/history
Functional Eligibility Requirements              Must capture data from interfaces.
                                      ELIG-051
            Workbook
Functional Eligibility Requirements              Must capture manually entered data.
                                      ELIG-052
            Workbook
Functional Eligibility Requirements              Must capture, allow change, retain and display
            Workbook                             information required for eligibility determinations.
                                      ELIG-053   (e.g. income, resources, expenses, living
                                                 arrangements, screening score, etc.)

Functional Eligibility Requirements              Must be able to track medical program
            Workbook                             determinations separately. (e.g. income used to
                                      ELIG-054   determine eligibility for TXIX may be different than
                                                 the income used to determine eligibility for TXXI,
                                                 etc.)
Functional Eligibility Requirements              Must capture, retain and display all data related to
            Workbook                             each eligibility determination. (e.g. program(s) for
                                      ELIG-055   which eligibility was determined all financial and
                                                 non financial information in place at the time of the
                                                 determination, etc.)
Functional Eligibility Requirements              Must capture, retain and display result of each
            Workbook                             eligibility determination. (e.g. pass or fail for each
                                      ELIG-056
                                                 eligibility criteria at the time of the determination,
                                                 etc.)
Functional Eligibility Requirements              Must capture, retain and display all benefit
                                      ELIG-057
            Workbook                             histories.
Functional Eligibility Requirements              Must capture, retain and display all data values,
            Workbook                             the date the value is established or changed, the
                                      ELIG-058   effective and thru dates for the value and who or
                                                 what process set the value, etc.

Functional Eligibility Requirements              All Histories must be easily retrievable, searchable
            Workbook                             and be displayed appropriately with the ability to
                                      ELIG-059   recall date specific eligibility, financial, non
                                                 financial, demographic and content information,
                                                 etc.
Functional Eligibility Requirements              Must capture, allow change, retain and display
            Workbook                             individual consumer demographic information.
                                      ELIG-060   (e.g. name, birth date, age, SSN, citizenship
                                                 validation and identity validation, etc.)

Functional Eligibility Requirements              Must automatically set, allow change, retain, and
            Workbook                             display ‘special situation’ indicators. (e.g. eligible
                                      ELIG-061   for expedited benefits, case needs immediate
                                                 attention, special needs associated with this case
                                                 etc.)
Functional Eligibility Requirements              Must have ability to manually set ‘special situation’
            Workbook                             indicators. (e.g. eligible for expedited benefits,
                                      ELIG-062   case needs immediate attention, special needs
                                                 associated with this case, etc.)

Functional Eligibility Requirements              Must have ability to manually override all
            Workbook                  ELIG-063   automatically set special situation indicators, flags,
                                                 calculated values, etc.
Functional Eligibility Requirements              Must retain all calculated values for later retrieval.
                                      ELIG-064
            Workbook
Functional Eligibility Requirements              Must create, retain and display referral history
            Workbook                  ELIG-065   including content.
Functional Eligibility Requirements              Must require, capture, retain and display receipt
            Workbook                             acknowledgement of information sent to partners.
                                      ELIG-066


Functional Eligibility Requirements              Must automatically associate information to all
                                      ELIG-067
            Workbook                             appropriate cases, members, etc.
Functional Eligibility Requirements              Must have ability to manually associate
                                      ELIG-068
            Workbook                             information to multiple cases, members, etc.
Functional Eligibility Requirements              Must provide an integrated auto populated and
            Workbook                             free format manually populated case log/history.
                                                 (e.g. log will be auto populated with information
                                                 learned and actions taken. Phone calls received
                                      ELIG-069   at the Clearinghouse are auto documented here
                                                 from an interface with HealthWave vendor phone
                                                 system and staff are allowed to make free format
                                                 entries on the same log.)

Functional Eligibility Requirements              Must have ability to override auto and manually
            Workbook                             populated case log/history entries.
                                      ELIG-070


Functional Eligibility Requirements              Case log/history must automatically populate date,
            Workbook                  ELIG-071   time and who or what process was responsible for
                                                 all entries.
Functional Eligibility Requirements              Must automatically build a case log entry shell
            Workbook                             using standardized statements (e.g. child support
                                                 enforcement system is searched the following
                                      ELIG-072   script would populate the log and allow manual
                                                 entry of dollar amount ‘John Doe’ has $ _____.__
                                                 child support for the month of 2010/03’, etc.)


Functional Eligibility Requirements              Must have ability to print case log/history in whole
                                      ELIG-073
            Workbook                             or designated section.
Functional Eligibility Requirements              Must have ability to download case log/history to
            Workbook                             multiple formats. (e.g. excel, word, pdf, etc.)
                                      ELIG-074



Functional Eligibility Requirements              Must have the ability view case log/history in
                                      ELIG-075
            Workbook                             multiple formats. (e.g. standard)
Functional Eligibility Requirements              Must have ability to associate case log/history
                                      ELIG-076
            Workbook                             entry to multiple cases.
Functional Eligibility Requirements              Must have the ability to move case log/history to
                                      ELIG-077
            Workbook                             another case.
Functional Eligibility Requirements              Must create, retain and display case action
                                      ELIG-078
            Workbook                             summary/history.
Functional Eligibility Requirements              Must have ability to print case file documents by
            Workbook                             user specified criteria. (e.g. type, date
                                      ELIG-079
                                                 chronological order, by case, individual, time
                                                 frame, etc.)
Functional Eligibility Requirements                       Create new intake/automatically
            Workbook                                          recalculate/mass change
Functional Eligibility Requirements              Must automatically perform additions, changes or
            Workbook                             deletions to defined groups without record-by
                                      ELIG-080
                                                 record input. (e.g. mass change).

Functional Eligibility Requirements              Must automatically create intakes based on
            Workbook                             information received from other sources, due to
                                                 reference table changes or changed
                                      ELIG-081   circumstance. (e.g. automatic medical for foster
                                                 care, TB, refugee, MIPPA, % FPL reference table
                                                 change, SSA cost of living increase, etc.)

Functional Eligibility Requirements              Must automatically redetermine eligibility based on
            Workbook                             information received from other sources, due to
                                                 reference table changes or changed
                                      ELIG-082   circumstance. (e.g. automatic medical for foster
                                                 care, TB, refugee, MIPPA, % FPL reference table
                                                 change, SSA cost of living increase, etc.)

Functional Eligibility Requirements              Must automatically redetermine changes in
                                      ELIG-083
            Workbook                             premiums, spenddown, and patient liability.
Functional Eligibility Requirements              Must determine the correct effective date of the
                                      ELIG-084
            Workbook                             change.
Functional Eligibility Requirements              Must automatically create alerts from mass
                                      ELIG-085
            Workbook                             change processing.
Functional Eligibility Requirements              Must have ability to manually create intake.
                                      ELIG-086
            Workbook
Functional Eligibility Requirements              Must have ability to manually redetermine eligibility.
                                      ELIG-087
            Workbook
Functional Eligibility Requirements              Must have ability to create, print and send change
            Workbook                  ELIG-088   notices from mass change determinations.

Functional Eligibility Requirements              Must have ability to create and hold change
                                      ELIG-089
            Workbook                             notices from mass change determinations.
Functional Eligibility Requirements              Must have ability to create and suspend printing of
            Workbook                  ELIG-090   change notices from mass change determinations.

Functional Eligibility Requirements              Must produce error reports from mass change
                                      ELIG-091
            Workbook                             processing.
Functional Eligibility Requirements              Must produce action reports from mass change
                                      ELIG-092
            Workbook                             processing.
Functional Eligibility Requirements              Must produce control reports from mass change
                                      ELIG-093
            Workbook                             processing.
Functional Eligibility Requirements                     Communicate/interface with other
            Workbook                                              agencies/systems
Functional Eligibility Requirements              Must automatically and electronically share
            Workbook                             information with non agency partners. (e.g. share
                                      ELIG-094
                                                 penalty period information with KDOA, etc.)

Functional Eligibility Requirements              Must allow the MMIS to access data for claims
            Workbook                             processing.
                                      ELIG-095
Functional Eligibility Requirements              Must capture, retain and display all communication
            Workbook                             histories. (e.g. electronic referrals, notifications,
                                      ELIG-096
                                                 requests for information, etc.)

Functional Eligibility Requirements              Must capture, retain and display history of all
            Workbook                  ELIG-097   interface affects. (e.g. Social Security interface,
                                                 CSE interface, etc.)
Functional Eligibility Requirements              Must automatically create referrals electronically.
            Workbook                             (e.g. PMDT, Working Healthy, CARE Assessment,
                                      ELIG-098
                                                 HCBS, leaving foster care, etc.)

Functional Eligibility Requirements              Must automatically create hard copy referrals.
            Workbook                             (e.g. PMDT, Working Healthy, CARE Assessment,
                                      ELIG-099
                                                 HCBS, leaving foster care, etc.)

Functional Eligibility Requirements              Must automatically attach appropriate supporting
            Workbook                             documentation to referrals.
                                      ELIG-100


Functional Eligibility Requirements              Must have ability to create manually generated
            Workbook                  ELIG-101   electronic referrals.

Functional Eligibility Requirements              Must have ability to create manually generated
            Workbook                  ELIG-102   hard copy referrals.

Functional Eligibility Requirements              Must capture, allow change, retain and display
            Workbook                             addresses for multiple collateral contacts per
                                      ELIG-103   case, program and member. (e.g. LTC partner,
                                                 landlord, medical clinic, employer, etc.)

Functional Eligibility Requirements              Must automatically create a customer
                                      ELIG-104
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must automatically send a customer
                                      ELIG-105
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must have ability to manually create a customer
                                      ELIG-106
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must have ability to manually send a customer
                                      ELIG-107
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must automatically track status of customer
                                      ELIG-108
            Workbook                             release/authorization to contact.
Functional Eligibility Requirements              Must automatically request information from non
                                      ELIG-109
            Workbook                             agency partners.
Functional Eligibility Requirements              Must automatically initiate data exchange request
            Workbook                             for information. (e.g. SVES request for members
                                      ELIG-110
                                                 at age 64 and 9 months, for potential SSPP
                                                 members, etc.)
Functional Eligibility Requirements
                                                                       Notices
            Workbook
Functional Eligibility Requirements              Must have ability to select available appointment
            Workbook                  ELIG-111   times.

Functional Eligibility Requirements              Must have ability to send appointment notices to
            Workbook                  ELIG-112   consumers or others.
Functional Eligibility Requirements              Must have ability to automatically create an official
            Workbook                             request for information. Information requested to
                                      ELIG-113   be derived from information entered by the
                                                 applicant, from the case file, interface, identified
                                                 by staff, etc.
Functional Eligibility Requirements              Must automatically send an official request for
                                      ELIG-114
            Workbook                             information to the applicant and/or other party.
Functional Eligibility Requirements              Must have ability to manually create an official
            Workbook                  ELIG-115   request for information to the applicant and/or
                                                 other party.
Functional Eligibility Requirements              Must have ability to manually send an official
            Workbook                  ELIG-116   request for information to the applicant and/or
                                                 other party.
Functional Eligibility Requirements              Must automatically create a referral to the
            Workbook                             applicant and/or other party.
                                      ELIG-117


Functional Eligibility Requirements              Must automatically send a referral to the applicant
            Workbook                  ELIG-118   and/or other party.

Functional Eligibility Requirements              Must have ability to manually create a referral to
            Workbook                  ELIG-119   the applicant and/or other party.

Functional Eligibility Requirements              Must have ability to manually send a referral to the
            Workbook                  ELIG-120   applicant and/or other party.

Functional Eligibility Requirements              Must create and produce review forms in multiple
            Workbook                  ELIG-121   media formats. (e.g. hard copy, electronic
                                                 communication, etc.)
Functional Eligibility Requirements              Must automatically populate forms. (e.g. review
                                      ELIG-122
            Workbook                             forms, referrals, notices, etc.)
Functional Eligibility Requirements
                                                            LTC Specific Requirements
            Workbook
Functional Eligibility Requirements              Must capture, allow change, retain and display all
            Workbook                             data elements required to insure appropriate
                                                 payment and benefit level for members in long
                                      ELIG-123   term care situations. (e.g. cost sharing, type of
                                                 living arrangement, approved level of care,
                                                 screening results, dates, etc.)

Functional Eligibility Requirements              Must create, retain and display historic long term
                                      ELIG-124
            Workbook                             care information.
Functional Eligibility Requirements              Must have ability to assign cost sharing
            Workbook                  ELIG-125   responsibility to multiple LTC entities within a
                                                 month.
Functional Eligibility Requirements              Must retrieve, from the MMIS, and display on
            Workbook                             demand monthly accumulated cost sharing
                                                 obligation used in claims payment. (e.g. claim
                                      ELIG-126   ICN, amount of cost sharing obligation for this
                                                 ICN, claims service date(s), provider number,
                                                 claim pay date, remaining unmet patient
                                                 liability/client obligation, etc.)
Functional Eligibility Requirements              Must have ability to change LTC information as
                                      ELIG-127
            Workbook                             necessary if no claims will be affected.
Functional Eligibility Requirements              Must have ability to change LTC information
            Workbook                  ELIG-128   through special processing only when previously
                                                 processed claims will be affected.
Functional Eligibility Requirements
                                                 Spousal impoverishment specific requirements
            Workbook
Functional Eligibility Requirements              Must identify and track spousal impoverishment
            Workbook                  ELIG-129   assessments separately from other applications.

Functional Eligibility Requirements              Must capture spousal impoverishment information.
                                      ELIG-130
            Workbook
Functional Eligibility Requirements              Must automatically calculate, allow change, retain
            Workbook                  ELIG-131   and display community spouse resource
                                                 allowance determination.
Functional Eligibility Requirements              Must associate spousal impoverishment
            Workbook                  ELIG-132   information to both the LTC and community
                                                 spouse upon application or reapplication.
Functional Eligibility Requirements              Must capture, retain and display history of spousal
                                      ELIG-133
            Workbook                             impoverishment information.
Functional Eligibility Requirements              Must automatically calculate, allow change, retain
            Workbook                  ELIG-134   and display community spouse income allowance
                                                 determination.
Functional Eligibility Requirements              Must automatically calculate, allow change, retain
            Workbook                  ELIG-135   and display dependent family member allowance
                                                 determination.
Functional Eligibility Requirements
            Workbook                  ELIG-136

Functional Eligibility Requirements
            Workbook                  ELIG-137

Functional Eligibility Requirements              Must have ability to monitor caseload size in real
                                      CLMA-001
            Workbook                             time.
Functional Eligibility Requirements              Must have ability to weight cases within caseloads
            Workbook                  CLMA-002   and provide recommended distribution.

Functional Eligibility Requirements              Must have ability to establish a flexible assigned
            Workbook                             workload management hierarchy that identifies the
                                      CLMA-003   responsible organizational unit including, but not
                                                 limited to, agency, region, program, unit,
                                                 specialist, county, etc.
Functional Eligibility Requirements              Must have ability for more than one worker to view
            Workbook                  CLMA-004   case information simultaneously minus concurrent
                                                 updates.
Functional Eligibility Requirements              Must have ability to assign work using flexible
            Workbook                  CLMA-005   criteria. (e.g. alphabetic, program, application
                                                 status, queue, weighted caseload, task, etc.)
Functional Eligibility Requirements              Must have ability to transfer a single case, or a
            Workbook                  CLMA-006   collection of cases in mass, including all electronic
                                                 supporting documentation.
Functional Eligibility Requirements              Must have ability to automatically create a
            Workbook                             notification of a case transfer. (e.g. options to
                                      CLMA-007
                                                 notify customer; other needed partners; receiver;
                                                 etc.)
Functional Eligibility Requirements              Must allow user to manually create a notification of
            Workbook                  CLMA-008   case transfer.
Functional Eligibility Requirements              Must have ability to suppress the creation of
            Workbook                             notices of transfer. For example in the event of a
                                                 restructuring of duties and an entire caseload was
                                      CLMA-009
                                                 transferred to another worker, suppress the
                                                 automatic notification of hundreds of transfers.

Functional Eligibility Requirements              Must have ability to automatically evaluate a case
            Workbook                             prior to a transfer, prompt user if established
                                      CLMA-010   transfer criteria are not met and not allow transfer
                                                 until criteria is met. (e.g. no current payment
                                                 authorized, etc.)
Functional Eligibility Requirements              Must have ability to assign a S.P.O.C. (Single
                                      CLMA-011
            Workbook                             Point of Contact) to a case.
Functional Eligibility Requirements              Must identify if and when a S.P.O.C. is assigned to
            Workbook                  CLMA-012   a case so all communications go through the
                                                 S.P.O.C .
Functional Eligibility Requirements              Must have ability to create caseload reports such
            Workbook                             as an active case list, an active person list,
                                                 pending applications, review lists, etc.

                                      CLMA-013




Functional Eligibility Requirements              Must have ability to have a real time,
            Workbook                  CLMA-014   comprehensive listing of workers per customer
                                                 and/or case.
Functional Eligibility Requirements              Must have ability to sort and display the type and
            Workbook                  CLMA-015   number of cases assigned to a specific caseload.

Functional Eligibility Requirements              Must have ability to add, subtract or modify the
            Workbook                  CLMA-016   number of caseloads supported within the system.

Functional Eligibility Requirements              Must have ability to assign a unique identifier to
                                      CLMA-017
            Workbook                             each caseload.
Functional Eligibility Requirements              Must have ability to automatically recommend
            Workbook                  CLMA-018   transfer or shifting of cases from one caseload to
                                                 another.
Functional Eligibility Requirements              Must have ability to create a series of Quality
            Workbook                  QARV-001   Assurance case review forms to be completed
                                                 and stored on the system.
Functional Eligibility Requirements              Must make Quality Assurance case review forms
            Workbook                             available to staff at all levels. (SRS office,
                                      QARV-002
                                                 Clearinghouse, out stationed, Central Office, etc.)

Functional Eligibility Requirements              Must provide electronic versions of Quality Case
                                      QARV-003
            Workbook                             review form.
Functional Eligibility Requirements              Must have ability to create, modify, and terminate
                                      QARV-004
            Workbook                             review forms.
Functional Eligibility Requirements              Must store, with the ability to retrieve, all prior
                                      QARV-005
            Workbook                             versions of forms.
Functional Eligibility Requirements              Must have ability for Quality Assurance case
            Workbook                  QARV-006   review form to be completed for an individual case
                                                 and stored on the system.
Functional Eligibility Requirements              Must have ability to populate review forms with
                                      QARV-007
            Workbook                             data already on the system.
Functional Eligibility Requirements              Must have ability for staff to review, comment and
            Workbook                             return their own QA review forms electronically to
                                      QARV-008
                                                 reviewer.

Functional Eligibility Requirements              Must have ability to set timelines to complete
            Workbook                  QARV-009   reviews and responses.

Functional Eligibility Requirements              Must have ability to notify appropriate person(s) of
            Workbook                             approaching deadline and past due.
                                      QARV-010


Functional Eligibility Requirements              Must have ability to notify staff when QA review
            Workbook                  QARV-011   form is complete.

Functional Eligibility Requirements              Must have ability to assign a unique number to
            Workbook                  QARV-012   each QA review.

Functional Eligibility Requirements              Must have ability to select sample based on
                                      QARV-013
            Workbook                             specified parameters.
Functional Eligibility Requirements              Must have ability to identify the universe from
                                      QARV-014
            Workbook                             which sample cases are selected for review.
Functional Eligibility Requirements              Must have ability to identify sample selection
                                      QARV-015
            Workbook                             criteria and pull random samples.
Functional Eligibility Requirements              Must provide samples according to PERM
            Workbook                  QARV-016   regulations.

Functional Eligibility Requirements              Must have ability to create a pre-determined,
            Workbook                             specialized portion of case information into a
                                                 special case file for review or audit that can be
                                      QARV-017   sent electronically. This should be flexible to
                                                 accommodate different types of reviews. (e.g.
                                                 Single State Audit, Federal Re-reviews, Quality
                                                 Control Reviews, etc.)
Functional Eligibility Requirements              Must have ability to create electronic copies of
            Workbook                             portions of imaged records, attach to a review
                                                 record, and send electronically. (e.g. date specific
                                      QARV-018
                                                 records, certain pages of multiple-page record,
                                                 specific document types, etc.)

Functional Eligibility Requirements              Must have ability to automatically track and store
            Workbook                  QARV-019   records, reports, and samples historically.

Functional Eligibility Requirements              Must have ability to view a history of review activity.
                                      QARV-020
            Workbook
Functional Eligibility Requirements              Must have ability to purge records, reports,
            Workbook                             samples, etc.
                                      QARV-021


Functional Eligibility Requirements              Must have ability to track timeliness of completion
            Workbook                  QARV-022   of case review and agency/worker response.
Functional Eligibility Requirements              Must have ability to capture data elements related
            Workbook                  QARV-023   to Quality Assurance, such as causal factors, etc.

Functional Eligibility Requirements              Must have ability to automatically
            Workbook                             determine/recommend a causal factor based on
                                      QARV-024
                                                 information entered on QA Review form.

Functional Eligibility Requirements              Must have ability to create, modify, or delete error
            Workbook                  QARV-025   causal factors and case elements.

Functional Eligibility Requirements              Must have ability to pull reports by any data
            Workbook                  QARV-026   element such as review type or error causal factor
                                                 from data contained in the review forms.
Functional Eligibility Requirements              Must have ability to automatically generate quality
                                      QARV-027
            Workbook                             assurance reports.
Functional Eligibility Requirements              Must identify when a referral is required and
            Workbook                             automatically generate and track a referral.
                                      COAR-001


Functional Eligibility Requirements              Must allow and track manually generated referrals.
            Workbook                  COAR-002

Functional Eligibility Requirements              Must track status of referrals. Must monitor for
            Workbook                  COAR-003   required or expected action by receiving entity .

Functional Eligibility Requirements              Must accept automated and manual responses
            Workbook                  COAR-004   received on referrals sent and associate them with
                                                 initial referral.
Functional Eligibility Requirements              Must retain history of all referrals sent and
            Workbook                  COAR-005   responses received.

Functional Eligibility Requirements              Must provide the ability to differentiate types of
            Workbook                             referrals within programs. (e.g. Child only CSE
                                      COAR-006
                                                 referrals, ERU spousal elective share, TPL lead
                                                 vs. change, etc.)
Functional Eligibility Requirements              Must identify when a Change referral is necessary
            Workbook                             (e.g. employment changes, household changes,
                                      COAR-007
                                                 entering or leaving foster care, etc.) and send the
                                                 referral.
Functional Eligibility Requirements              Must have the ability to associate a consumer
            Workbook                  COAR-008   notice related to the specific Cost Avoidance and
                                                 Recovery area (CSE, TPL, etc).
Functional Eligibility Requirements              Must store a copy of the notice. These notices
            Workbook                  COAR-009   must be available to the work units that support
                                                 these functions (CSE, TPL, etc).
Functional Eligibility Requirements              Must identify, generate and send potential
            Workbook                             resource situations to work unit as specified. (e.g.
                                      COAR-010   Annuities, Trust like Devices, Spousal Elective
                                                 Shares, Personal Injury cases, Workers Comp,
                                                 etc.)
Functional Eligibility Requirements              Must provide and display a running total of claims
            Workbook                             paid by specific claim type. (e.g. LTC payments,
                                      COAR-011   HIPPS premium payments, medical cash support,
                                                 etc.) These claims will need to be retrieved from
                                                 the MMIS.
Functional Eligibility Requirements              Must determine when/if TPL cooperation affects
            Workbook                  COAR-012   eligibility and initiate and track appropriate action.

Functional Eligibility Requirements              Must generate notices to capture health insurance
            Workbook                             or potential health insurance information. (e.g.
                                      COAR-013   when a job change occurs, automatically send
                                                 requests for TPL and a HIPPS referral, etc.)

Functional Eligibility Requirements              Must identify, generate and send potential HIPPS
            Workbook                  COAR-014   candidates to fiscal agent.

Functional Eligibility Requirements              Must determine when/if Medical Subrogation
            Workbook                  COAR-015   cooperation affects eligibility and initiate and track
                                                 appropriate action.
Functional Eligibility Requirements              Must query all available TPL sources for
            Workbook                             information.
                                      COAR-016


Functional Eligibility Requirements              Must capture insurance information and send to
            Workbook                             MMIS as identified potential TPL lead.
                                      COAR-017


Functional Eligibility Requirements              Must capture and send info to ERU unit
            Workbook                             automatically as specified. (e.g. Date of Death,
                                      COAR-018
                                                 property, length of time in nursing home, etc.)

Functional Eligibility Requirements              Must determine when/if ERU cooperation affects
            Workbook                  COAR-019   eligibility and initiate and track appropriate action.

Functional Eligibility Requirements              Must send Estate Recovery and similar notices
            Workbook                             automatically when a consumer dies. (e.g. notify
                                      COAR-020
                                                 bank accounts, funeral homes, nursing homes
                                                 and responsible parties, etc.)
Functional Eligibility Requirements              Must be able to post payments collected to
            Workbook                  COAR-021   individual accounts.

Functional Eligibility Requirements              Must identify, capture and track trust distributions
            Workbook                  COAR-022   and information. Identify potential cases for
                                                 further review.
Functional Eligibility Requirements              Must determine when/if CSE cooperation affects
                                      COAR-023
            Workbook                             eligibility and initiate appropriate action.
Functional Eligibility Requirements              Must send detailed program level information to
                                      COAR-024
            Workbook                             CSE. (e.g. individual medical subtype, etc.)
Functional Eligibility Requirements              Must accommodate, manage and capture medical
            Workbook                             cash support payments. This will be balanced
                                                 against Unreimbursed Assistance (URA) to
                                      COAR-025   determine if refunds must be generated.
                                                 Develop interface with MMIS, CSE system and
                                                 KHPA payables unit to accomplish this.
Functional Eligibility Requirements                Must capture premium obligations and payments
            Workbook                               and communicate to the CSE system.


                                      COAR-026




Functional Eligibility Requirements                Must capture birth related payments and
            Workbook                               communicate with both the MMIS and the CSE
                                      COAR-027     system. (e.g. historical payments, MCO,
                                                   Encounter data and CAP payments, FFS, etc.)

Functional Eligibility Requirements                When TPL begins, ends or is updated on an
            Workbook                               individual that is shared, must send appropriate
                                      COAR-028
                                                   information to MMIS, CSE and the eligibility
                                                   system.
Functional Eligibility Requirements                When Absent Parent information is known to CSE,
            Workbook                               must automatically update eligibility system with
                                      COAR-029     relevant absent parent info. (e.g. TPL, address,
                                                   income). Allow manual update of information.

Functional Eligibility Requirements                Must support collection of insurance information
            Workbook                               from non-custodial parents, including those
                                      COAR-030     identified through CSE, by sending notices or
                                                   taking other necessary action.

Functional Eligibility Requirements                Must automatically determine maximum cost
            Workbook                  COAR-031     sharing limits by individual and by family.

Functional Eligibility Requirements                Must automatically track cost sharing
            Workbook                               responsibilities to determine if a maximum
                                                   threshold has been reached. (e.g. a family cannot
                                      COAR-032     be charged more than 5% of income, system must
                                                   track cost-sharing responsibilities and issue an
                                                   alert when the maximum has been reached.)

Functional Eligibility Requirements            Must have ability to retain benefit history by type of
            Workbook                  COPO-001 benefit provided such as supplemental, QMB, Title
                                               19 Medicaid.
Functional Eligibility Requirements            Must have ability to create and provide benefit
            Workbook                           issuance history reports.


                                      COPO-002




Functional Eligibility Requirements            Must have ability to capture the overpayment and
            Workbook                           store by funding codes (e.g. An overpayment is
                                      COPO-003 determined and some of the claims that were paid
                                               were for KDOA funded services and also KHPA
                                               funded services, etc.)
Functional Eligibility Requirements            Must have ability to automatically determine a
            Workbook                           period of incorrect eligibility. (e.g. Paid Title 19
                                      COPO-004
                                               when correct eligibility should have been Title 21,
                                               Paid Title 19 when not eligible at all, etc.)
Functional Eligibility Requirements            Must have ability to automatically determine a
            Workbook                  COPO-005 medical overpayment has occurred.

Functional Eligibility Requirements            Must have the ability to automatically determine
            Workbook                           the amount of an overpayment using information
                                      COPO-006 available in K-MED for example, patient liability
                                               amounts, premiums and resource levels are found
                                               in K-MED.
Functional Eligibility Requirements            Must have the ability to automatically or manually
            Workbook                           send a request to the MMIS for medical payments
                                               to be used to determine the overpayment. E.g.
                                      COPO-007
                                               Medical claims paid, capitated managed care
                                               payments, Medicare Buy-In payments for the
                                               overpayment period.
Functional Eligibility Requirements            Must have the ability to adjust overpayment
            Workbook                  COPO-008 amounts based on updates to paid claim amounts
                                               coming from the MMIS.
Functional Eligibility Requirements            Must send an indicator to the MMIS when a claim
            Workbook                           is used to establish and/or collect an overpayment.
                                      COPO-009


Functional Eligibility Requirements            Must have ability to automatically determine
            Workbook                  COPO-010 medical underpayment occurred.

Functional Eligibility Requirements            Must have ability to automatically determine
            Workbook                  COPO-011 amount of underpayment using information
                                               available in K-MED.
Functional Eligibility Requirements            Must have the ability to automatically or manually
            Workbook                           send a request to the MMIS for medical payments
                                      COPO-012
                                               to be used to determine the underpayment.

Functional Eligibility Requirements            Must determine the most appropriate method to
            Workbook                           resolve the underpayment. For example, an
                                               overstated patient liability could result in a refund
                                      COPO-013 to a member if the MMIS has paid a claim using
                                               the previous patient liability or could be resolved
                                               by reducing a future month's patient liability.

Functional Eligibility Requirements            Must automatically track and monitor
            Workbook                           overpayments by type (e.g. program, funding
                                      COPO-014
                                               source, consumer, case, etc.).

Functional Eligibility Requirements            Must have ability to set recovery method including
            Workbook                  COPO-015 amounts to be recouped and payment schedule.

Functional Eligibility Requirements            Must have ability to retain all data used in the
                                      COPO-016
            Workbook                           calculation of incorrect benefits.
Functional Eligibility Requirements            Must have ability to transfer an overpayment from
                                      COPO-017
            Workbook                           one program to another.
Functional Eligibility Requirements            Must have ability to automatically and/or allow the
            Workbook                  COPO-018 user to manually deactivate overpayment. (e.g.
                                               bankruptcy, paid in full, or death, etc.)
Functional Eligibility Requirements            Must have ability to track status of overpayment
            Workbook                  COPO-019 from investigation through closure.

Functional Eligibility Requirements            Must have ability to associate the medical
            Workbook                           overpayment to the premium collection system to
                                      COPO-020
                                               increase premiums or withhold refunds.

Functional Eligibility Requirements            Must automatically track all incorrect payment
            Workbook                  COPO-021 data, activities and audit trail.

Functional Eligibility Requirements            Must have ability to delete or reverse an
            Workbook                  COPO-022 overpayment.

Functional Eligibility Requirements            Must have ability to track root cause of incorrect
            Workbook                  COPO-023 payments and create reports. (e.g. coding errors,
                                               policy application errors, etc.)
Functional Eligibility Requirements            Must have ability to transfer an overpayment from
                                      COPO-024
            Workbook                           one customer to another.
Functional Eligibility Requirements            Must have ability to transfer an overpayment from
            Workbook                  COPO-025 one case to another.

Functional Eligibility Requirements            Must have ability to use an underpayment to pay
            Workbook                           an overpayment balance. (e.g. If a patient liability
                                               is determined to be incorrect for several months,
                                      COPO-026 the amount of the difference between the incorrect
                                               and correct liability can be used to reduce an
                                               outstanding previously established overpayment,
                                               etc.)
Functional Eligibility Requirements            Must have ability to auto generate a notification of
            Workbook                           overpayment account activity including status,
                                      COPO-027
                                               billing notice, receipts and payment history.

Functional Eligibility Requirements            Must have ability to record receipt of payments
            Workbook                           made through various methods. (e.g. cash, check,
                                      COPO-028 various online bill pay, credit card, automatic
                                               deduction, garnishment, etc.)

Functional Eligibility Requirements                Must have ability to increase patient liability to
            Workbook                               satisfy an overpayment.
                                      COPO-029


Functional Eligibility Requirements            Must have ability to initiate a request for refund
            Workbook                  COPO-030 when the overpayment is overpaid.

Functional Eligibility Requirements            Must have ability to identify the other programs the
            Workbook                           customer or other household members
                                      COPO-031
                                               participated in during the overpayment time period.

Functional Eligibility Requirements            Must have ability to produce the data extract to
            Workbook                  COPO-032 support federal reports related to overpayment
                                               recoveries.
Functional Eligibility Requirements            Must have ability to identify if case is subject to
            Workbook                  COPO-033 estate recovery.

Functional Eligibility Requirements            Must have ability to automatically create, change,
            Workbook                  COPO-034 retain and display a special spenddown to recover
                                               an overpayment.
Functional Eligibility Requirements            Must allow the user to manually create and
            Workbook                  COPO-035 change a special spenddown to recover an
                                               overpayment.
Functional Eligibility Requirements
            Workbook
                                      HEAP-001
                                                   Must be able to receive concerns through multiple
                                                   channels. (e.g. phone, e-mail, letter, fax, etc.)
Functional Eligibility Requirements
            Workbook                  HEAP-002     Must provide an electronic template for concerns
                                                   that is accessible through the web.
Functional Eligibility Requirements                Must automatically capture, retain, and display
                                      HEAP-003
            Workbook                               receipt of a concern.
Functional Eligibility Requirements
            Workbook                  HEAP-004
                                                   Must allow manual entry of a concern.
Functional Eligibility Requirements
            Workbook
                                      HEAP-005     Must automatically record the reporter/source
                                                   (name, address, associated agency of person
                                                   expressing the concern, etc) if available.
Functional Eligibility Requirements
            Workbook                               Must allow manual entry of the reporter/source.
                                      HEAP-006
                                                   (e.g. name, address, associated agency of
                                                   person expressing the concern, etc.)
Functional Eligibility Requirements
            Workbook                  HEAP-007     Must assign a system - generated tracking
                                                   number to the concern that uniquely identifies it.
Functional Eligibility Requirements
            Workbook                  HEAP-008     Must have ability to identify and assign the priority
                                                   of a concern.
Functional Eligibility Requirements                Must automatically associate the concern to a
                                      HEAP-009
            Workbook                               case(s) and /or an customer(s).
Functional Eligibility Requirements
            Workbook
                                      HEAP-010
                                                   Must track concerns that can not be associated
                                                   with a case or customer.
Functional Eligibility Requirements
            Workbook                  HEAP-011
                                                   Must track all concerns.
Functional Eligibility Requirements
            Workbook                  HEAP-012     Ability to track multiple concerns from a single
                                                   contact.
Functional Eligibility Requirements
                                      HEAP-013
            Workbook                               Must store all concerns in a central location.
Functional Eligibility Requirements                Must record and track concerns outside of the
                                      HEAP-014
            Workbook                               standard case log.
Functional Eligibility Requirements              Must automatically include information in the case
                                      HEAP-015
            Workbook                             log.
Functional Eligibility Requirements              Must have ability to note critical information
                                      HEAP-016
            Workbook                             regarding a concern (annotate).
Functional Eligibility Requirements              Must capture and sort history of concerns by
            Workbook                             multiple parameters. For example, sort and track
                                      HEAP-017   by source (including reporter/agency submitting
                                                 concern), by subject (including case, person,
                                                 program), by date, etc.
Functional Eligibility Requirements              Must have ability to associate additional details to
            Workbook                  HEAP-018   an original concern and record who added the
                                                 details.
Functional Eligibility Requirements
            Workbook                             Must automatically cross reference common
                                      HEAP-019
                                                 concerns. (e.g. receiving 100 fair hearing requests
                                                 from a single appellant on a single policy change.)
Functional Eligibility Requirements
            Workbook                             Must have the ability to cross reference common
                                      HEAP-020
                                                 concerns. (e.g. receiving 100 fair hearing requests
                                                 from a single appellant on a single policy change.)
Functional Eligibility Requirements
            Workbook                  HEAP-021   Must track when a concern becomes a fair
                                                 hearing request.
Functional Eligibility Requirements              Must have the ability to assign a worker, or group
                                      HEAP-022
            Workbook                             of workers, to manage a concern.
Functional Eligibility Requirements              Must have ability to change the manager of a
                                      HEAP-023
            Workbook                             concern.
Functional Eligibility Requirements
            Workbook
                                      HEAP-024   Must have ability to involve others in the
                                                 management or resolution of a concern, including
                                                 assignments to outside third parties.
Functional Eligibility Requirements              Must identify the staff who are assigned to perform
                                      HEAP-025
            Workbook                             work on the concern.
Functional Eligibility Requirements              Must have ability to generate a referral to a third
            Workbook                  HEAP-026   party assignee. (e.g. regular letter, email,
                                                 automated referral, etc.)
Functional Eligibility Requirements
            Workbook                  HEAP-027   Must have ability to require a response by the third
                                                 party assignee on a case by case basis.
Functional Eligibility Requirements              Must automatically alert appropriate staff when
            Workbook                  HEAP-028   action is needed or information is due to ensure
                                                 timely processing of the concern.
Functional Eligibility Requirements              Must automatically notify customer, third party
            Workbook                             entity, worker, etc. that the status of a concern
                                      HEAP-029
                                                 has changed. (e.g. pending hearing, withdraw,
                                                 referred, etc.)
Functional Eligibility Requirements              Must have ability to manually notify customer, third
            Workbook                             party entity, worker, etc. that the status of a
                                      HEAP-030
                                                 concern has changed. (e.g. pending hearing,
                                                 withdraw, referred, etc.)
Functional Eligibility Requirements
            Workbook                             Must automatically notify the customer that their
                                      HEAP-031
                                                 concern has been received and who it has been
                                                 referred to.
Functional Eligibility Requirements              Must have the ability to manually notify the
            Workbook                  HEAP-032   customer that their concern has been received
                                                 and who it has been referred to.
Functional Eligibility Requirements              Must automatically notify someone other than a
            Workbook                  HEAP-033   customer of a concern. (e.g. authorized medical
                                                 representative, etc.)
Functional Eligibility Requirements              Must have ability to manually notify someone other
            Workbook                  HEAP-034   than a customer of a concern. (e.g. authorized
                                                 medical representative, etc.)
Functional Eligibility Requirements              Must prompt user when additional information is
                                      HEAP-035
            Workbook                             needed.
Functional Eligibility Requirements
            Workbook                             Must automatically send reminders (e.g. alerts,
                                      HEAP-036
                                                 letters, e-mail, etc) to communicate with staff,
                                                 witnesses, third party entities, etc.
Functional Eligibility Requirements
            Workbook                  HEAP-037   Must allow designated users to have electronic
                                                 access to paperwork associated to concerns.
Functional Eligibility Requirements              Must automatically gather appropriate documents
            Workbook                  HEAP-038   and key information for fair hearing summary upon
                                                 receipt of request.
Functional Eligibility Requirements              Must auto populate fields. (e.g. summary, request
                                      HEAP-039
            Workbook                             for dismissal, fraud referral, etc.)
Functional Eligibility Requirements
            Workbook
                                      HEAP-040
                                                 Must automatically generate hearing forms. (e.g.
                                                 request, dismissal, summary, etc.)
Functional Eligibility Requirements
            Workbook                  HEAP-041   Must have ability to manually generate hearing
                                                 forms, e.g. request, dismissal, summary, etc.
Functional Eligibility Requirements
            Workbook                  HEAP-042   Track paid months affected by the appeal process
                                                 and calculate any overpayment.
Functional Eligibility Requirements
            Workbook                             Must track incorrectly paid or unpaid months
                                      HEAP-043
                                                 affected by the appeal process and calculate any
                                                 underpayment.
Functional Eligibility Requirements
            Workbook                  HEAP-044   Must track collections for customer, specific
                                                 hearing, fraud finding etc.
Functional Eligibility Requirements
            Workbook                  HEAP-045   Must automatically transfer information to the HP
                                                 Fair Hearings Database.
Functional Eligibility Requirements
            Workbook                  HEAP-046   Must receive information from the HP Fair
                                                 Hearings Database
Functional Eligibility Requirements
            Workbook
                                      HEAP-047   Must coordinate information exchange with the HP
                                                 Fair Hearings Database to minimize the capture of
                                                 duplicate information.
Functional Eligibility Requirements              Must track fair hearings and fraud hearings
                                      HEAP-048
            Workbook                             separately.
Functional Eligibility Requirements              Must have ability to identify and track a case
                                      HEAP-049
            Workbook                             undergoing a fraud investigation.
Functional Eligibility Requirements                Must track fraud occurrences that are tied to a
                                      HEAP-050
            Workbook                               customer.
Functional Eligibility Requirements                Must track fraud status, e.g. information sent in,
                                      HEAP-051
            Workbook                               scheduled, penalty period, settled, etc.
Functional Eligibility Requirements
            Workbook
                                      HEAP-052

                                                   Must identify trends by using defined parameters.
Functional Eligibility Requirements
            Workbook
                                      HEAP-053

                                                   Must report the number of hearings.
Functional Eligibility Requirements
            Workbook
                                      HEAP-054   Must provide multiple reports to include, but not
                                                 limited to, fraud hearings, number and type of
                                                 decisions.
Functional Eligibility Requirements              Must include the PMDD Questionnaire as part of
            Workbook                             the on-line application, so persons meeting the
                                      PMDD - 001
                                                 criteria for PMDD will be directed to answer
                                                 additional questions.
Functional Eligibility Requirements              All PMDD forms must be available for the
                                      PMDD - 002
            Workbook                             consumer to print.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 003
                                                   Electronic forms will be available for specific
                                                   PMDD forms.
Functional Eligibility Requirements
            Workbook                  PMDD - 004
                                                   Capture electronic signatures.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 005
                                                   Automatically generate and send a referral to the
                                                   PMDT when necessary.
Functional Eligibility Requirements
                                      PMDD - 006
            Workbook                               Identify previous PMDD referrals and decisions.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 007
                                                   Automatically set an accelerated flag using
                                                   factors such as age and allegations.
Functional Eligibility Requirements
                                      PMDD - 008
            Workbook                               Ability to manually set an accelerated flag.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 009
                                                 Allow applicant to electronically submit documents
                                                 that go directly to the PMDT.
Functional Eligibility Requirements              Create and retain a PMDD record for each
                                      PMDD - 010
            Workbook                             individual.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 011
                                                    Maintain PMDD file separately from 'regular'
                                                    medical case file.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 012

                                                    Link PMDD file with 'regular' medical case file.
Functional Eligibility Requirements
            Workbook                  PMDD - 013
                                                 Limit access to PMDD file by role.
Functional Eligibility Requirements              Provide multiple security views of the PMDD
                                      PMDD - 014
            Workbook                             record.
Functional Eligibility Requirements
            Workbook                             Automatically generate a paper request for
                                                 medical records that also allows a staff person to
                                      PMDD - 015 complete missing information (e.g. Populate
                                                 name and address of medical provider or
                                                 completes the contact information but allows the
                                                 worker to ask for specific medical records needed.
Functional Eligibility Requirements              Ability to search and generate interview or
            Workbook                  PMDD - 016 appointment times when an interview or
                                                 appointment is necessary.
Functional Eligibility Requirements              Send reminders to staff of upcoming interviews or
                                      PMDD - 017
            Workbook                             appointments.
Functional Eligibility Requirements
            Workbook                  PMDD - 018 Ability to automatically identify, capture, set and
                                                 change referral type and status.
Functional Eligibility Requirements
            Workbook                  PMDD - 019
                                                    Automatically change referral type/status.
Functional Eligibility Requirements
            Workbook                  PMDD - 020 Ability to manually capture and change referral
                                                 type and status.
Functional Eligibility Requirements              Must capture all relevant dates in the PMDD
            Workbook                             process, including the referral received date,
                                      PMDD - 021 questionnaire received date, medical record
                                                 request date, referral to DDS date, determination
                                                 date etc.
Functional Eligibility Requirements              Must track all relevant dates and timeframes in the
                                      PMDD - 022
            Workbook                             PMDD process.
Functional Eligibility Requirements
            Workbook

                                      PMDD - 023

                                                    Must provide a separate workflow process(s) for
                                                    the PMDT.
Functional Eligibility Requirements
            Workbook

                                      PMDD - 024
                                                    Must have a flexible workflow, monitoring and
                                                    tracking tool to support the various status/paths a
                                                    case may take.
Functional Eligibility Requirements
            Workbook

                                      PMDD - 025

                                                 Must have the ability for each referral type/status
                                                 to have a unique workflow.
Functional Eligibility Requirements              Must have the ability to send notices to one or
                                      PMDD - 026
            Workbook                             multiple entities at the same time.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 027
                                                 Automatically send a questionnaire and other
                                                 forms when needed .
Functional Eligibility Requirements              Ability to manually send a questionnaire or other
                                      PMDD - 028
            Workbook                             forms when needed.
Functional Eligibility Requirements
                                                    Must have the ability to automatically identify
            Workbook                  PMDD - 029
                                                    information missing from the PMDD case record.
Functional Eligibility Requirements                 Ability to manually generate a request for
                                      PMDD - 030
            Workbook                                information that is missing.
Functional Eligibility Requirements
            Workbook                  PMDD - 031 Must have the ability to establish different referral
                                                 types/statuses.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 032 Must have the ability to use information received
                                                 through an interface (for example SSA info) to
                                                 determine PMDD eligibility.
Functional Eligibility Requirements
            Workbook                  PMDD - 033 Must have the ability to request medical records
                                                 from Doctors/providers.
Functional Eligibility Requirements              Must store doctor/provider identifying information
            Workbook                  PMDD - 034 such as NPI, address, phone number, contact
                                                 person, etc.
Functional Eligibility Requirements
            Workbook                             Must have the ability to create referrals to DDS or
                                      PMDD - 035
                                                 have DDS view the information in the K-Med
                                                 system and enter their decision directly in K-MED.
Functional Eligibility Requirements              The ability to create invoices for medical record
                                      PMDD - 036
            Workbook                             requests.
Functional Eligibility Requirements
                                      PMDD - 037
            Workbook                             The ability to send invoices to SMART for payment.
Functional Eligibility Requirements              Must be able to access and import medical
                                      PMDD - 038
            Workbook                             records/documents from FTP or internet sites.
Functional Eligibility Requirements              Must have the ability to send final decision to
                                      PMDD - 039
            Workbook                             multiple entities.
Functional Eligibility Requirements              Must have the ability to capture and display
                                      PMDD - 040
            Workbook                             disability determination information.
Functional Eligibility Requirements
            Workbook                  PMDD - 041 Capture and track Social Security disability
                                                 decision throughout the life of the determination
Functional Eligibility Requirements
            Workbook                  PMDD - 042 Must be able to display the history of each status
                                                 by date and staff/process that assigned the status.
Functional Eligibility Requirements
            Workbook
                                      PMDD - 043
                                                   Must produce reports to reflect pending work load
                                                   by current status, at the worker/unit/operation level.
Functional Eligibility Requirements
            Workbook                             Must produce reports to reflect pending work load
                                      PMDD - 044 by referral type and at the worker/unit/operation
                                                 level.

Functional Eligibility Requirements
            Workbook
                                                   Must produce reports to reflect completed work by
                                      PMDD - 045
                                                   referral type and at the worker/unit/operation level.


Functional Eligibility Requirements
            Workbook
                                                   Must produce reports to reflect timeliness of work
                                      PMDD - 046
                                                   completed at the worker/unit/operation level.


Functional Eligibility Requirements
                                                 Must have the ability to produce ad-hoc reports
            Workbook
                                      PMDD - 047 using all data elements for both the PMDD module
                                                 and other K-MED data elements.
Functional Eligibility Requirements
            Workbook
                                                   Produce reports comparing the PMDD decision
                                      PMDD - 048
                                                   with the actual disability decision made by SSA.


Functional Eligibility Requirements                Must have the ability to search the determination
                                      PMDD - 049
            Workbook                               history by date, status etc.
General Functional Requirements       GENR-001     Must have sufficient response time to meet the
            Workbook                               needs of both internal and external customers.
                                                   Internal customers shall have a response time of
                                                   less than 3 seconds.
General Functional Requirements       GENR-002     Transactions with simple pages without any
           Workbook                                database access shall have response time within
                                                   1 second.
General Functional Requirements       GENR-003     Transactions with simple database access should
           Workbook                                be completed within 2 seconds.
General Functional Requirements       GENR-004     Transactions with complex database access
           Workbook                                should be completed within 3 seconds.
General Functional Requirements       GENR-005     90% of all transactions shall have response time
           Workbook                                within 1 second.
General Functional Requirements   GENR-006   Must have flexibility in the transmission of data in
           Workbook                          real-time as well as batch as per need by
                                             system(s). (e.g. as per policy, by program - foster
                                             care eligibility record must go to the MMIS
                                             immediately whereas long term care data could go
                                             at a nightly batch.)
General Functional Requirements   GENR-007   Must have the ability to receive interface data in
           Workbook                          real-time as well as batch as per business need.



General Functional Requirements   GENR-008   If real time system interfaces are not available,
           Workbook                          must spool the interface data until system
                                             becomes available.
General Functional Requirements   GENR-009   The system must implement self monitoring of all
           Workbook                          critical Interface elements (e.g. central hosts,
                                             network devices, firewalls, links to third parties,
                                             etc.) and must notify the system administrator of
                                             an adverse condition. Appropriate corrective
                                             action shall be taken as required by the service
                                             level agreement.
General Functional Requirements   GENR-010   Must architect a true “platform” enabling the
           Workbook                          integration of other software applications,
                                             databases, and systems, where data, business
                                             rules, processing and other commonalities can be
                                             shared across the various applications, while
                                             appearing seamless to the user.

General Functional Requirements   GENR-011   Must provide enhanced user experiences enabling
           Workbook                          Web technologies, web back-end/Front End
                                             Experiences and Web Components to enhance
                                             the customer front-end experience.

General Functional Requirements   GENR-012   The system must be compatible with multiple
           Workbook                          operating systems such as Windows XP,
                                             Windows Vista, Windows 7 and browsers such as
                                             Mozilla Firefox, Internet Explorer 7/8, etc.




General Functional Requirements   GENR-013   System must update all related modules and
           Workbook                          tables with a single entry, for example, an account
                                             number change is made only once but takes effect
                                             throughout System.
General Functional Requirements   GENR-014   System must provide the ability to validate user
           Workbook                          defined codes during online entry and have an
                                             alert attached that will trigger other actions.



General Functional Requirements   GENR-015   System must be compatible with Postal Software
           Workbook                          Suite. (e.g. First Logic, Code-1 etc.)
General Functional Requirements   GENR-016   System must support large volume printing.
           Workbook
General Functional Requirements   GENR-017   Large volume printing support must be compatible
           Workbook                          with laser printers.
General Functional Requirements   GENR-018   System must provide the ability to minimize the
           Workbook                          impact on overall system performance when a
                                             large report or inquiry is being processed.

General Functional Requirements   GENR-019   System must provide the ability to add printable
           Workbook                          notes (annotation) to any field or document.

General Functional Requirements   GENR-020   System must automatically and accurately date
           Workbook                          and time stamp all document types.
General Functional Requirements   GENR-021   Online screens must proceed directly and
           Workbook                          automatically to the next appropriate field when
                                             data is entered.
General Functional Requirements   GENR-022   System must support cut and paste for copying
           Workbook                          data between windows, fields, etc.
General Functional Requirements   GENR-023   System must provide spell checking.
           Workbook
General Functional Requirements   GENR-024   System must provide formatting text in the system
           Workbook                          (e.g. the ability to capitalize letters, etc.).

General Functional Requirements   GENR-025   System must provide the ability to exit any
           Workbook                          document or screen without saving changes.

General Functional Requirements   GENR-026   System must have the ability to access other input
           Workbook                          screens and modules without backing out of
                                             menus or menu paths.
General Functional Requirements   GENR-027   System must allow navigation between multiple,
           Workbook                          related input screens without losing information
                                             input on the original (or header) screen.

General Functional Requirements   GENR-028   System must allow the user to move backward
           Workbook                          within a menu structure without losing data.

General Functional Requirements   GENR-029   System must allow the user to open multiple
           Workbook                          screens/windows simultaneously.
General Functional Requirements   GENR-030   System must allow the ability to edit all
           Workbook                          transactions for errors upon data entry.
General Functional Requirements   GENR-031   System must provide the ability to make
           Workbook                          corrections and modifications after initial entry of
                                             information with an audit trail to track these
                                             changes.
General Functional Requirements   GENR-032   System must provide the ability to have multiple
           Workbook                          attachments and types of attachments. (e.g.
                                             support / backup documentation)

General Functional Requirements   GENR-033   System must provide the ability to default values
           Workbook                          based on value of another field.
General Functional Requirements   GENR-034   System must provide the ability to override system
           Workbook                          or user-defined defaults.
General Functional Requirements   GENR-035   System must provide the ability to apply alerts to
           Workbook                          any transaction based on any user defined criteria.
General Functional Requirements   GENR-036   The Public Self Service Portal must be available
           Workbook                          24 hours a day except for system maintenance
                                             and upgrade. (System operations (batch) does not
                                             stop ability to access services online.)

General Functional Requirements   GENR-037   Help desk support will be available 24 hours a day
           Workbook                          7 days a week.

General Functional Requirements   GENR-037   Help desk support will be available 24 hours a day
           Workbook                          7 days a week.

General Functional Requirements   GENR-039   System must provide the ability to have 24-hour, 7
           Workbook                          days a week, access to the reporting system.
                                             Vendor must notify KHPA of reporting system
                                             downtime.
General Functional Requirements   GENR-040   The system must be available 24 hours, 7 days a
           Workbook                          week, with appropriate KHPA approved allowance
                                             for scheduled downtime for system backups,
                                             batch cycle (if applicable), archiving, or system
                                             maintenance, etc. Vendor must describe
                                             scheduled expected down time.
General Functional Requirements   GENR-041   Must be available when the system is not running
           Workbook                          batch or normal maintenance according to a
                                             schedule approved by the state.


General Functional Requirements   GENR-042   The system must have the ability to self-monitor
           Workbook                          twenty-four (24) hour a day 7 days a week to notify
                                             KHPA staff and help desk of performance issues.
                                             System must provide timely alert to ensure system
                                             performance ensuring 99% reliable uptime.

General Functional Requirements   GENR-043   Vendor shall ensure that optional readiness, test
           Workbook                          regions are available from 6:00 a.m. to 10:00 p.m.,
                                             five days a week, with the option to extend to
                                             midnight and weekends, upon KHPA request,
                                             during the test period, except for regularly
                                             scheduled maintenance.
General Functional Requirements   GENR-044   Shall provide Extract, Transfer and Load (ETL)
           Workbook                          processes to data exchanged with the DAI and
                                             other interfaces as necessary.
General Functional Requirements   GENR-045   K-MED data must never leave the continental US
           Workbook                          for any purpose related to this contract, including
                                             development performed off-site. Vendor must
                                             specify the geographic location of all off-site work.

General Functional Requirements   GENR-046   K-MED information (e.g. User Support) can never
           Workbook                          leave the continental US for any purpose.
General Functional Requirements   GENR-047   If KHPA data is used in a demo, data must be de-
           Workbook                          identified. KHPA must review and approve this
                                             data before the demo occurs.

General Functional Requirements   GENR-048   Must have the ability to capture and track mail
           Workbook                          returned from a bad address.
General Functional Requirements   GENR-049   Must allow all documents requiring signature to be
           Workbook                          submitted with an electronic signature that
                                             complies with state, federal and agency
                                             requirements and standards.
General Functional Requirements   GENR-050   May provide a telephonic signature
           Workbook
General Functional Requirements   GENR-051   Must provide a solution to record, track and
           Workbook                          manage all contacts regarding medical programs.

General Functional Requirements   GENR-052   Must automatically record the name of person
           Workbook                          making the contact, and the date and time of the
                                             contact, where possible.

General Functional Requirements   GENR-053   Must allow for manual entry of the name of the
           Workbook                          person making the contact, the member involved
                                             (if applicable), the date and time of the contact.

General Functional Requirements   GENR-054   When a contact is received, K-MED must make
           Workbook                          case information readily available to a staff person
                                             when a contact is received, to include prior
                                             contacts.
General Functional Requirements   GENR-055   Must allow the staff person to make notes
           Workbook                          regarding the contact and automatically record
                                             ALL information regarding the contact in the case
                                             file, or other location where no case file exists.


General Functional Requirements   GENR-056   Must generate necessary work tasks as the result
           Workbook                          of action from a contact.
General Functional Requirements   GENR-057   Must provide reporting necessary for trending and
           Workbook                          analysis, such as call volumes and peak call times.

General Functional Requirements   GENR-058   Must determine and document the appropriate
           Workbook                          medical assistance program, project or other
                                             category impacted by system or human actions to
                                             support claims for federal matching funds.

General Functional Requirements   GENR-059   Must provide reports or data to support the cost
           Workbook                          allocation strategy, such as the numbers and
                                             types of applications processed.

General Functional Requirements   GENR-060   Must follow approved cost allocation plan to
           Workbook                          support KHPA's administrative claim.

General Functional Requirements   GENR-061   Must have the ability to quickly adjust cost
           Workbook                          allocation components based upon changes
                                             initiated by KHPA, such as the kick-off of a new
                                             project.
General Functional Requirements   GENR-062   For each eligibility function completed, the system
           Workbook                          must provide a summary of all rules applied in the
                                             determination and the results (e.g., pass/fail). The
                                             information must be displayed on a separate
                                             window / screen(s) in the K-MED System.
General Functional Requirements   OUNO-001   Must generate notices or letters.
           Workbook


General Functional Requirements   OUNO-002   Must have ability to automatically generate notices.
           Workbook
General Functional Requirements   OUNO-003   Must have ability to suppress automatically
           Workbook                          generated notices.
General Functional Requirements   OUNO-004   Must have ability to manually generate notices.
           Workbook
General Functional Requirements   OUNO-005   Must automatically use case information to
           Workbook                          generate a notice or letter.
General Functional Requirements   OUNO-006   Must have the ability to create standard notice
           Workbook                          language (e.g. templates) for users to send to
                                             customers and others.
General Functional Requirements   OUNO-007   Must have the ability to automatically include
           Workbook                          individual information in a notice (e.g. client name,
                                             the amount of a spenddown, a premium, a specific
                                             denial reason, etc) using standard language or
                                             templates.
General Functional Requirements   OUNO-008   Must have the ability to incorporate free-format
           Workbook                          text specific to the individual notice, when using
                                             standard notice language or templates.
General Functional Requirements   OUNO-009   Must have the ability to edit or delete any free-
           Workbook                          format text prior to the actual production of the
                                             notice.
General Functional Requirements   OUNO-010   Must generate foreign language notices.
           Workbook




General Functional Requirements   OUNO-011   Must support issuing notices in Braille.
           Workbook


General Functional Requirements   OUNO-012   Must have the ability to generate notices in
           Workbook                          multiple font sizes.

General Functional Requirements   OUNO-013   Must include the English version of any notice
           Workbook                          generated in a different language. The English
                                             version must be available to the worker and to the
                                             recipient.
General Functional Requirements   OUNO-014   Must have ability to modify, delete, suspend, and
           Workbook                          suppress a standard notice language or templates.

General Functional Requirements   OUNO-015   Must have the ability to freeze standard notice
           Workbook                          language so it cannot be modified when a user
                                             generates a notice to an individual and/or
                                             customer.
General Functional Requirements   OUNO-016   Must dynamically merge content of a notice based
           Workbook                          on case, action or circumstances. The
                                             standardized text is to be brought together
                                             automatically. (e.g. language supporting denial of
                                             MACM and approval of MP are automatically
                                             merged together in one notice.)
General Functional Requirements   OUNO-017   Must have the ability to control the content of
           Workbook                          notice based on entity it is sent to. (e.g. based on
                                             agency, county, region, case load, etc.)

General Functional Requirements   OUNO-018   Must perform word processing functions (e.g.
           Workbook                          inclusion of rich text, cut and paste, spell check,
                                             text wrapping, grade level check, dictionary,
                                             thesaurus, highlighting, bolding, underlining etc.)
                                             on standard notice language and free form text
                                             added by end user.
General Functional Requirements   OUNO-019   Must offer a choice to automatically or manually
           Workbook                          perform a grammar and spell check on all notices
                                             and provide suggestions to assist in meeting
                                             grade level requirements. This shall include
                                             grammar checks on standard notice language and
                                             free form text added by end user.



General Functional Requirements   OUNO-020   Must generate multi-page notices.
           Workbook
General Functional Requirements   OUNO-021   Ability to control notice length, with no automated
           Workbook                          system limitation unless specified by KHPA.

General Functional Requirements   OUNO-022   Must have ability to incorporate approved writing
           Workbook                          standards.
General Functional Requirements   OUNO-023   Must have ability to Include legal disclaimers or
           Workbook                          standard informational text that corresponds to the
                                             case situation, such as right to appeal and
                                             reporting requirements.
General Functional Requirements   OUNO-024   Must have ability to include attachments,
           Workbook                          interactive attachments, hyperlinks, etc. (e.g. link
                                             to annual review, forms for customer completion,
                                             referrals, etc.)
General Functional Requirements   OUNO-025   Must support all notices to be generated on KHPA
           Workbook                          or other standard letterhead.


General Functional Requirements   OUNO-026   Ability to include graphics in a notice. (e.g.
           Workbook                          charts, logos, graphs, etc.)
General Functional Requirements   OUNO-027   Ability to capture graphic signature of the
           Workbook                          designated worker or unit as one of the notice
                                             components.
General Functional Requirements   OUNO-028   Must have ability to generate letters for mass
           Workbook                          mailing based on designated characteristics. (e.g.
                                             dental clinic in Goodland, school fairs,
                                             immunization reminders, earned income tax credit
                                             notice, flu shot reminders, etc.)
General Functional Requirements   OUNO-029   Must have ability to set-up and maintain automatic
           Workbook                          generation of notices based on one or more
                                             criteria. (e.g. county, nursing home, event, policy
                                             change, etc.)
General Functional Requirements   OUNO-030   Must have ability to schedule reoccurring notices.
           Workbook                          (e.g. monthly, semi annually, annually, pregnancy
                                             due date, immunizations, anticipated Medicare
                                             eligibility, etc.)
General Functional Requirements   OUNO-031   Must have the capability to generate mass
           Workbook                          mailings on demand. (e.g. annual cost of living
                                             increases, annual Federal Poverty Level Changes,
                                             etc.)
General Functional Requirements   OUNO-032   Must have ability to generate a notice with copies
           Workbook                          to multiple parties with different addresses at the
                                             same time.
General Functional Requirements   OUNO-033   Must have ability to generate notices via multiple
           Workbook                          media options or channels. (e.g. e-mail, fax, print,
                                             etc.)
General Functional Requirements   OUNO-034   Must have ability to generate a notice in different
           Workbook                          medias to different parties. (e.g. the customer gets
                                             a paper letter and the Responsible Person
                                             receives an electronic notice, etc.)

General Functional Requirements   OUNO-035   Must have ability to control who receives a notice.
           Workbook                          (e.g. the customer, responsible person, nursing
                                             facility, and service providers, etc.)

General Functional Requirements   OUNO-036   Must have ability to generate a third party notice
           Workbook                          with the option to send a copy to the customer.
                                             (e.g. employer letter, notices related to quality
                                             assurance reviews, etc.)
General Functional Requirements   OUNO-037   Must have the ability to retract a notice or group of
           Workbook                          notices prior to information being sent to the
                                             printing and mailing vendor.
General Functional Requirements   OUNO-038   Ability to designate where (physical / geographical
           Workbook                          location) a notice is printed and mailed.

General Functional Requirements   OUNO-039   Ability to set printing and mailing time frames by
           Workbook                          customer, case, responsible person, nursing
                                             facility, and service providers.
General Functional Requirements   OUNO-040   Ability to re-generate a notice that was previously
           Workbook                          sent to a customer and document the creation of a
                                             subsequent notice.
General Functional Requirements   OUNO-041   Sort notices based on business reasons prior
           Workbook                          to printing. Reasons may include, but are not
                                             limited to, zip code order to get best postal
                                             rate (presort).
General Functional Requirements   OUNO-042   Generate mass notices to a specific population
           Workbook                          based on designated characteristics.

General Functional Requirements   OUNO-043   Must have the ability to print a notice front-and-
           Workbook                          back (duplex) and control the content placement
                                             accordingly.
General Functional Requirements   OUNO-044   Must retain notice in the completed format so the
           Workbook                          exact version sent to the recipient can be viewed
                                             and reproduced.
General Functional Requirements   OUNO-045   Must retain history and viewing capability of all
           Workbook                          sent notices. This includes the ability to designate
                                             notices which are kept indefinitely as a permanent
                                             part of the case record and will not be archived or
                                             purged (e.g. - notices related to claims).

General Functional Requirements   OUNO-046   Must retain history and viewing capabilities of
           Workbook                          recipients for each notice generated. (e.g. cc:,
                                             community partners, legal guardians, nursing
                                             homes, etc.)
General Functional Requirements   OUNO-047   Must retain history on the administrative
           Workbook                          management of notices. This includes, but is not
                                             limited to, version control information such as
                                             content modification, format modification, when
                                             modification was done, who made the
                                             modification, and the ability to distinguish different
                                             versions.
General Functional Requirements   OUNO-048   Must have the ability to search on notices retained
           Workbook                          in history. The search criteria should be flexible to
                                             include such criteria as date, action, recipient etc.

General Functional Requirements   OUNO-049   Must have the ability to create an alert prior to
           Workbook                          sending a notice if mail sent to a particular
                                             recipient at that address has previously been
                                             returned as undeliverable.

General Functional Requirements
                                                                 OUTREACH
           Workbook
General Functional Requirements   OUNO-050   Must allow a customer to access their own case
           Workbook                          information through multiple service channels.
                                             Information includes status of benefit eligibility,
                                             benefit balances (spenddown, etc), and
                                             overpayment debts.
General Functional Requirements   OUNO-051   Must allow public to access statistical data
           Workbook                          through multiple service channels (e.g. e-mail,
                                             internet, paper, etc.). Some examples are
                                             demographic information, participation by program
                                             and county, and program expenditures.

General Functional Requirements   OUNO-052   Must allow a customer to report changes in
           Workbook                          information through multiple service channels.
                                             (e.g. e-mail, internet, paper, etc.)
General Functional Requirements   OUNO-053   Must allow a customer to review their reporting
           Workbook                          requirements.
General Functional Requirements   OUNO-054   Ability for a customer to learn how certain changes
           Workbook                          may impact benefits ("What if?").

General Functional Requirements   OUNO-055   Must allow a customer to complete an
           Workbook                          assessment to determine if other potential
                                             program eligibility exists.
General Functional Requirements   OUNO-056   Must identify high-use/low-use of medical eligibility
           Workbook                          by demographics (age, sex, location, etc) and
                                             program. (Under utilization- where to target
                                             outreach.)

General Functional Requirements   OUNO-057   Must generate reminders/warnings of upcoming
           Workbook                          critical events or deadlines, such as annual
                                             reviews to customers which include reminders of
                                             needed verification.
General Functional Requirements   OUNO-058   Must share eligibility information (specific) with
           Workbook                          other agencies or authorized organizations. (e.g.,
                                             KDHE, Free and Reduced- Price Lunch programs,
                                             WIC.)
General Functional Requirements   OUNO-059   Must track the access points where applications
           Workbook                          originate.
General Functional Requirements   OUNO-060   Must create mass notices to targeted groups for
           Workbook                          purposes of Outreach, increased awareness,
                                             enrollment and participation.


General Functional Requirements   OUNO-061   Must generate random customer service surveys
           Workbook                          and compile responses.


General Functional Requirements   OUNO-062   Must build notices that lists missing information or
           Workbook                          verification. (e.g. missing January pay stub,
                                             citizenship verification, identity verification,
                                             resource info, etc.)
General Functional Requirements   OUNO-063   Must generate notices in multiple formats. (e.g.
           Workbook                          paper, electronically, other devices, as well as
                                             certified registered mail.)
General Functional Requirements   OUNO-064   Must provide the ability to chose delivery method
           Workbook                          at the case level, or by customer, program,
                                             specific mass mailing, etc.
General Functional Requirements   WFLO-001   The system workflow must support multiple
           Workbook                          service delivery models. (e.g. case management
                                             model vs. task oriented model)
General Functional Requirements   WFLO-002   The system must provide flexible workflows to
           Workbook                          support frequently changing business models.

General Functional Requirements   WFLO-003   The system must provide a customizable
           Workbook                          workflows capability. (e.g. automatic
                                             sequencing, smart scripting, guided trip, etc.)

General Functional Requirements   WFLO-004   The system must have workflow capability
           Workbook                          including multiple workflow at the same time for
                                             the same case and/or same worker. (e.g.
                                             application, review, change report). Worker must
                                             be able to stop workflow at any point and come
                                             back and restart at the same point at later time.
General Functional Requirements   WFLO-005   The system must support user and group
           Workbook                          collaboration on work items. (e.g. one user or
                                             multiple users are able to work on the same work
                                             item (case) without changing data that another
                                             person has already updated.)
General Functional Requirements   WFLO-006   The system must allow the ability to schedule
           Workbook                          various workflow instances according to user
                                             specified priorities. The system may attempt to
                                             execute a workflow instance within a specified
                                             time period, and/or report any deadline that was
                                             not or cannot be met.
General Functional Requirements   WFLO-007   The system must coordinate any type of
           Workbook                          interaction pattern among users, system tasks and
                                             information resources, regardless of the location
                                             of these resources. Interaction patterns include
                                             human-to-human, system-to-system, human-to-
                                             system, human-to-content and content
                                             interdependencies.
General Functional Requirements   WFLO-008   Ability to enable workflow components to
           Workbook                          manipulate and manage structured and
                                             unstructured (data that is not easily usable by a
                                             computer program eg. may include audio, video,
                                             and unstructured text such as the body of an e-
                                             mail message, Web page, or word processor
                                             document) information within the process, not just
                                             as referenced attachments to their tasks.

General Functional Requirements   WFLO-009   The system must enable workflow components to
           Workbook                          process a case task and its dependencies at one
                                             time without separating into multiple tasks. (e.g. if
                                             citizenship verification is required for all persons
                                             related to the case allow the case worker to
                                             process a single task of verifying citizenship of all
                                             members associated to that case in one task
                                             rather than splitting up into multiple tasks.)

General Functional Requirements   WFLO-010   Routing of workflow may have multiple
           Workbook                          destinations. (e.g. route back to previous person
                                             for correction, route forward if no changes made,
                                             re-route the task/document to the beginning of the
                                             workflow process if initial steps/data missing, route
                                             anywhere to route anywhere in the workflow
                                             process.
General Functional Requirements   WFLO-011   The system must support the ability of role based
           Workbook                          workflow routing in which tasks are assigned to
                                             job functions.
General Functional Requirements   WFLO-012   Transaction is not finalized until workflows are
           Workbook                          complete. (e.g. workflow cannot be flagged as
                                             completed until all workflow tasks have been
                                             addressed.)
General Functional Requirements   WFLO-013   The system must provide the ability to manually
           Workbook                          assign a status to a task in workflow.
General Functional Requirements   WFLO-014   The system must provide the ability to
           Workbook                          automatically assign a status to a task in workflow.

General Functional Requirements   WFLO-015   The system must provide the ability to drive
           Workbook                          workflow based on changes in status of a task.

General Functional Requirements   WFLO-016   The system must provide the ability to track and
           Workbook                          report workflow tasks at all steps within a workflow
                                             and their associated status.
General Functional Requirements   WFLO-017   The system must display status of workflow
           Workbook                          transactions so system users can determine
                                             where actions are delayed. (e.g. a worker has not
                                             processed the application and is still pending,
                                             approval, rejection action not authorized.)

General Functional Requirements   WFLO-018   The system workflow provides the ability to
           Workbook                          automatically route transactions to a user or
                                             workgroup after a specific time of inaction (based
                                             on user-defined criteria).
General Functional Requirements   WFLO-019   System provides the ability to have multiple levels
           Workbook                          of approvals for transactions based on profile
                                             security and other user-defined criteria.
General Functional Requirements   WFLO-020   The system must support user-defined transaction
           Workbook                          status, including approved, rejected, pending,
                                             under consideration.
General Functional Requirements   WFLO-021   The system must provide the ability to set time
           Workbook                          frames for a task in workflow when the next
                                             action(s) is needed.
General Functional Requirements   WFLO-022   The system must provide the ability to coordinate
           Workbook                          (assign) activities and tasks among users using
                                             flexible criteria. (e.g. alphabetic, program,
                                             application status, queue, weighted caseload, or
                                             task.)
General Functional Requirements   WFLO-023   The workflow application must have the ability to
           Workbook                          utilize rules (rules engine). Rules are a sub
                                             dependency of the workflow and should not
                                             require a change to the flow of the workflow.
General Functional Requirements   WFLO-024   Workflow application must be capable of
           Workbook                          performing flexible, rules-based automation.
                                             (example: An application can be forwarded
                                             automatically to the next step in a process unless
                                             it meets special criteria 'pregnant woman'
                                             expedited where it can instead be automatically
                                             routed to a manager or person handling pregnant
                                             women applications for review. In another
                                             example, a document that requires approval can
                                             automatically be routed to a different approver if
                                             the first approver doesn't handle it within a
                                             required period of time, perhaps because they are
                                             unexpectedly busy or are out of the office.)

General Functional Requirements   WFLO-025   The system must provide event triggers that will
           Workbook                          be sent to appropriate staff or appropriate
                                             online/batch process on prioritized basis. (e.g. age
                                             of task, pregnant woman, etc.)
General Functional Requirements   WFLO-026   Definition of workflow events may be based on
           Workbook                          user-defined criteria. [e.g. Transaction Code,
                                             Agency, Data values (for example date of
                                             application, type of application), other user-defined
                                             values or parameters.]
General Functional Requirements   WFLO-027   The system must provide an "inbox" for each user
           Workbook                          with items to be reviewed, items in inbox, status
                                             such as reserved or in-process, pending and user
                                             comments. (The inbox must not be limited to
                                             these inbox display functions.)

General Functional Requirements   WFLO-028   The system has the ability to automatically notify
           Workbook                          users when items in their "inbox" have gone
                                             unprocessed for a user-defined period of time.

General Functional Requirements   WFLO-029   The system must provide an "out of office" feature
           Workbook                          and the ability to redirect jobs to another worker
                                             within the same workflow so that work is not
                                             interrupted.
General Functional Requirements   WFLO-030   The system must provide integrated workflow
           Workbook                          error handling.

General Functional Requirements   WFLO-031   The system must support electronic signatures.
           Workbook                          (Electronic Signatures apply preventative controls
                                             on changes to fields or windows by requiring an
                                             approval by another user.)

General Functional Requirements   WFLO-032   The system must allow the ability to connect
           Workbook                          custom code to various steps. (e.g. JavaScript,
                                             vbs, batch scripts etc.) and pass parameters.

General Functional Requirements   WFLO-033   The workflow system must be able to collect run-
           Workbook                          time information from the monitoring system as
                                             well as update the overall workflow status.

General Functional Requirements   WFLO-034   The system must provide information about all the
           Workbook                          submitted, executing and completed workflow
                                             instances. These historical details may be used for
                                             predicting future executions and help to improve
                                             performance.
General Functional Requirements   WFLO-035   The system must provide the ability to manage
           Workbook                          multiple workflow tasks concurrently. The
                                             execution of these tasks may be coordinated (co-
                                             scheduled) to optimize the utilization of resources.

General Functional Requirements   WFLO-036   The system must allow for parallel Processing, the
           Workbook                          ability to carry out multiple operations or tasks
                                             simultaneously within workflow.

General Functional Requirements   WFLO-037   The system must allow for different versions of
           Workbook                          workflows to be created and maintained. The
                                             system must differentiate between workflow
                                             versions and make visible to system users.
General Functional Requirements   WFLO-038   The system must provide the ability to integrate
           Workbook                          with KHPA's document management system.
                                             KHPA currently uses Perceptive Software's
                                             ImageNow.
General Functional Requirements   WFLO-039   The system must allow for the ability to consult
           Workbook                          'live' with another user for troubleshooting
                                             workflow.
General Functional Requirements   WFLO-040   The system must allow the ability to interact
           Workbook                          with databases.

General Functional Requirements   WFLO-041   The system must allow the ability to launch sub
           Workbook                          processes.

General Functional Requirements   WFLO-042   The system must allow the ability to launch
           Workbook                          workflow from an email.

General Functional Requirements   WFLO-043   The system must allow the ability to see workflow
           Workbook                          diagram and where the user is at in the workflow.

General Functional Requirements   WFLO-044   The system must support the ability to Integrate
           Workbook                          with office software functionality. (e.g. Microsoft
                                             Office 2007/2010, Open Office.)
General Functional Requirements   WFLO-045   A passive display allows users to query the state
           Workbook                          of their executing workflows. An active display
                                             allows users to register for notifications on
                                             completion or specific states of workflow elements.

General Functional Requirements
                                                           Workflow Application
           Workbook
General Functional Requirements   WFLO-046   Business administrative staff must have the
           Workbook                          capability to add, delete and modify workflow.

General Functional Requirements   WFLO-047   The contractor must propose a workflow
           Workbook                          application that provides state staff the ability
                                             to modify workflow independently of
                                             contractor. The system will provide online
                                             applications for building and deploying
                                             workflows. These applications should permit
                                             workflows to be designed by business
                                             analysts and other process or subject experts,
                                             not just programmers, and make it possible to
                                             share workflows with other state units with
                                             similar needs.
General Functional Requirements   WFLO-048   The system must support multiple modeling of
           Workbook                          workflows. (e.g. sequential and state-driven.)

General Functional Requirements   WFLO-049   The system must support the modeling and
           Workbook                          analysis of business processes, including all
                                             aspects of workflow: tasks, roles, decisions,
                                             approvals, reviews, escalations,
                                             collaborations, flows, rules, policies, forms
                                             and other documents, events, goals,
                                             objectives and scenarios.
General Functional Requirements   WFLO-050   The system must allow the ability to conduct
           Workbook                          iterative tests prior to encapsulating those
                                             workflows within a larger application.
General Functional Requirements   WFLO-051   The system must encompass test-mode testing
           Workbook                          ability prior to publishing workflows.

General Functional Requirements   WFLO-052   The system must provide ability to support
           Workbook                          workflow analysis for workflow process
                                             improvement.
General Functional Requirements   WFLO-053   The workflow application should provide means
           Workbook                          for designing (modeling) workflow templates (the
                                             definition of a specific workflow, assembled from a
                                             set of activities which may be shared, copied,
                                             imported or exported).

General Functional Requirements   WFLO-054   The system must provide a way to identify and
           Workbook                          manage workflow templates. Each template
                                             must have a unique identifier. Templates must
                                             be able to be composed using other workflow
                                             templates and/or workflow instances. For
                                             example a template may have the same set of
                                             configurations that are staged in by multiple
                                             workflow instances.

General Functional Requirements   WFLO-055   The workflow modeling application should include
           Workbook                          provisions for expressing users and their
                                             dependencies, parameterized inputs or actual
                                             constraints (such as resources parameters),
                                             conditionals, and physics parameter types. User
                                             must be able to add annotations and comments to
                                             the model.
General Functional Requirements   WFLO-056   The system must provide the ability to design
           Workbook                          workflows to allow simultaneous actions or can
                                             require consecutive actions, as defined by
                                             authorized administrator.
General Functional Requirements   WFLO-057   The Workflow system must provide an
           Workbook                          workflow administration application to
                                             complete tasks such as terminate process
                                             instances, re-route assigned items, assign
                                             back-up users, receive e-mail notifications of
                                             errors, view work item by initiator, view work
                                             items assigned to an user, work item audit
                                             trail, create and modify security profiles, create
                                             and modify workflow roles etc.

General Functional Requirements   WFLO-058   A workflow monitoring application must be
           Workbook                          developed and used to provide run time
                                             information such as workflow component status,
                                             Ready Waiting on a dependency, Running,
                                             Finished (success or failure), workflow component
                                             time parameters, Start time, Elapsed time, Finish
                                             time etc.
General Functional Requirements   WFLO-059   The workflow monitoring application must:
           Workbook                          • Track the execution of workflows.
                                             • Be able to record and display (actively and
                                             passively) relevant states of all the executing
                                             workflows, such as workflow component and
                                             milestone status.

General Functional Requirements
                                                           Workflow Notification
           Workbook
General Functional Requirements   WFLO-060   The system will provide the ability to initiate event
           Workbook                          triggers that will send notification to workflow
                                             system user (e.g. documentation has been
                                             received on a pending case or specific tasks that
                                             must be performed). Notifications should be
                                             configurable/customizable to be used anywhere in
                                             the workflow to notify the participant.


General Functional Requirements   WFLO-061   The system must allow for email notification
           Workbook                          preference for users.

General Functional Requirements   WFLO-062   The system must support the ability to
           Workbook                          configure and initiate Reminders and
                                             Deadlines notifications.
General Functional Requirements   WFLO-063   The system must provide the ability to produce an
           Workbook                          automatic notification for overdue tasks.

General Functional Requirements
                                                         Workflow Fault Tolerance
           Workbook
General Functional Requirements   WFLO-064   The workflow system must interact with the
           Workbook                          monitoring systems to identify any hardware and
                                             software failures and take appropriate action to
                                             avoid or mitigate the fault penalty. (restart/resume
                                             from the last milestone)
General Functional Requirements   WFLO-065   When an unexpected status is detected, the
           Workbook                          system must have the capability to reschedule
                                             without taking the system down/offline. (e.g. If a
                                             hardware or software failure removes one of the
                                             processing steps, pending requests for that step
                                             will just be queued up until the service is restored.)

General Functional Requirements
                                                            Workflow Scheduling
           Workbook
General Functional Requirements   WFLO-066   The workflow scheduling system must have the
           Workbook                          ability to perform functions such as identify the
                                             processes that need to run, map users to
                                             particular resources, resolve dependencies across
                                             system boundaries, etc.
General Functional Requirements   WFLO-067   The workflow scheduling system must have the
           Workbook                          ability to schedule the execution of the tasks.
                                             Examples are local scheduling (e.g., cluster
                                             scheduler, workflow component scheduler,
                                             interactions with cached and other workflow
                                             components) and thus supported by the workflow
                                             components and not by the workflow system.

General Functional Requirements   WFLO-068   The workflow scheduling system should enforce
           Workbook                          the data and task dependencies of a workflow, i.e.
                                             a task only can be executed when its input data
                                             become available or when a dependent task
                                             completes.
General Functional Requirements   HLCI-001   Must have the ability to assign a unique high level
           Workbook                          client index.



General Functional Requirements   HLCI-002   Must have the ability to share this high level client
           Workbook                          index across multiple interfaces.
General Functional Requirements   HLCI-003   Must cross-reference the high level client
           Workbook                          index without creating duplicates.
General Functional Requirements   HLCI-004   Must be able to synchronize K-Med HLCI data with
           Workbook                          existing SRS HLCI in real-time without creating
                                             duplicates.
General Functional Requirements   HLCI-005   Must have ability to search and match the existing
           Workbook                          client data before assigning new unique number. (
                                             e.g. Search/match will use following criteria
                                             including but not limited to SOUNDEX, Fuzzy
                                             search, first name, last name, dob, unique id,
                                             SSN, address, aliases, case number, etc. or any
                                             combination.)
General Functional Requirements   HLCI-006   Must track system requesting and assigning the
           Workbook                          unique number.
General Functional Requirements   HLCI-007   Must have ability to track and notify other
           Workbook                          systems of changes.
General Functional Requirements   HLCI-008   Must have ability to interface with other systems to
           Workbook                          provide client detail via online and/or batch mode.

General Functional Requirements   HLCI-009   Must load HLCI from SRS on initial
           Workbook                          implementation and develop services to keep data
                                             in sync.
General Functional Requirements   HLCI-010   Vendor must describe their approach to keep the
           Workbook                          data in sync in both systems.




General Functional Requirements   HLCI-011   System must provide the ability to Link duplicate
           Workbook                          client indexes.
General Functional Requirements   HLCI-012   System must provide the ability to Unlink
           Workbook                          duplicate client indexes.
General Functional Requirements   HLCI-013   System must capture alias information.
           Workbook
General Functional Requirements   HLCI-014   Must merge historical information for linked
           Workbook                          duplicate individuals.
General Functional Requirements   HLCI-015   Must maintain the integrity of the converted data
           Workbook                          from the KAECSES HLCI. (e.g. duplicate ids
                                             currently linked in KAECSES must remain linked,
                                             etc.)
General Functional Requirements
                                                                    Search
           Workbook
General Functional Requirements   HLCI-016   Must have ability to search by multiple criteria.
           Workbook                          (e.g. name, ID#, phone number, date of birth,
                                             county, assigned worker, etc.)
General Functional Requirements   HLCI-017   Must have ability to perform compound searches.
           Workbook                          (e.g. names of married couple, names of parent
                                             and child, name siblings, etc.)
General Functional Requirements   HLCI-018   Must have ability to easily modify short list criteria
           Workbook                          while searching. (e.g. drill down search)
General Functional Requirements   HLCI-019   Must have ability to perform responsible person
           Workbook                          searches.
General Functional Requirements   HLCI-020   System must provide the ability to have wildcard or
           Workbook                          partial searches.



General Functional Requirements   SDOC-001   Must provide complete system documentation for
           Workbook                          the system. (e.g. KHPA will fully understand the
                                             system’s capabilities from system documentation.)

General Functional Requirements   SDOC-002   System must allow the user to access clear and
           Workbook                          complete system reference material
                                             documentation provided by vendor. (e.g. General
                                             system design and modifications design
                                             documents, Security Manual, Reports Manual,
                                             Testing Plan, Batch documentation, Data
                                             Structures/crosswalks/data definitions and
                                             processing schedules.)
General Functional Requirements   SDOC-003   Must provide a searchable documentation library,
           Workbook                          with highly flexible search criteria to enable a user
                                             to quickly find needed information in policy
                                             manuals, policy memos, training material, data
                                             files, implementation memos and all help functions
                                             without affecting work in progress.


General Functional Requirements   SDOC-004   Documentation must include a System
           Workbook                          Administrator/Operator support manual and
                                             technical reference sheets for supporting
                                             system(s). (e.g. software environment
                                             requirements, communication protocols, data and
                                             Operation Security Requirements, etc.)
General Functional Requirements   SDOC-005   Documentation must include database design
           Workbook                          documentation including data dictionaries, data
                                             tables, data models, repositories, support tools,
                                             modeling tools, and database management
                                             systems being used or planned for use and data
                                             files.
General Functional Requirements   SDOC-006   Documentation must include activity/process
           Workbook                          Models describing functions performed and the
                                             relationship between the model processes to the
                                             data model.
General Functional Requirements   SDOC-007   Vendor must provide system documentation for all
           Workbook                          third party software products used in production or
                                             implementation of this system.
General Functional Requirements   SDOC-008   User manuals must be written from the viewpoint
           Workbook                          of the users.


General Functional Requirements   SDOC-009   User manuals must contain field by field level
           Workbook                          documentation.


General Functional Requirements   SDOC-010   Must provide built in online help documentation for
           Workbook                          user to easily access.


General Functional Requirements   SDOC-011   Must provide version control, application software
           Workbook                          Installation plans and documentation for each
                                             version/update made, Testing & Control &
                                             Maintaining documentation. Testing criteria and
                                             outcomes ongoing documentation from
                                             implementation through end of contract.
General Functional Requirements   SDOC-012   Must provide capacity sizing data documentation
           Workbook                          based on the number of potential users, average
                                             number of concurrent users, input/output
                                             requirements, and number of user locations.
                                             Identify estimated direct access storage device
                                             (DASD) requirements, memory requirements,
                                             network load / bandwidth and central processing
                                             unit (CPU) transaction count and average
                                             transaction size for all program servers (e.g.,
                                             application, database).

General Functional Requirements   SDOC-013   Documentation must include the plan and
           Workbook                          documentation for transitioning from the current
                                             processes to the processes supported by the new
                                             system.
General Functional Requirements   SDOC-014   Vendor must provide change management: 1)
           Workbook                          Vendor software change management; 2) Data; 3)
                                             Software changes; 4) changes in business
                                             processes, structure, management.
General Functional Requirements   SDOC-015   Documentation must include backup and disaster
           Workbook                          recovery plans including Operating System and
                                             Application re-load and steps needed to recover.
                                             This needs to be kept current. Changes need to
                                             go through a mutually agreed upon approval
                                             process that will include KHPA and IT personnel.
                                             Thirty days prior to implementation. Annual review
                                             of disaster recovery plan including testing.

General Functional Requirements   SDOC-016   Documentation must precisely define the process
           Workbook                          required in order to implement software upgrades.

General Functional Requirements   SDOC-017   Vendor is required to update all appropriate
           Workbook                          documentation with each application
                                             modification/enhancement within KHPA defined
                                             time frame.
General Functional Requirements   SDOC-018   Vendor must provide data flow diagrams showing
           Workbook                          data stores and flows.


General Functional Requirements   SDOC-019   Vendor must provide a description and flow charts
           Workbook                          showing the flow of major processes in the system.


General Functional Requirements   DIMG-001   The software must employ an open system
           Workbook                          architecture that permits future component
                                             upgrades with minimal degradation of system
                                             functions and supports the importing and
                                             exporting of digital images to and from other
                                             sources.
General Functional Requirements   DIMG-002   All medical case information related to a case or
           Workbook                          individual must be maintained in the KHPA
                                             Imaging System.
General Functional Requirements   DIMG-003   The system must have the ability to capture
           Workbook                          screen shots and attach them to individual cases
                                             by linking directly from within the system. The
                                             contractor must not propose a solution to link
                                             cases to documents externally. (a separate web
                                             window, or external application)

General Functional Requirements   DIMG-004   The system must have ability to scan, import
           Workbook                          documents within the eligibility system and store
                                             them in imaging system and attach them to
                                             individual and cases.
General Functional Requirements   DIMG-005   The system must have the ability to request an
           Workbook                          image (document search and attach ability) from
                                             ImageNow or other imaging systems and present
                                             it within the eligibility system (this occurs in one
                                             session).
General Functional Requirements   DIMG-006   The system must provide the ability to store and
           Workbook                          separate medical records from other images.

General Functional Requirements   DIMG-007   The system must have ability to unlink any
           Workbook                          document from an individual.
General Functional Requirements   DIMG-008   The system must have the ability to unlink any
           Workbook                          document from a case.
General Functional Requirements   DIMG-009   All documents must be catalogued (indexed) and
           Workbook                          viewable as established by KHPA specifications.

General Functional Requirements   DIMG-010   The system must provide warning and error
           Workbook                          messages similar to those in the KHPA Imaging
                                             system. (e.g. any errors that occur in the
                                             ImageNow system are passed back and
                                             displayed, without modification, to the designed
                                             system. There must be a mechanism for logging
                                             these errors for later review.)

General Functional Requirements   DIMG-011   The system must process eligibility independent of
           Workbook                          electronic images (some cases may not have
                                             electronic documents associated with it).

General Functional Requirements   DIMG-012   The system must provide the ability to have the
           Workbook                          same document attached to several cases.
General Functional Requirements
                                                    Existing Image System Integration
           Workbook
General Functional Requirements   DIMG-013   The system must work seamlessly with KHPA’s
           Workbook                          imaging system. KHPA is currently using
                                             ImageNow provided by Perceptive Software, Inc.

General Functional Requirements   DIMG-014   The contractor will be responsible for providing a
           Workbook                          detailed plan, acceptable to KHPA, outlining all
                                             steps related to the installation and
                                             implementation of the integration with imaging and
                                             workflow system to work seamlessly with
                                             ImageNow prior to the delivery of the software.
General Functional Requirements   DIMG-015   KHPA must facilitate and authorize any Kansas
           Workbook                          specific system modifications.

General Functional Requirements   DIMG-016   The system will work seamlessly with other state
           Workbook                          imaging systems. Currently Documentum and
                                             Filenet are other enterprise content management
                                             solution used by medical assistance partners in
                                             Kansas. The contractor must describe how their
                                             solution will integrate with other state imaging
                                             systems.

General Functional Requirements   DIMG-017   The contractor must perform system integration
           Workbook                          tests to ensure the System’s compatibility with the
                                             KHPA Imaging Systems. The test criteria and
                                             expectations must be designed by KHPA. The
                                             test results will be reviewed, approved and / or
                                             rejected by KHPA. The system will not be
                                             accepted as compatible with the KHPA Imaging
                                             system until all tests have been approved by
                                             KHPA.
General Functional Requirements   DIMG-018   The contractor must provide cost of integrating
           Workbook                          proposed solution with imaging system. The
                                             contractor must be responsible for the cost of
                                             modification of imaging system, if any, to meet the
                                             KHPA need.
General Functional Requirements   DIMG-019   For the duration of the contract the contractor will
           Workbook                          modify the system to ensure compatibility with any
                                             new releases or upgrades to the KHPA or State
                                             Imaging systems.
General Functional Requirements
                                                                   Retention
           Workbook
General Functional Requirements   DIMG-020   Software must have the capability for KHPA to
           Workbook                          input records retention requirements, through the
                                             Rules Engine, and flag records for deletion from
                                             the system when retention requirements have
                                             been met.
General Functional Requirements
                                                              Database Search
           Workbook
General Functional Requirements   DIMG-021   The contractor solution must have a searchable
           Workbook                          library, with highly flexible search criteria based on
                                             user-input character strings, keywords, etc.

General Functional Requirements   DIMG-022   Support search queries using Boolean operators
           Workbook                          (e.g. AND, OR and NOT, wildcard) and fuzzy text
                                             search.



General Functional Requirements   DIMG-023   Allow a search of OCR’d documents by text string.
           Workbook

General Functional Requirements   DIMG-024   Upon completion of search, immediately display all
           Workbook                          selected images and support quick navigation
                                             through documents.
General Functional Requirements
                                                       Text and Image Manipulation
           Workbook
General Functional Requirements   DIMG-025   Provide ability to attach annotations to stored
           Workbook                          images without altering the image.

General Functional Requirements   DIMG-026   The system must have ability to delete an image
           Workbook                          (with warning). If document is attached at multiple
                                             locations, then system must not allow delete of
                                             Image without additional authorizations.

General Functional Requirements
                                                                   Security
           Workbook
General Functional Requirements   DIMG-027   The system must provide a secure access
           Workbook                          system, as defined by KHPA, that will allow, deny
                                             or limit access to the imaging system data down to
                                             the page level for every action.
General Functional Requirements
                                                                   Technical
           Workbook
General Functional Requirements   DIMG-028   Support document file check-in and check-out
           Workbook                          controls to flag databases showing who is working
                                             on files and prevent simultaneous updates by
                                             other users.
General Functional Requirements   DIMG-029   Support document exporting into PCX, TIFF,
           Workbook                          BMP, and JPEG file formats. In comments, please
                                             list any other export formats.
General Functional Requirements   DIMG-030   Provide ability to easily publish documents to the
           Workbook                          web (e.g. without coding or HTML).
General Functional Requirements
                                                             Printing and Faxing
           Workbook
General Functional Requirements   DIMG-031   The system must have ability to print images, both
           Workbook                          separately and in combination with other
                                             documents.
General Functional Requirements   DIMG-032   The system must provide the ability to print
           Workbook                          documents on a variety of printers using standard
                                             MS-Windows print drivers.
General Functional Requirements   DIMG-033   The system must provide the ability to print form
           Workbook                          overlays and images without viewing.


General Functional Requirements   DIMG-034   The system must provide the ability to
           Workbook                          automatically imprint date and time on copies.
General Functional Requirements
                                                           Indexing and Storage
           Workbook
General Functional Requirements   DIMG-035   Support automated creation of document
           Workbook                          database indexes. (e.g. through bar coding, etc.)

General Functional Requirements   DIMG-036   Imaging software must not require file mapping
           Workbook                          from client for either storage of images or retrieval
                                             of images from storage.
General Functional Requirements   DIMG-037   Must allow users to customize database and
           Workbook                          indexing parameters. (e.g. users can create index
                                             fields)


General Functional Requirements   DIMG-038   Must be able to store any binary data object, e.g.
           Workbook                          word processing file, spreadsheet, or digital
                                             images.
General Functional Requirements   DIMG-039   Allow index processing to be performed while
           Workbook                          other stations are actively searching, viewing,
                                             scanning and editing.
General Functional Requirements
                                                             Document Editing
           Workbook
General Functional Requirements   DIMG-040   Provide document editing software for annotation
           Workbook                          of images, which do not contain text, as well as
                                             editing files created by means of OCR.

General Functional Requirements   DIMG-041   Support document versioning.
           Workbook
General Functional Requirements   DIMG-042   Provide ability to apply “sticky notes“ or text notes
           Workbook                          to all document types and retain the relationship of
                                             the notes to the page.
General Functional Requirements
                                                            Document Scanning
           Workbook
General Functional Requirements   DIMG-043   The system must utilize KHPA and State standard
           Workbook                          scanning processes.
General Functional Requirements   DIMG-044   The system must adhere to KHPA’s hardware
           Workbook                          requirements for the imaging system.
General Functional Requirements   DIMG-045   The system must adhere to KHPA’s scanner and
           Workbook                          other imaging performance requirements.
General Functional Requirements   DIMG-046   The system must be able to electronically date-
           Workbook                          stamp documents as they are scanned.
General Functional Requirements
                                                       Document Imaging Workflow
           Workbook
General Functional Requirements   DIMG-047   The contractor solution must provide automatic
           Workbook                          workflow for those unfamiliar to Imaging.

General Functional Requirements   DIMG-048   The contractor solution must have ability to
           Workbook                          distribute documents internally to multiple parties.

General Functional Requirements   DIMG-049   The contractor solution must provide a flexible
           Workbook                          imaging workflow to support frequently changing
                                             business model.
General Functional Requirements   DIMG-050   The contractor solution must have the ability to
           Workbook                          configure automatic workflow (for document
                                             processing) by state business and policy staff.
General Functional Requirements   DIMG-051   Must provide ability to monitor which task the user
           Workbook                          is performing and automatically open documents
                                             (e.g. for reference) appropriate for that task.

General Functional Requirements   DIMG-052   Provide flexibility for authorized users to route
           Workbook                          documents on an ad hoc, exception basis (e.g. for
                                             special review) outside of normal automated
                                             routing.
General Functional Requirements   POLM-001   Must allow the user to access and maintain the
           Workbook                          rules and reference table values online based on
                                             security profile.
General Functional Requirements   POLM-002   Rules must be created using language easily
           Workbook                          understandable to business people in a business
                                             perspective. Business rules are written in the
                                             language of the business user and not in coding
                                             symbols.
General Functional Requirements   POLM-003   Must provide the ability to assign effective start
           Workbook                          and stop dates for each rule and each reference
                                             table value.
General Functional Requirements   POLM-004   Must provide the ability to categorize rules, or
           Workbook                          group rules in order to manage and organize. (e.g.
                                             by program, by policy type, common rules across
                                             programs, private rules.)
General Functional Requirements   POLM-005   Rules must be managed through version control.
           Workbook                          (e.g. Describe the rule fragment level at which
                                             versioning is provided, at what granularity
                                             versioning is provided and the techniques used for
                                             versioning.)
General Functional Requirements   POLM-006   Must maintain a rules audit trail.
           Workbook
General Functional Requirements   POLM-007   The rules engine must support a full rules
           Workbook                          management life cycle.
General Functional Requirements   POLM-008   Must provide the ability to create or change a rule
           Workbook                          that is currently within the production environment,
                                             without stopping the rule service or interrupting the
                                             production environment. (system remains up)

General Functional Requirements   POLM-009   Must have the ability to test a rule in a staging or
           Workbook                          test environment using a debugging tool prior to
                                             implementation.
General Functional Requirements   POLM-010   Must have the ability to update or restrict access
           Workbook                          to rules or groups of rules based on security
                                             profiles.
General Functional Requirements   POLM-011   Must have the ability to create rules using
           Workbook                          templates provided by the vendor.
General Functional Requirements   POLM-012   Must have a searchable rules repository, with
           Workbook                          highly flexible search criteria. (e.g. search by topic,
                                             date, program, rule number, or a combination)

General Functional Requirements   POLM-013   Must have the ability for business staff to maintain
           Workbook                          rules with minimal help from vendor or State
                                             technical staff.
General Functional Requirements   POLM-014   Vendor should provide technical assistance as
           Workbook                          needed for rule definition and maintenance.
General Functional Requirements   POLM-015   Vendor must train State technical and business
           Workbook                          staff for maintenance of rules. (e.g. knowledge
                                             transfer by end of implementation and prior to end
                                             of warranty period.)
General Functional Requirements   POLM-016   Must have the ability to perform “what if” functions
           Workbook                          on live data without impact to data, rules engine,
                                             application or customers. (e.g. what impact
                                             change in policy would have on state budget,
                                             worker caseload, population, etc.)

General Functional Requirements   POLM-017   Must produce reports on "what if" scenario
           Workbook                          outcomes as specified in POLM-014.
General Functional Requirements   POLM-018   Must perform system and regression testing of a
           Workbook                          rule/group of rules, and its impact on other rules
                                             and policy.
General Functional Requirements   POLM-019   Must produce warnings on impacted rules before
           Workbook                          implementing new rule and changes to existing
                                             rule. (e.g., generate an informational message or
                                             popup window or list of impacts on other rules.)

General Functional Requirements   POLM-020   Must have the ability to discover conflicting rules.
           Workbook
General Functional Requirements   POLM-021   Must perform processing using date parameters
           Workbook                          that will use appropriate rules based on start and
                                             end dates of the rules. (e.g., the system must
                                             know what rule(s) were or will be in effect at a
                                             given point in time. Example: FPL change in May
                                             and processing a case with prior med months of
                                             March, April, & May, system should determine
                                             eligibility using correct FPL in each month
                                             appropriately.
General Functional Requirements   POLM-022   Must have the ability to perform searches and
           Workbook                          create reports using key words or key phrases
                                             within a rule's premise, action, and/or conclusion.

General Functional Requirements   POLM-023   Must have the ability to inactivate an incorrect rule,
           Workbook                          but still maintain version control.
General Functional Requirements   POLM-024   Must have the ability to apply an inactivated rule
           Workbook                          as of a certain date.
General Functional Requirements   POLM-025   Must have the ability to identify, track and report
           Workbook                          orphaned rules.
General Functional Requirements   STOR-001   Must archive all system data by specified criteria.
           Workbook                          (e.g. by data range, case number range, type.)



General Functional Requirements   STOR-002   Must have the ability to restore archived data
           Workbook                          incrementally. (e.g. by case number, program,
                                             unique client id, in ranges or by individual record.)


General Functional Requirements   STOR-003   Must retain, archive and restore data in
           Workbook                          accordance with variable retention schedules
                                             (e.g.; Social Security Administration audit
                                             information must be maintained for a minimum of
                                             3 years.)
General Functional Requirements   STOR-004   Member specific data must remain attached to
           Workbook                          that member. (e.g. 19-year-old moves from
                                             parents' case to his own case - his data including
                                             benefit histories must move or otherwise remain
                                             associated with him.)
General Functional Requirements   STOR-005   Data storage must be backed up and must
           Workbook                          provide the ability to support redundant writes to a
                                             mirrored server for disaster recovery situations
                                             (e.g. safe-guarded, disaster, stolen).
General Functional Requirements   STOR-006   Vendor must provide their approach to reduce
           Workbook                          application downtime due to component failure in
                                             terms of storage redundancy, server redundancy
                                             and clustering.
General Functional Requirements   STOR-007   Vendors must destroy all data based on
           Workbook                          parameters established by KHPA. Vendor must
                                             provide KHPA with a data destruction plan,
                                             process and results report of completion of
                                             measures taken to achieve this task. KHPA must
                                             review and approve all phases of this process.

General Functional Requirements   STOR-008   Must create or capture records for all defined
           Workbook                          transactions, processes and activities.
General Functional Requirements   STOR-009   Must create, capture and maintain adequate
           Workbook                          metadata to facilitate records access,
                                             management and p reservation.
General Functional Requirements   STOR-010   K-MED must ensure that all records are
           Workbook                          associated with a classification scheme or file plan
                                             that identifies the retention and disposition
                                             requirement for the records.
 General Functional Requirements      STOR-011   K-MED must ensure the authenticity of all records
            Workbook                             throughout their lifecycle (e.g. a record can be
                                                 proven to be what it purports to be, to have been
                                                 created or sent by the person that created or sent
                                                 it, and to have been created or sent at the time
                                                 purported).
 General Functional Requirements      STOR-012   Must support a range of disposition action triggers
            Workbook                             including event-based triggers (e.g. creation date,
                                                 closing date, date of last review).

 General Functional Requirements      STOR-013   Authorized users must be able to review
            Workbook                             disposition actions prior to their execution.
 General Functional Requirements      STOR-014   Must allow users to apply disposition action holds
            Workbook                             on records.
 General Functional Requirements      STOR-015   Must prevent the destruction of any records
            Workbook                             subject to a disposition action hold.
 General Functional Requirements      STOR-016   Must capture and store all disposition actions.
            Workbook
 General Functional Requirements      STOR-017   Must create and display a flag when data or
            Workbook                             records are no longer displayed.


Reporting and Business Intelligence              Must have the ability to create, modify or delete
            Workbook                             standard canned and ad-hoc reports.
                                      RPRT-001


Reporting and Business Intelligence              System allow for non-technical staff to request and
            Workbook                             use online reporting functions with minimal training.

                                      RPRT-002



Reporting and Business Intelligence              Must have the ability to produce reports for the
            Workbook                             purpose of trending and forecasting. (e.g.
                                                 caseload growth within a population.)
                                      RPRT-003



Reporting and Business Intelligence              Must have the ability to create reports using all
            Workbook                             current and future data elements.

                                      RPRT-004



Reporting and Business Intelligence              Must have the ability to identify sample selection
            Workbook                             criteria and pull random samples.
                                      RPRT-005
Reporting and Business Intelligence              Must have the ability to save any query results to a
            Workbook                             spreadsheet, a hard copy report, or a system file
                                      RPRT-006   for later inclusion in a spreadsheet, word
                                                 document, etc.

Reporting and Business Intelligence              Must have the ability to import data files from other
            Workbook                             systems/sources, save the input data fields to a
                                                 database, and use this data alone or in
                                                 combination with KHPA's system data to create
                                                 reports (web service).



                                      RPRT-007




Reporting and Business Intelligence              The ability to import data real-time from other
            Workbook                             systems/sources and use this data alone or in
                                      RPRT-008
                                                 combination with KHPA's system data to create
                                                 reports (web service).
Reporting and Business Intelligence              The ability to produce and convert report output to
            Workbook                             multiple formats (e.g., charts, graphs, tables,
                                                 spreadsheets, text files).
                                      RPRT-009




Reporting and Business Intelligence              Must provide the users the ability to request and
            Workbook                             produce real-time or historic data in alternative
                                      RPRT-010   formats. (e.g. flat files, Rich Text Format, MS
                                                 Word, MS Excel, etc.)
Reporting and Business Intelligence              Must allow the users to perform reporting
            Workbook                             functions, such as running ad-hoc reports without
                                                 degrading the performance of the system.




                                      RPRT-011




Reporting and Business Intelligence              Must allow users top produce reports during
            Workbook                             approved operation time parameters (online)
                                                 defined by KHPA.
                                      RPRT-012




Reporting and Business Intelligence              Must provide the ability to produce reports
            Workbook                             according to the source of the data. (e.g. produce
                                                 a report related to information coming through a
                                      RPRT-013   specific interface, or reviews completed by a
                                                 specific partner organization.)


Reporting and Business Intelligence              Must provide the ability to retrieve data at multiple
            Workbook                             levels and utilize all data elements to produce
                                                 reports. (e.g. data can be pulled at the case level,
                                      RPRT-014   customer level, action level, worker level,
                                                 supervisor level, county, state, region level
                                                 agency level and by program type, etc.)

Reporting and Business Intelligence              Must provide the ability to sort, search and drill
            Workbook                             down on any parameter of a canned report.
                                      RPRT-015


Reporting and Business Intelligence              Must allow calculated values to be retrieved and
            Workbook                  RPRT-016   used as a reporting element.
Reporting and Business Intelligence              Must have the ability to access and produce
            Workbook                             reports with summary level data and granular
                                                 details.
                                      RPRT-017



Reporting and Business Intelligence              Must allow the user to save any ad-hoc report that
            Workbook                             has been created, including those in-progress.
                                      RPRT-018   Must allow users to retrieve the report, including
                                                 all report parameters and configurations.

Reporting and Business Intelligence              Must allow the user to modify and/or rename
                                      RPRT-019
            Workbook                             reports.
Reporting and Business Intelligence              Must include version control for created reports.
            Workbook
                                      RPRT-020


Reporting and Business Intelligence              Must provide ability to store ad-hoc report
            Workbook                             programs and outputs in a shared or restricted
                                      RPRT-021   library / index. Ability for multiple users to access
                                                 both the report and the output to use or modify for
                                                 subsequent reporting.
Reporting and Business Intelligence              Must track changes and modifications to
            Workbook                             standardized and ad-hoc reports, including the
                                                 individual who made the change and when the
                                      RPRT-022
                                                 change was made. Each change shall be logged
                                                 to an output file.

Reporting and Business Intelligence              Must store all versions of standardized and
            Workbook                             canned reports. Provide the ability to retrieve the
                                      RPRT-023
                                                 prior report version.

Reporting and Business Intelligence              Provide dashboard reports based on the role and
            Workbook                             location of the individual based off of security
                                                 access.
                                      RPRT-024




Reporting and Business Intelligence              The vendor is encouraged to suggest additional
            Workbook                             reporting functions and/or reports that may be
                                                 beneficial to this project.
                                      RPRT-025
Reporting and Business Intelligence              Must produce reports, to be delivered to KHPA,
            Workbook                             as required for contract monitoring and
                                                 performance (e.g. system availability and help
                                      RPRT-026   desk performance).



Reporting and Business Intelligence              Must track action taken by program type. (e.g.,
            Workbook                             Cost of living increases or federal poverty level
                                      RPRT-027
                                                 change as well as client reporting.)

Reporting and Business Intelligence              Must produce action, control and error reports
            Workbook                             from mass change processing.
                                      RPRT-028



Reporting and Business Intelligence   PERF-001   Must have ability to track and view performance
            Workbook                             measures at multiple levels. (state wide, regional,
                                                 unit, worker, etc.)




Reporting and Business Intelligence   PERF-002   Must have ability to use performance measures to
            Workbook                             compare outcomes at multiple levels. (e.g.
                                                 comparing and ranking regions, etc.)

Reporting and Business Intelligence   PERF-003   Must have ability to assess error types and causes
            Workbook                             to identify training needs at various levels (worker,
                                                 unit, region, state, etc.).



Reporting and Business Intelligence   PERF-004   Must have ability to identify the elements (e.g.
            Workbook                             timeliness, accuracy) by which to assess
                                                 performance. (worker, unit, region, state
                                                 accountability, etc.)
Reporting and Business Intelligence   PERF-005   Must have ability to track impact of outreach
            Workbook                             efforts.




Reporting and Business Intelligence   PERF-006   Must have ability to relate trends to performance
            Workbook                             outcome measures. (e.g. increased caseload size
                                                 may cause increase in errors, etc.)


Reporting and Business Intelligence   PERF-007   Must have ability to maintain and track history of
            Workbook                             performance measures (version control). For
                                                 example, a timeliness standard changes from 30
                                                 days to 45 days.
Reporting and Business Intelligence   PERF-008   Must have ability to alert users if/when
            Workbook                             performance indicators are not within specified
                                                 parameters. (e.g. an email is sent to alert
                                                 appropriate person, etc.)



Reporting and Business Intelligence   PERF-009   Must have ability to capture, store and maintain
            Workbook                             expectations and criteria used to measure
                                                 expectations for staff.


Reporting and Business Intelligence   PERF-010   Must have ability to capture, store and maintain
            Workbook                             expectations and criteria used to measure
                                                 expectations for program.


Reporting and Business Intelligence   PERF-011   Must have ability to track and measure progress-
            Workbook                             related expectations. (e.g. the worker will increase
                                                 production by 2 applications per week for the next
                                                 month, etc.)

Reporting and Business Intelligence   PERF-012   Must have ability to import other data sources to
            Workbook                             use when measuring desired strategies.




Reporting and Business Intelligence   PERF-013   Must have ability to display performance data in
            Workbook                             multiple formats such as charts, graphs, etc.




Reporting and Business Intelligence   PERF-014   Must have ability for appropriate users to have real
            Workbook                             time performance data available.




Reporting and Business Intelligence   PERF-015   Must have ability to set dashboard indicators for
            Workbook                             specified performance elements.
Reporting and Business Intelligence   PERF-016   Must have ability to have individuals customize
            Workbook                             and define update frequency for their performance
                                                 report.

Reporting and Business Intelligence   PERF-017   Must have ability for reports to be electronically
            Workbook                             transferred.

Reporting and Business Intelligence   PERF-018   Must have ability to create reports from the stored
            Workbook                             records based on specified parameters.




Reporting and Business Intelligence   PERF-019   Must provide a suite of canned reports based on
            Workbook                             organizational structure. (e.g. Executive Director,
                                                 Medicaid Director, frontline worker, administrative
                                                 staff, etc.)




Reporting and Business Intelligence   PERF-020   Must connect and communicate performance
            Workbook                             management with reporting - standard and ad hoc.




Reporting and Business Intelligence   PERF-021   Must provide reports to track work achieved and
            Workbook                             yet to be processed. (Such as applications
                                                 processed, applications pending, and etc.)



 Security Management Workbook         SECU-001   The system must require standard Internet
                                                 security, including secure socket layers
                                                 (SSL3/TLS) and secure hypertext transfer protocol
                                                 (HTTPS).
 Security Management Workbook         SECU-002   System must utilize an industry standard solution
                                                 for customer authentication and password
                                                 control/authentication.




 Security Management Workbook         SECU-003   Access requirements through firewalls must be
                                                 clearly identified and must follow standard port
                                                 designations.
Security Management Workbook   SECU-004   Must outline their development process and
                                          explain how it complies with the SDC (Secure
                                          System Development LifeCycle).
Security Management Workbook   SECU-005   Must further outline how their SDC complies with
                                          process avoids the SANS/CWE TOP-25
                                          dangerous programming errors for web
                                          applications and the OWASP TOP 10 Web
                                          Application Risks.
Security Management Workbook   SECU-006   Prior to system production phase, 'go live',
                                          Contractor must have a third party entity perform a
                                          penetration test and a separate vulnerability
                                          assessment, provide KHPA with all results, jointly
                                          review any security vulnerabilities & provide
                                          recommendations to address/remediate findings
                                          prior to production installation. KHPA will
                                          coordinate and schedule deadlines for fixes to be
                                          implemented by vendor.

Security Management Workbook   SECU-007   Third party selected for security reviews must be
                                          approved by KHPA prior to engagement.


Security Management Workbook   SECU-008   Regularly scheduled audits of the system must be
                                          performed post-installation, and vendor must
                                          review the findings and remediate as part of
                                          vendor on-going warranty & maintenance support.



Security Management Workbook   SECU-009   Third party applications must adhere to any
                                          applicable KHPA system security practices,
                                          configurations & procedures.



Security Management Workbook   SECU-010   Must have ability to create, delete, modify and
                                          assign role-based security to grant view and
                                          modify access to individual window, report, data
                                          element & field levels.
Security Management Workbook   SECU-011   System must generate unique log-on IDs for all
                                          accounts.
Security Management Workbook   SECU-012   User ID's must not use identifying information like
                                          SSNs, Beneficiary IDs, etc. Must be unique to this
                                          system. Login name may incorporate a user's
                                          name, or may be an ID randomly generated by the
                                          system.
Security Management Workbook   SECU-013   Online portal accounts must be granted access to
                                          system/beneficiary data separate from login
                                          creation process.
Security Management Workbook   SECU-014   Failed login messages must be generic and not
                                          indicate the status or validity of the account.

Security Management Workbook   SECU-015   Must have ability to configure a series of challenge
                                          questions at user's first login.
Security Management Workbook   SECU-016   Must have online self-service password capability
                                          (password reset using a series of security
                                          questions).
Security Management Workbook   SECU-017   Vendor's system password reset procedures must
                                          be subject to KHPA approval.



Security Management Workbook   SECU-018   Password change procedure must include on-
                                          screen helpful hints for password selection.
Security Management Workbook   SECU-019   Must have ability to automatically suspend user ID
                                          after a defined number of unsuccessful logon
                                          attempts.
Security Management Workbook   SECU-020   Must have ability to automatically deactivate a
                                          user ID after a defined period of inactivity.
Security Management Workbook   SECU-021   Must have ability for authorized personnel to
                                          manually deactivate a user ID on a temporary
                                          basis.
Security Management Workbook   SECU-022   Must have ability for authorized personnel to
                                          manually deactivate a user ID permanently so that
                                          it can not be made valid again.
Security Management Workbook   SECU-023   Must comply with KHPA password security policy
                                          requirements.

Security Management Workbook   SECU-024   Must automatically require user password
                                          changes after a defined period of time.
Security Management Workbook   SECU-025   Must have ability for authorized personnel to force
                                          user to change password upon next login.

Security Management Workbook   SECU-026   Must have ability to send system generated email
                                          notification of password change events and
                                          expiration warnings in compliance with KHPA
                                          password security policy requirements.

Security Management Workbook   SECU-027   System must log & audit user actions including
                                          login events, record access & record modification.

Security Management Workbook   SECU-028   Must provide audit capabilities for queries and
                                          reporting.
Security Management Workbook   SECU-029   Must comply with application NIST security
                                          standards. http://csrc.nist.gov/
Security Management Workbook   SECU-030   Must comply with applicable federal and state
                                          rules and requirements (e.g. HIPAA, ARRA/HI-
                                          TECH, etc.)


Security Management Workbook   SECU-031   Must have ability to restrict access to data and
                                          reports for specific user profiles.




Security Management Workbook   SECU-032   Administrative interfaces, including but not limited
                                          to user administration, role administration & audit
                                          interfaces, must not be accessible from the public
                                          internet.
Security Management Workbook   SECU-033   User login habits (e.g. location, times, etc.) must
                                          be audited and access restricted when anomalies
                                          are detected.
Security Management Workbook   SECU-034   Must have a single log-on for users with access to
                                          multiple modules. (e.g. Application module,
                                          Eligibility module, interfaces, etc.)
Security Management Workbook   SECU-035   Must allow access and role changes to be made in
                                          real-time.
Security Management Workbook   SECU-036   Must support either a hierarchical role structure
                                          whereby user and password define program or
                                          individual menu item access or logon
                                          program/device security based strictly on user and
                                          password or PIN. (e.g. supervisor, clerical, worker,
                                          consumer, advocate, provider, etc.)

Security Management Workbook   SECU-037   The system must not permit the alteration of any
                                          security log audit trail.


Security Management Workbook   SECU-038   The system must provide notification, user lockout
                                          and audit trail entry, after a set number of
                                          unsuccessful login attempts.
Security Management Workbook   SECU-039   Must provide tools, such as alerts or reports,
                                          which identify users who may have misused the
                                          system. (e.g. staff inquiry on family members,
                                          creating fake cases, etc.)


Security Management Workbook   SECU-040   System must provide notification and user-lock
                                          when a user hasn't accessed the system for a set
                                          period of days.
Security Management Workbook   SECU-041   Must provide ad hoc reporting capabilities on the
                                          security system.


Security Management Workbook   SECU-042   Must provide complete history of access and use
                                          by individual user.
Security Management Workbook    SECU-043   Must use a naming convention defined by KHPA
                                           for creating usernames.


Security Management Workbook    SECU-044   Must perform any recoveries when necessary.
                                           (e.g. system failure, etc.)



Security Management Workbook    SECU-045   Must comply with the State ITEC Policies found at:
                                           http://www.da.ks.gov/kito/itec/ITPoliciesMain.htm




Security Management Workbook    SECU-046   The system must maintain the state of the
                                           browser session without cookies.




Security Management Workbook    SECU-047   K-MED must meet all federal, state, and agency
                                           audit and compliance requirements (e.g. the
                                           system will also be subject to a federally
                                           mandated SAS 70 (Statement on Auditing
                                           Standards No. 70)




Security Management Workbook               Must support a flexible business model which
                                           accommodates multiple roles, for example some
                               SEPR-001    offices use a single worker/case management
                                           model and the Clearinghouse operates a task-
                                           based model.
Security Management Workbook               The Eligibility module must provide the ability to
                                           create, delete, modify and assign role-based
                               SEPR-002
                                           security profiles quickly as KHPA business
                                           processes change.
Security Management Workbook               The solution must include flexible profile-building
                                           which will allow the ability to define profiles at
                                           multiple levels (e.g. by screen, by field, by case,
                                           etc.), and by function (ability to view, update,
                               SEPR-003    authorize, activate, inactivate, etc.). For example,
                                           a profile to allow a user to update all fields, but
                                           does not allow the user to authorize coverage for a
                                           Medicaid case may be created.

Security Management Workbook               Must provide customer/member access to their
                               SEPR-004    own information with security at an individual level.
Security Management Workbook                 Must provide a medical representative view so
                                             individuals can access information and act on
                                             behalf of another customer/member.

                               SEPR-005




Security Management Workbook                 Must provide a facilitator view with read-only
                               SEPR-006      access to individuals helping others with a medical
                                             assistance application.
Security Management Workbook                 Must provide, at a minimum, the following profiles
                               SEPR-007      with the ability to easily add unlimited number of
                                             profiles:
Security Management Workbook                 Eligibility Worker - with the ability to limit by
                               SEPR-007.1    location, specific job function and medical
                                             programs
Security Management Workbook                 Clerical or support staff
                               SEPR-007.2

Security Management Workbook                 Regional/Management Region Managers
                               SEPR-007.3

Security Management Workbook                 Quality Assurance staff
                               SEPR-007.4

Security Management Workbook                 Regional/Management Region Performance
                               SEPR-007.5    Improvement staff

Security Management Workbook                 Program/Policy/Rules Engine Managers -
                                             Administrative profile to allow internal staff to
                               SEPR-007.6    update rules tables and other elements necessary
                                             to support policy and process changes

Security Management Workbook                 Interface/Exchange Managers
                               SEPR-007.7

Security Management Workbook                 Presumptive Eligibility Staff
                               SEPR-007.8

Security Management Workbook                 Presumptive Eligibility Support Staff
                               SEPR-007.9

Security Management Workbook                 System Administrator
                               SEPR-007.10
Security Management Workbook                 Password Administrator



                               SEPR-007.11




Security Management Workbook                 System Access Administrator
                               SEPR-007.12

Security Management Workbook                 Must provide community partner views with
                                             access for approved external entities and allow
                                             viewing of protected information and interaction
                                             with other users for all cases with proper
                               SEPR-008      identification and authentication (e.g. nursing
                                             homes, facilitators, foster care contractors, etc.).
                                             These special profiles will allow the partner to view
                                             all appropriate case information with a single log
                                             on.
Security Management Workbook                 Must provide an administrative profile to allow
                                             internal staff to view a customer or community
                               SEPR-009
                                             partner profile exactly as the customer or
                                             community partner is viewing it.
Security Management Workbook                 Must provide a profile to allow select staff to
                               SEPR-010
                                             manually override an eligibility determination.
Security Management Workbook                 Must provide necessary profiles to support the
                               SEPR-011      pilot phase of the application system.

Security Management Workbook                 Maintain user security and profile management,
                                             including adding, deleting and changing individual
                               SEPR-012
                                             access and creating, deleting or modifying new
                                             profiles.
Security Management Workbook                 Must provide a tool to allow for profile creation,
                                             modification and maintenance. The tool must
                                             document details of all profiles (e.g. screens the
                               SEPR-013
                                             user can access with that profile, fields that can be
                                             updated, etc) and provide versioning control.

Security Management Workbook    AUDT-001     Must automatically maintain a separate Audit Trail
                                             file for all transactions processed by the system.


Security Management Workbook    AUDT-002     Must automatically maintain a separate Audit Trail
                                             file for all transactions caused by a user.
Security Management Workbook   AUDT-003     Must automatically maintain a separate Audit Trail
                                            file of users who pass through or view a record,
                                            regardless of whether data is changed.



Security Management Workbook   AUDT-004     The Audit Trail file must contain transaction history
                                            at the field level.
Security Management Workbook   AUDT-005     The System must not permit the alteration of any
                                            data on the Audit Trail.


Security Management Workbook   AUDT-006     The System must recognize a Contractor Audit
                                            Trail Administrator to administer the Audit Log.

Security Management Workbook   AUDT-007     Must be able to log/audit based on user ID and IP
                                            address.
Security Management Workbook   AUDT-008     Must support debug system error auditing for
                                            system troubleshooting.
Security Management Workbook   AUDT-009     Must have security audit trail reporting capabilities
                                            for a variety of criteria. (e.g. security, level, locale,
                                            IP address, user ID, what was modified and what
                                            to, etc.)




Security Management Workbook   AUDT-010     Ability to create an audit trail for "back door"
                                            database changes.




Security Management Workbook   AUDT-011   The Audit Trail record must contain information
                                          such as, but not limited to:
Security Management Workbook   AUDT-011.1 Case identifier.



Security Management Workbook   AUDT-011.2 Recipient identifier.



Security Management Workbook   AUDT-011.3 User/system action performing the action.



Security Management Workbook   AUDT-011.4 Location of the user performing the action.
Security Management Workbook   AUDT-011.5 Date the action was performed.



Security Management Workbook   AUDT-011.6 Time the action was performed.



Security Management Workbook   AUDT-011.7 Name of the field being processed.



Security Management Workbook   AUDT-011.8 Field value before processing.



Security Management Workbook   AUDT-011.9 Field value after processing.



Security Management Workbook   AUDT-011.10 Imaging document access that includes document
                                           type, user ID, date and time range, access by
                                           workstation / location.

Security Management Workbook    AUDT-012 The Audit Trail user must have the ability to:
Security Management Workbook   AUDT-012.1 View, via on-line processes, the contents of the
                                          Audit Trail permitted by the Audit Trail
                                          Administrator.



Security Management Workbook   AUDT-012.2 Determine the viewing criteria. (e.g. list Audit Trail
                                          records created during a specific period of time,
                                          etc.)



Security Management Workbook   AUDT-012.3 Determine the sort sequence for viewing the
                                          selected Audit Trail records. Sorting by any Audit
                                          Trail shall be available.



Security Management Workbook    AUDT-013     The Administrator responsibilities must include:

Security Management Workbook   AUDT-013.1 Maintaining a set of Audit Trail users having
                                          access to the Audit Trail.


Security Management Workbook   AUDT-013.2 Define the data allowable for viewing by individual
                                          Audit Trail users. (e.g. disallow access to certain
                                          fields containing financial or personal health
                                          information (PHI) for certain users, etc.)
Security Management Workbook   AUDT-013.3 Perform all activities permitted to any Audit Trail
                                          user.


Security Management Workbook   AUDT-013.4 Archive any portion of the Audit Trail onto an
                                          archival file.



Security Management Workbook   AUDT-013.5 Restore any archival data to the Audit Trail.




Security Management Workbook   AUDT-013.6 Back-up, restore and/or refresh the Audit Trail.



Security Management Workbook   AUDT-013.7 Shut-down or Start-up the Audit Trail.

Security Management Workbook   AUDT-013.8 Generate Audit Trail reports.

Security Management Workbook   AUDT-013.9 Generate limited ad-hoc reports. (e.g. limited by
                                          size, record count, etc.)




Security Management Workbook   AUDT-014      Must be able to create a history of all user and
                                             automated actions, including which user or
                                             process made the update, what information was
                                             changed down to the field level, the date and
                                             time of the change, where the change was made
                                             (IP address), the information prior to the change,
                                             information after the change, etc.
her or not the requirement is met. In addition to Yes or No, include a number rating indicating                 Negotiation
                                                                                                                Clarification
implement.
ration to implement.




                       Response                        Explanation to Response                      Clarified
                        Yes/5         The Self Service Portal provides this functionality
                                      out of the box.




                        Yes/5         A link to the Self Service Portal can be placed on
                                      other state agency websites, community partners,
                                      and public locations to provide accessibility from
                                      multiple entry points.
                        Yes/5         The Self Service Portal provides this functionality
                                      out of the box.
                        Yes/1         The Self Service Portal static content will be              Yes           Clarification
                                      accessible in multiple languages. At
                                      implementation, the following languages will be
                                      supported: English, Spanish, Chinese, French,
                                      Japanese, Korean, Arabic, Farsi, German,
                                      Hmong, Lao, Russian, Somali, Swahili, and
                                      Vietnamese.

                                      We assume that KHPA is responsible for
                                      providing all translations of content.
                        Yes/5         The Self Service Portal provides this functionality
                                      out of the box.



                          0           This functionality is not included in APSP. We’d       Yes                Clarification
                                      like to discuss options for meeting this functionality
                                      with KHPA.



                        Yes/3         We will work with KHPA to design a customer
                                      satisfaction survey option, and provide the ability
                                      to generate reports based upon survey results.

                          0           This functionality is not included in APSP. We’d       Yes                Clarification
                                      like to discuss options for meeting this functionality
                                      with KHPA.


                        Yes/5         The Self Service Portal provides this functionality
                                      out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.




Yes/5   The Self Service Portal provides this functionality
        out of the box.




Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.




Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal security features will lock
        out unauthorized household members based on
        username and password set/re-set functionality.

Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5


Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   We will enhance the Self Service Portal with the
        ability to notify the applicant prior to expiration that
        their incomplete work will be deleted.

Yes/5   The Self Service Portal provides this functionality
        out of the box.



Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.




Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   We will enhance the Self Service Portal by
        providing an optional online demonstration to walk
        the user through each module.
Yes/5   The Self Service Portal provides this functionality
        out of the box.




Yes/3   We will enhance the Self Service Portal with the
        ability to route one application to multiple locations
        due to program and policy rules.
Yes/3   We will enhance the Self Service Portal with the
        ability to automatically notify a customer and
        worker when applications are sent to multiple
        locations.
Yes/3   We will enhance our Self Service Portal to include
        a self assessment tool to be used by external
        partners and customers to evaluate potential
        eligibility.

Yes/3   The self assessment tool will apply eligibility rules
        and identify and flag potential categorical and
        financial eligibility. We will work with KHPA to
        develop a complete list of flags.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   The Self Service Portal allows customers to apply
        for benefits. We will enhance the Self Service
        Portal to automatically recommend medical
        programs for which they may be eligible.

Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   Refer to Req. SELF-002                                  Yes   Met Through
                                                                      Configuration
                                                                        Changes


Yes/5   The Self Service Portal provides this functionality     Yes   Met Through
        out of the box. We will work with KHPA to define              Configuration
        what information fact sheets must be provided.                  Changes

Yes/3   The Self Service Portal will be enhanced to allow a
        customer to complete a self assessment. The
        information entered into the self assessment
        portal will then populate the online application if a
        customer chooses to apply.

Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/3   We will enhance the Self Service Portal with the
        ability to use existing information on a known
        customer, securely logged into the portal, to
        complete a new self assessment.
Yes/3   We will enhance the Self Service Portal to detect
        and by-pass programs for which a securely logged
        in customer is already receiving benefits.

Yes/5   We will work with KHPA to design a solution to
        discourage and reduce the use of the self
        assessment portal to manipulate a situation to
        determine responses necessary to qualify.



Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   The Self Service Portal will be built to provide web
        applications to apply for the medical assistance
        programs listed in Appendix 19.
Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality     Yes   Met Through
        out of the box. We will work with KHPA to define              Configuration
        the complete list of data elements required for                 Changes
        each medical program.
Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.



Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   The Self Service Portal identifies a complete list of
         information and documents needed to complete
        the application process. We will work with KHPA
        to design an approach to identifying specific
        information and documents that need to be
        completed based on the responses provided by
        the customer.
Yes/5   The Self Service Portal provides this functionality      Yes   Met Through
        out of the box.                                                Configuration
                                                                         Changes




Yes/5   The Self Service Portal provides this functionality
        out of the box. We will work with KHPA to define
        the criteria to follow when routing the application to
        appropriate staff.
Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/3   The Self Service Portal currently allows a
        customer to apply on behalf of a different
        customer. We will enhance the Self Service Portal
        to capture the name, address, phone number and
        relationship of the customer who applies on behalf
        of a different customer.
Yes/3   The Self Service Portal currently allows a
        community partner or advocacy organization to
        apply on behalf of a customer. We will enhance
        the Self Service Portal to capture the name,
        address and phone number of the community
        partner or advocacy organization who applied on
        behalf of a customer.
Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/3   We will work with KHPA to appropriately represent
        the image of the online application.
Yes/3   The Self Service Portal allows customers to check
        cases status, coverage levels, pending information
        need and due dates. The Self Service Portal will
        be enhanced to allow customers to view
        Outstanding claims and Patient liability.
Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   We will work with KHPA to design an interface
        with the MMIS Member Web Services portal to
        allow a customer to access information in the HP
        member portal to be accessed without an
        additional log on.
Yes/3   The Self Service Portal provides this functionality
        out of the box. We will work with KHPA to identify
        which interfaces are necessary.

Yes/3   The Self Service Portal provides the ability to
        notify a customer that new information is available
        online. We will enhance this functionality to allow
        for a text message option.

Yes/3   We will enhance the Self Service Portal to allow a
        customer to view overpayment and repayment
        history.
Yes/3   We will enhance the Self Service Portal to allow
        access to view information on authorized accounts.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   Accenture will have all high and critical issues
        identified during the pilot phase resolved within 5
        business days of completion of the pilot. We will
        document all medium and low priority issues, and
        we will work with KHPA to prioritize those issues
        for resolution.

        SEE PETL-039
Yes/5   Accenture will provide full technical support as
        needed during the pilot phase.
Yes/5   Accenture will provide updates to KHPA as agreed
        regarding issues identified during the pilot as well
        as proposed solutions to resolve any issues.

Yes/5   Accenture will maintain an Issue log for all calls
        received throughout the pilot phase.
Yes/5   Accenture will have all high and critical issues
        identified during the pilot phase resolved within 5
        business days of completion of the pilot. We will
        document all medium and low priority issues, and
        we will work with KHPA to prioritize those issues
        for resolution.

        SEE PETL-039
Yes/3   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this             Yes   Met Through
        functionality out of the box.                                Configuration
                                                                       Changes
Yes/5   The Public Assistance Portal allows external
        agencies to interface with the application in order
        to auto populate with data known to the external
        system. We will work with KHPA to identify PE
        entity computer systems with which to interface
        with. We will also work with KHPA to determine
        the layout of the files and data to be included.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides the ability to
        deny an incomplete application.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal brings automatic        Yes     Met Through
        application assignment functionality out of the box.         Configuration
         We will work with KHPA to determine the                       Changes
        appropriate staff or workflow to route applications
        to.
        A subsequent online application will be routed to
        the same designated staff person or work queue.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3   We will work with KHPA to create a form that will
        allow the PE entity to print a temporary PE medical
        card with applicable eligibility start date.

Yes/5   The Public Assistance Portal brings a robust          Yes     Forms/Notice
        noticing capabilities out of the box. We will work          Capacity has been
        with KHPA to define the required PE notices.                    included.

Yes/5   The Public Assistance Portal has the ability to
        automatically suppress notices. We will work with
        KHPA to determine the criteria when specific PE
        notices should be suppressed.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3   We will work with KHPA to create the customer
        release/authorization form to contact. The Public
        Assistance Portal will automatically, and manually,
        create and send a customer release/authorization
        form to contact.

Yes/3   See PETL 017

Yes/5   See PETL 017

Yes/5   See PETL 017


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes     Met Through
        functionality out of the box.                                 Configuration
                                                                        Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this            Yes     Met Through
        functionality out of the box.                                 Configuration
                                                                        Changes
Yes/5   The Public Assistance Portal provides this           Yes   Met Through
        functionality out of the box. We will work with            Configuration
        KHPA to determine the appropriate description of             Changes
        the tool, and define which links should be included.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal saves data as a user
        progresses through the application process. If at
        any time the user needs to leave that process, the
        data will be saved, and the PE determination can
        be completed at a later date.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   We will pilot the Presumptive Eligibility Tool, Self
        Assessment and the Online Application prior to full
        implementation. The existing PE providers at the
        time of implementation will be used as the pilot
        locations.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   Accenture will provide full technical support as
        needed during the pilot phase.
Yes/5   Accenture will provide updates to KHPA as agreed
        regarding issues identified during the pilot as well
        as proposed solutions to resolve any issues.

Yes/5   Accenture will maintain an Issue log for all calls
        received throughout the pilot phase.
Yes/5   Accenture will have all high and critical issues
        identified during the pilot phase resolved within 5
        business days of completion of the pilot. We will
        document all low and medium priority issues, and
        we will work with KHPA to prioritize those issues
        for resolution.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The PE Tool can notify an entity of an incomplete     Yes   Met Through
        determination, and allows the entity to deny the            Configuration
        incomplete application.                                       Changes

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal integrates with
        Cognos 10 Business Intelligence to provide the
        ability to report on the Presumptive Eligibility
        program.

Yes/3   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/3   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/3   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/3   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/3   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/3   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/3   We will work with KHPA to define the rules for
        automatically assigning a unique client identifier
        (High Level Client Index).
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides the ability to
        establish relationships for all individuals on a case.
         These relationships must be assigned by a user,
        as a system determination can usually not be
        made due to the complexity of household
        composition.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal allows a user to
        manually create intake by adding a program to an
        existing case, or creating a new case.

Yes/5   The Public Assistance Portal can automatically
        create a program application/case based on
        information received through an interface. We will
        work with KHPA to define the appropriate
        scenarios when intake should be created
        automatically.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   A Public Assistance Portal user can identify and
        link duplicate applications to the case and member
        receiving benefits through the File Clearance
        process.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   A Public Assistance Portal user can identify an
        individual currently participating through the File
        Clearance process.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this             Yes     Forms/Notice
        functionality out of the box. We will work with              Capacity has been
        KHPA to define the complete list of application                  included.
        forms required.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to define the complete list of special
        situations required.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal supports the ability to
        create multiple cases. The Public Assistance
        Portal also supports the ability to assign multiple
        workers to one case, or create multiple programs
        on a single case, and route those programs to
        different designated offices/work groups.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal performs completely       Yes   Included in scope
        automated eligibility determinations once the
        required verifications are received. If there are
        missing verifications (per policy), a warning
        message will be generated.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to define the specific scenarios when the
        system should automatically redetermine eligibility.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal can determine,
        capture, allow change, retain and display
        indicators of possible future eligibility. This
        determination is based on the information that is
        known to the system at the time eligibility is run.
Yes/5   The Public Assistance Portal has the ability to run
        an eligibility determination without authorizing it,
        allowing the customer the opportunity to agree to
        benefits, obligations, responsibilities, etc. of the
        program prior to final benefit authorization.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/3   The Public Assistance portal uses information
        already known about an individual to establish
        relationships. We would configure the relationship
        module to develop additional automatic
        relationship logic.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this             Yes     Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.

Yes/5   The Public Assistance Portal can automatically
        populate forms with information already in the
        system as well as information received thru an
        interface.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   A Public Assistance Portal user can re-run
        eligibility at any time. A batch process can also
        run eligibility to automatically recalculate eligibility
        periods/dates. We will work with KHPA to define
        the scenarios when changes should drive an
        automatic recalculation.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3   We will enhance the Public Assistance portal to
        include the option to provide workers an option to
        select the month range to process during eligibility
        to be run at the same time.

Yes/3   We will enhance the Public Assistance portal to
        include the option to provide workers an option to
        select the month range to process during eligibility
        to be run at the same time.

Yes/5   The Public Assistance Portal provides this                 Yes   Met Through
        functionality out of the box. We will work with                  Configuration
        KHPA to define the required penalty situations.                    Changes



Yes/5   The Public Assistance Portal provides this                 Yes   Met Through
        functionality out of the box.                                    Configuration
                                                                           Changes



Yes/5   The Public Assistance Portal provides this                 Yes   Met Through
        functionality out of the box.                                    Configuration
                                                                           Changes

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this                 Yes   Met Through
        functionality out of the box.                                    Configuration
                                                                           Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes   Met Through
        functionality out of the box.                               Configuration
                                                                      Changes




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   A Public Assistance Portal user can identify an
        individual with existing or previous benefits
        through the File Clearance process.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of required
        alerts.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of required
        alerts.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of
        circumstances that should notify appropriate staff.

Yes/5   The Public Assistance Portal provides this           Yes    Met Through
        functionality out of the box. We will work with             Configuration
        KHPA to determine the list of circumstances that              Changes
        should notify non agency partners, along with a list
        of non agency partners to be notified.



Yes/5   The Public Assistance Portal provides this            Yes   Met Through
        functionality out of the box.                               Configuration
                                                                      Changes




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to define the complete list of special
        situations required.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this        Yes   Met Through
        functionality out of the box.                           Configuration
                                                                  Changes
Yes/3   We will enhance the Public Assistance portal to
        include a field to capture receipt
        acknowledgement of information sent to partners.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this           Yes   Met Through
        functionality out of the box.                              Configuration
                                                                     Changes




Yes/5   The Public Assistance Portal currently provides
        the ability to override manually populated case
        log/history entries, and for integrity purposes,
        maintains all auto populated entries as originally
        generated.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this           Yes   Met through
        functionality out of the box. We will work with            configuration
        KHPA to determine the complete list of case log              changes
        entry shells required.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this           Yes    Clarification
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this             Yes     Met Through
        functionality out of the box.                                  Configuration
                                                                         Changes

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this             Yes     Met Through
        functionality out of the box.                                  Configuration
                                                                         Changes




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this             Yes     Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to develop the appropriate layout for each
        interface.
Yes/3   The Public Assistance Portal interface functionality
        will allow data to be sent to MMIS for claims
        processing. We will work with KHPA to develop
        the appropriate layout for the interface.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of electronic
        referrals required.
Yes/5   The Public Assistance Portal provides this          Yes      Forms/Notice
        functionality out of the box. We will work with            Capacity has been
        KHPA to determine the complete list of hard copy               included.
        referrals required.
Yes/5   The Public Assistance Portal provides this          Yes      Forms/Notice
        functionality out of the box. We will work with            Capacity has been
        KHPA to determine which specific supporting                    included.
        documentation is required for each referral.

Yes/5   The Public Assistance Portal provides this          Yes      Forms/Notice
        functionality out of the box.                              Capacity has been
                                                                       included.
Yes/5   The Public Assistance Portal provides this          Yes      Forms/Notice
        functionality out of the box.                              Capacity has been
                                                                       included.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   See PETL-017

Yes/5   See PETL-017

Yes/5   See PETL-017

Yes/5   See PETL-017

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this           Yes   Interfaces Included
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this           Yes   Interfaces Included
        functionality out of the box. We will work with
        KHPA to determine the complete list of criteria that
        initiate data exchange requests.


Yes/5   The Public Assistance Portal provides this          Yes      Met Through
        functionality out of the box.                                Configuration
                                                                       Changes
Yes/5   The Public Assistance Portal provides this          Yes      Met Through
        functionality out of the box.                                Configuration
                                                                       Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box. We will work with              Capacity has been
        KHPA to define the scenarios when an automatic                   included.
        referral should be created.
Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.
Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.
Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.
Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/3   The Public Assistance Portal provides this
        functionality for the most part out of the box. We
        will need to add some additional data collection
        and the addition of new rules to provide complete
        functionality.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

 0      This functionality is not included in APSP. We’d       Yes      Clarification
        like to discuss options for meeting this functionality
        with KHPA.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this        Yes       Met Through
        functionality out of the box.                               Configuration
                                                                      Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this        Yes       Met Through
        functionality out of the box.                               Configuration
                                                                       Changes
                                                          Yes   Clarification

                                                          Yes   Clarification

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to define the appropriate workload
        management hierarchy.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this        Yes       Met Through
        functionality out of the box.                               Configuration
                                                                      Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this        Yes       Met Through
        functionality out of the box.                               Configuration
                                                                      Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/3   The Public Assistance Portal has robust workload
        reassignment functionality. We will enhance this
        functionality to provide the ability to automatically
        evaluate a case prior to transfer.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

        The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality through online webpages, not review
        forms.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides the ability
        for staff to review, comment and return their own
        QA review through the Task functionality.

Yes/5   The Public Assistance Portal provides the ability to
        set timelines to complete reviews and responses
        through the Task functionality.
Yes/5   The Public Assistance Portal provides the ability to
        notify appropriate person(s) of approaching
        deadline and past due through the Task
        functionality.
Yes/5   The Public Assistance Portal provides the ability to
        notify staff when QA review form is complete
        through the Task functionality.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box through a unique
        identifier in the database.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this           Yes   Met Through
        functionality out of the box.                              Configuration
                                                                     Changes
Yes/5   The Public Assistance Portal provides this          Yes    Met Through
        functionality out of the box.                              Configuration
                                                                     Changes




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   K-MED will be implementing a strategy that does
        not require the off-line archiving of records.
        Accenture has successfully utilized this strategy
        on large eligibility implementations which uses
        partitioning.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/3   We will work with KHPA to determine the criteria
        necessary to automatically determine/recommend
        a causal factor based on information entered on
        QA Review form.
Yes/3   We will enhance the Public Assistance Portal to
        include the ability to create, modify, or delete error
        causal factors and case elements.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box. We will work with                Capacity has been
        KHPA to determine when a referral is required.                     included.

Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box.                                  Capacity has been
                                                                           included.
Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box.                                  Capacity has been
                                                                           included.
Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box.                                  Capacity has been
                                                                           included.
Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box.                                  Capacity has been
                                                                           included.
Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box.                                  Capacity has been
                                                                           included.

Yes/5   The Public Assistance Portal provides this               Yes     Forms/Notice
        functionality out of the box. We will work with                Capacity has been
        KHPA to determine which data changes would                         included.
        trigger sending an interface.
Yes/3   We will work with KHPA to design a consumer
        notice related to the specific Cost Avoidance and
        Recovery area.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



 0      This functionality is not included in APSP. We’d       Yes        Clarification
        like to discuss options for meeting this functionality
        with KHPA.
Yes/5   The Public Assistance Portal provides this              Yes   Rule Configuration
        functionality out of the box.

Yes/3   We will work with KHPA to design a form to
        capture health insurance or potential health
        insurance information.


Yes/3   We will work with KHPA to define the interface to
        send potential HIPPS candidates to fiscal agent.

Yes/5   The Public Assistance Portal provides this              Yes   Rule Configuration
        functionality out of the box.

Yes/3   We will provide a service that will query TPL
        sources for information. The TPL sources will
        have to provide the information in a unified format
        defined by Accenture.
Yes/3   The Public Assistance Portal captures insurance
        information. We will work with KHPA to develop
        the appropriate layout for the interface to send that
        information to MMIS.
Yes/3   We will work with KHPA to develop the
        appropriate layout for the interface to send the
        information to ERU unit.

Yes/5   The Public Assistance Portal provides this              Yes   Rule Configuration
        functionality out of the box.

Yes/3   The Public Assistance Portal brings a robust
        noticing capabilities out of the box. We will work
        with KHPA to define the required Estate Recovery
        notices.
 0      This functionality is not included in APSP. We’d       Yes       Clarification
        like to discuss options for meeting this functionality
        with KHPA.
 0      This functionality is not included in APSP. We’d
        like to discuss options for meeting this functionality
        with KHPA.
Yes/5   The Public Assistance Portal provides this             Yes    Rule Configuration
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
 0      This functionality is not included in the APSP         Yes       Clarification
        software we are proposing today. However, the
        framework can accommodate this functionality
        and we’d like to discuss options for meeting this
        requirement with KHPA.
Yes/3   The Public Assistance Portal captures premium
        obligations. We will work with KHPA to design an
        interface with CSE to communicate the premium
        obligations.

        The payment information functionality is not
        included in APSP. We’d like to discuss options for
        meeting this functionality with KHPA.

 0      This functionality is not included in the APSP        Yes      Clarification
        software we are proposing today. However, the
        framework can accommodate this functionality
        and we’d like to discuss options for meeting this
        functionality with KHPA.
Yes/5   The Public Assistance Portal provides this            Yes   Rule Configuration
        functionality out of the box.


Yes/3   We will work with KHPA to define the interface
        received from CSE which will sent absent parent
        information know to CSE. A user can then
        manually update the information.

Yes/5   The Public Assistance Portal provides this            Yes     Met Through
        functionality out of the box.                                 Configuration
                                                                        Changes


Yes/5   The Public Assistance Portal provides this            Yes     Met Through
        functionality out of the box.                                 Configuration
                                                                        Changes
Yes/5   The Public Assistance Portal provides this            Yes     Met Through
        functionality out of the box.                                 Configuration
                                                                        Changes




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
        The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.


Yes/3   We will enhance the Public Assistance Portal to
        capture and display an eligibility determine that
        results in a potential overpayment, and it will be
        stored by funding code.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/3   We will enhance the Public Assistance Portal to
        capture and display an eligibility determine that
        results in a potential overpayment.
 0      This functionality is not included in APSP. We’d       Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.


 0      This functionality is not included in APSP. We’d       Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.



Yes/3   Data will be received through the MMIS interface
        and existing functionality will be modified to
        manage updates of claim amounts
Yes/3   Data will be received and sent through the MMIS
        interface and existing overpayment functionality
        will be modified to meet this requirement.

Yes/3   We will enhance the Public Assistance Portal to
        capture and display an eligibility determine that
        results in a potential underpayment.
 0      This functionality is not included in APSP. We’d       Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.
 0      This functionality is not included in APSP. We’d       Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.

 0      This functionality is not included in APSP. We’d       Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.




Yes/3   If a potential overpayment is determined, the
        Public Assistance Portal will track and monitor by
        type (e.g. program, funding source, consumer,
        case).
 0      This functionality exists but may need                Yes    Clarification
        modifications. .

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes    Modification
        functionality out of the box.                                 Required
Yes/5   The Public Assistance Portal provides this               Yes   Modification
        functionality out of the box.                                   Required

Yes/5   The Public Assistance Portal provides this               Yes   Modification
        functionality out of the box.                                   Required

 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.

 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.
 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.
Yes/5   The Public Assistance Portal provides this             Yes     Modification
        functionality out of the box.                                   Required

Yes/5   The Public Assistance Portal provides this             Yes     Modification
        functionality out of the box.                                   Required
 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.
 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.




 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.

 0      This functionality is not included in APSP. We’d       Yes     Clarification
        like to discuss options for meeting this functionality
        with KHPA.


Yes/5   The Public Assistance Portal provides this               Yes   Modification
        functionality out of the box. A user has the option             Required
        to override the patient liability established through
        eligibility determination.
 0      This functionality is not included in APSP. We’d         Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.
Yes/5   The Public Assistance Portal provides the ability        Yes   Modificaiton
        for a user to review all saved EDBCs for the                    Required
        household, during the time period a potential
        overpayment was identified.
 0      This functionality is not included in APSP. We’d         Yes   Clarification
        like to discuss options for meeting this functionality
        with KHPA.
 3      This functionality is included in APSP. We’d like      Yes       Clarification
        to discuss options for meeting this functionality
        with KHPA.
 0      This functionality is not included in APSP. We’d       Yes       Clarification
        like to discuss options for meeting this functionality
        with KHPA.
 0      This functionality is not included in APSP. We’d       Yes       Clarification
        like to discuss options for meeting this functionality
        with KHPA.
                                                               Yes      Met Through
                                                                        Configuration
                                                                          Changes
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
                                                                  Yes   Met Through
        The Public Assistance Portal provides this                      Configuration
Yes/5   functionality out of the box.                                     Changes
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
                                                                  Yes   Met Through
        The Public Assistance Portal provides this                      Configuration
Yes/5   functionality out of the box.                                     Changes

        We will enhance the Public Assistance Portal to
        automatically record the reporter/source (name,
        address, associated agency of person expressing
Yes/3   the concern, etc) if available.


        The Public Assistance Portal provides this
Yes/5   functionality out of the box.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal will be enhanced to
        provide the ability to identify and assign the priority
Yes/3   of a concern.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        Currently the Public Assistance Portal tracks
        concerns that are associated with a case or a
        customer. We will enhance this functionality to
        track concerns that are not associated with a case
Yes/3   or customer.
                                                                  Yes   Met Through
        The Public Assistance Portal provides this                      Configuration
Yes/5   functionality out of the box.                                     Changes
                                                                  Yes   Met Through
        The Public Assistance Portal provides this                      Configuration
Yes/5   functionality out of the box.                                     Changes
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.



        The Public Assistance Portal provides this
Yes/5   functionality out of the box.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
                                                               Yes   Met Through
        The Public Assistance Portal provides this                   Configuration
        functionality out of the box. This information can             Changes
Yes/5   be cross referenced through Ad Hoc reporting.
                                                               Yes   Met Through
        The Public Assistance Portal provides this                   Configuration
        functionality out of the box. This information can             Changes
Yes/5   be cross referenced through Ad Hoc reporting.
        The Public Assistance Portal will be enhanced to
        collect a Status to indicate when a concern
Yes/3   becomes a fair hearing request.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        Currently the Public Assistance Portal has the
        ability to assign a concern/fair hearing to a worker
        known to the system. We will provide enhanced
        functionality to include assignments to outside
Yes/3   third parties.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        We will enhance the Public Assistance Portal to
        require a response by the third party assignee on
Yes/3   a case by case basis.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        We will enhance the Public Assistance Portal to
        include functionality to automatically notify
        customer, third party entity, and/or worker that the
Yes/3   status of a concern has changed.


        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        We will enhance the Public Assistance Portal to
        include functionality to automatically notify
        customer that their concern has been received
Yes/3   and who it has been referred to.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to define the criteria for when automatic
Yes/5   reminders are sent.

        The Public Assistance Portal provides this
Yes/3   functionality out of the box.

        The Public Assistance Portal provides this
Yes/3   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to define the specific hearings forms
Yes/5   required.

        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        This functionality is not included in APSP. We’d       Yes   Clarification
        like to discuss options for meeting this functionality
 0      with KHPA.
        We will work with KHPA to further define
        requirements related to calculating months
        affected underpayment calculation will require
Yes/3   information from the payment system

        We will work with KHPA to track collections for
Yes/3   customer, specific hearing, fraud finding etc.
        We will work with KHPA to develop the
        appropriate layout for the interface to the HP Fair
Yes/3   Hearings Database.
        We will work with KHPA to develop the
        appropriate layout for the interface to the HP Fair
Yes/3   Hearings Database.
        We will work with KHPA to develop the
        appropriate layout for the interface to the HP Fair
        Hearings Database.

Yes/3
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
        The Public Assistance Portal provides this
Yes/5   functionality out of the box.
Yes/5   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/5   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/5   The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.

Yes/5                                                         Yes   Met Through
                                                                    Configuration
        The Public Assistance Portal provides this                    Changes
        functionality out of the box.
Yes/3   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine which PMDD forms should be
        available electronically.
Yes/5                                                         Yes   Met Through
        The Public Assistance Portal provides this                  Configuration
        functionality out of the box.                                 Changes
Yes/3   The Public Assistance Portal currently captures
        information related to a referral to the PMDT. We
        will enhance this functionality to alert the
        appropriate worker when this information is
        entered.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes   Met Through
        functionality out of the box. We will work with             Configuration
        KHPA to determine the complete list of flags                  Changes
        required.
Yes/3   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3
        The Public Assistance Portal will integrate with
        ImageNow to electronically submit documents.
        We will then use a batch process to send the
        necessary documents to the PMDT.
Yes/3   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3   The Public Assistance Portal currently maintains
        the PMDD information within the case file. We will
        work with KHPA to design an approach to
        maintaining this file separately from the 'regular'
        medical case file.
Yes/5   The Public Assistance Portal currently maintains    Yes     Met Through
        the PMDD information within the case file. We will          Configuration
        work with KHPA to design an approach to                       Changes
        maintaining this file separately from the 'regular'
        medical case file.
Yes/5                                                       Yes     Met Through
        The Public Assistance Portal provides this                  Configuration
        functionality out of the box.                                 Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5




        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5
        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5                                                       Yes     Forms/Notice
        The Public Assistance Portal provides this                Capacity has been
        functionality out of the box.                                 included.
Yes/5                                                       Yes     Forms/Notice
        The Public Assistance Portal provides this                Capacity has been
        functionality out of the box.                                 included.
Yes/5                                                       Yes     Forms/Notice
        The Public Assistance Portal provides this                Capacity has been
        functionality out of the box.                                 included.
Yes/5


        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5
        The Public Assistance Portal currently provides a
        workflow process for PMDT. We will work with
        KHPA to determine if the existing workflow meets
        your requirements, or we can use the 'contingency
        workflows' to develop a new workflow through
        Oracle's BPM for this process.
Yes/5
        The Public Assistance Portal currently provides a
        workflow process for PMDD. We will work with
        KHPA to determine if the existing workflow meets
        your requirements, or we can use your requested
        'contingency workflows' to develop a new workflow
        through AquaLogic BPM for this process.
Yes/5
        The Public Assistance Portal currently provides a
        workflow process for PMDD. We will work with
        KHPA to determine if the existing workflow meets
        your requirements, or we can use your requested
        'contingency workflows' to develop a new workflow
        through AquaLogic BPM for this process.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this        Yes       Forms/Notice
        functionality out of the box. We will work with           Capacity has been
        KHPA to define the complete list of forms                     included.
        required, and when they should be sent.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5
        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5                                                       Yes     Forms/Notice
        The Public Assistance Portal provides this                Capacity has been
        functionality out of the box.                                 included.
Yes/5                                                       Yes   Rule Configuration
        The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine which interfaces and which
        data should be used for PMDD eligibility.
Yes/3
        We will work with KHPA to design a form to send
        to Doctors/providers requesting medical records.
Yes/5
        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5                                                       Yes     Forms/Notice
                                                                  Capacity has been
        The Public Assistance Portal provides this                    included.
        functionality out of the box.
Yes/3   We will work with KHPA to design invoices for
        medical record requests.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5
        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5
        The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of reports
        required.
Yes/5
        The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.
Yes/5
        The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.
Yes/5
        The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.
Yes/5


        APSP provides this functionality out of the box.
Yes/5
        The K-MED reporting solution contains the 111
        reports included in the RFP Appendix 3. We
        assume any additional reports deemed necessary
        will be developed using the 60 contingency reports.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   90% of all transactions require interaction with the
        database, and will therefore have a response time
        within 2 seconds.
Yes/5   The Public Assistance Portal provides this         Yes   Met Through
        functionality out of the box. We will work with          Configuration
        KHPA to determine the complete list of real-time           Changes
        as well as nightly batch processes required.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of real-time
        as well as nightly batch processes required.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   APSP provides this functionality out of the box.




Yes/5   APSP provides this functionality out of the box.




Yes/5   APSP provides this functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Self Service Portal provides this functionality
        out of the box.



Yes/5   We will work with KHPA to support in the
        development and delivery of 24/7 help desk
        support
Yes/5   We will work with KHPA to support in the
        development and delivery of 24/7 help desk
        support
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the scheduled expected down
        time due to batch processing and maintenance.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the scheduled expected down
        time due to batch processing and maintenance.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   K-MED data will never leave the continental US for
        any purpose. Accenture will specify the
        geographic location of all off-site work (if required).


Yes/5   K-MED information will never leave the continental
        US for any purpose.
Yes/5   We plan to use 'test/fake' data for all K-MED
        demos. IF KHPA data is necessary, we would
        work with KHPA to review and approve the data
        before the demo occurs.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this              Yes     Requires
        functionality out of the box.                                  Modification


Yes/5   This is available with IVR optional functionality.      Yes   Optional Scope

Yes/5   The Public Assistance Portal provides this              Yes   Optional Scope
        functionality out of the box.

Yes/3   We will enhance our Reception Log functionality to
        automatically record the name of person making
        the contact, and the date and time of the contact,
        where possible.
Yes/3   We will enhance our Reception Log functionality to
        automatically record the name of person making
        the contact, and the date and time of the contact,
        where possible.
Yes/5   The Public Assistance Portal provides this         Yes          Requires
        functionality out of the box.                                  Modification


Yes/3   We will enhance our Reception Log functionality to
         allow the staff person to make notes regarding
        the contact and automatically record ALL
        information regarding the contact in the case file,
        or other location where no case file exists.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
 3      APSP will collect caller information but does not
        interact with the phone system. Calls and the time
        received can be logged.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   APSP provides the data regarding numbers and
        types of applications processed. KHPA can
        organize this data through Ad Hoc reporting.

Yes/5   We will work with KHPA to follow approved cost
        allocation plan to support your administrative claim.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/3   Will be met.                                            Yes      Included
Yes/5   The Public Assistance Portal provides this
        functionality out of the box. We will work with
        KHPA to determine the complete list of notices or
        letters required.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this          Yes     Configuration
        functionality out of the box.                                 Change
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this          Yes     Forms/Notice
        functionality out of the box. We will work with           Capacity has been
        KHPA to determine which notices must be                       included.
        generated in multiple languages. We will also
        work with KHPA to get translations for the required
        forms.
Yes/5   The Public Assistance Portal is capable of          Yes      Forms/Notice
        connecting with Braille embossers to generate              Capacity has been
        Braille notices.                                          included. Can print
                                                                         in braille
Yes/5   The Public Assistance Portal provides this          Yes      Forms/Notice
        functionality out of the box.                              Capacity has been
                                                                        included.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box.                                Capacity has been
                                                                         included.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


 0      This functionality is not included in APSP. We’d       Yes      Clarification
        like to discuss options for meeting this functionality
        with KHPA.



Yes/5   The grammar and spell check for the information       Yes    We have included
        displayed on notices will be determined during               spell check for the
        design with Accenture and KHPA.                                    solution.

        Grammar and spell check on free form text
        functionality is not included in APSP. We’d like to
        discuss options for meeting this functionality with
        KHPA.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes      Forms/Notice
        functionality out of the box.                                    Capacity


Yes/3   We will work with KHPA to better understand this
        requirement and potential business uses


Yes/3   The Public Assistance Portal has the capability to
        create a template for all notices with KHPA
        standard letterhead. We will work with KHPA to
        design this standard letterhead.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this            Yes      Met Through
        functionality out of the box.                                  Configuration
                                                                         Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this             Yes   Met Through
        functionality out of the box.                                Configuration
                                                                       Changes

Yes/5   The Public Assistance Portal provides this             Yes   Met Through
        functionality out of the box.                                Configuration
                                                                       Changes

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/3   We will enhance the Public Assistance Portal to
        collect a preferred correspondence method, and
        generate the notice in different medias to different
        parties.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this             Yes   Met Through
        functionality out of the box.                                Configuration
                                                                       Changes
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/3   We will enhance the Public Assistance Portal to
        create an alert prior to sending a notice if mail sent
        to a particular recipient at that address has
        previously been returned as undeliverable.



Yes/5   The Self Service Portal provides this functionality
        out of the box.



Yes/3   We will work with KHPA to determine the service
        channels through which to allow the public access
        to statistical data.



Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/3   We will enhance the Self Service Portal to provide
        the ability for a customer to learn how certain
        changes may impact benefits.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   APSP provides this functionality out of the box.
        An ad hoc report could be generated based on
        demographic information included in either the
        Self Service Portal or the Public Assistance Portal.

Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality    Yes     Met Through
        out of the box. We will work with KHPA to define               Configuration
        which eligibility information will be shared with                Changes
        other agencies.
Yes/5   The Self Service Portal provides this functionality
        out of the box.
Yes/5   The Public Assistance Portal can create mass           Yes     Forms/Notice
        notices to targeted groups known to the system,              Capacity has been
        for purposes of Outreach, increased awareness,                   provided.
        enrollment and participation.

Yes/1   We will enhance the Self Service Portal to include
        the ability to generate random customer service
        surveys and compile responses.

Yes/5   The Self Service Portal provides this functionality
        out of the box.


Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   The Self Service Portal provides this functionality
        out of the box.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's   Yes   Met Through
        BPM tool to meet workflow requirements.              Configuration
                                                               Changes




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's   Yes   Met Through
        BPM tool to meet workflow requirements.              Configuration
                                                               Changes
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's   Yes   Met Through
        BPM tool to meet workflow requirements.              Configuration
                                                               Changes
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's   Yes   Feature Provided
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's   Yes    Met Through
        BPM tool to meet workflow requirements.               Configuration
                                                                Changes




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's   Yes   Met Through
        BPM tool to meet workflow requirements.              Configuration
                                                               Changes




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's   Yes   Met through
        BPM tool to meet workflow requirements.              configuration
                                                               changes
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.

Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/5   We will work with KHPA to implement Oracle's   Yes   Met through
        BPM tool to meet workflow requirements.              configuration
                                                               changes


Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's   Yes   Met through
        BPM tool to meet workflow requirements.              configuration
                                                               changes
Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.




Yes/5   We will work with KHPA to implement Oracle's
        BPM tool to meet workflow requirements.



Yes/3   We will work with KHPA to define the rules for           Yes   Clarification
        automatically assigning a unique client identifier
        (High Level Client Index).

        Also see REGI-001
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/3   During conversion activities, we will load HLCI
        from SRS on initial implementation.

Yes/3   After initial conversion from SRS, K-MED will
        create and manage the HLCI. We will create a
        service that can be used to search for a client,
        based on pre-defined criteria such as name, dob,
        ssn, etc., and determine if a HLCI exists. If one
        exists for the client, a real time interface will send
        the HLCI to SRS, and if one does not exist, K-
        MED will generate a HLCI and send it to SRS.
        This same service will be used for internal K-MED
        searches and assignment of HLCI.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   We will maintain the integrity of the converted data
        from the KAECSES HLCI.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/3   We will enhance the Public Assistance Portal to
        provide the ability to perform compound searches.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/3   The Public Assistance Portal currently provides
        the ability to perform partial searches. We will
        enhance the Public Assistance Portal to provide
        the ability to perform wildcard searches.

Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.




Yes/3   We will work with KHPA to develop a SharePoint
        site which provides a searchable documentation
        library, with highly flexible search criteria to enable
        a user to quickly find needed information in policy
        manuals, policy memos, training material, data
        files, implementation memos and all help functions
        without affecting work in progress.

Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.


Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/5   The Public Assistance Portal provides this
        documentation out of the box.

Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.


Yes/5   The capacity sizing for the servers and databases
        was based on data received from KPHA as well as
        data from other successful implementation
        completed by Accenture. The calculations are
        estimates and will be refined further as more
        information is shared between Accenture and
        KPHA.




Yes/3   We will work with KHPA to document a plan for
        transitioning from the current processes to the
        processes supported by the new system.

Yes/3   We will provide change management: 1) Vendor
        software change management; 2) Data; 3)
        Software changes; 4) changes in business
        processes, structure, management.
Yes/3   We will work with KHPA to develop backup and
        disaster recovery plans including Operating
        System and Application re-load and steps needed
        to recover.
        This will be kept current during the project, and
        changes will go through a mutually agreed upon
        approval process that will include KHPA and IT
        personnel.

Yes/5   The Public Assistance Portal provides this
        documentation out of the box.

Yes/3   We will work with KHPA to update appropriate
        documentation with each application
        modification/enhancement.

Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/3   The Public Assistance Portal provides this
        documentation out of the box. We will continue to
        develop system documentation for additional
        functionality built during the project.
Yes/5   The Public Assistance Portal provides this
        documentation out of the box.




Yes/5   The Public Assistance Portal provides this
        documentation out of the box.

 0      This functionality is not included in APSP as
        described. However, functionality does exist that
        may accomplish the desired result. We’d like to
        discuss options for meeting this requirement with
        KHPA.


Yes/5   The Public Assistance Portal provides this
        documentation out of the box.


Yes/5   The Public Assistance Portal provides this
        documentation out of the box.



Yes/5   The Public Assistance Portal provides this
        documentation out of the box.

Yes/5   The Public Assistance Portal provides this
        documentation out of the box.
Yes/5   The Public Assistance Portal provides this
        documentation out of the box.
Yes/5   The Public Assistance Portal provides this
        documentation out of the box.

Yes/5   Accenture assumes this functionality is met
        through the integration with the State's ImageNow
        system.




Yes/5   The Public Assistance Portal provides this
        documentation out of the box.


Yes/5   The Public Assistance Portal provides this
        documentation out of the box.


Yes/5   The Public Assistance Portal provides capability to
        integrate with ImageNow out of the box.


Yes/3   We will work with KHPA to develop a detailed plan
        outlining all steps related to the installation and
        implementation of the integration with the imaging
        and workflow system to work seamlessly with the
        ImageNow prior to the delivery of the software.

Yes/5   We will work with KHPA to facilitate and authorize
        any Kansas specific system modifications

Yes/5   APSP has the ability, through modification to
        appropriate code/application pages, to recall
        images from different imaging repositories. We
        will work with KHPA to determine the other state
        imaging systems that require integration with
        APSP.


Yes/3   Accenture will work with KHPA to determine the
        scope of integration test. Once scope is
        determined, Accenture will perform system
        integration tests to show compatibility with the
        KHPA Imaging Systems.
Yes/5   The Public Assistance Portal provides this
        documentation out of the box.



Yes/5   Perceptive Software is on our team and we will
        work with them to maintain compatibility with new
        releases.



Yes/5   Retention requirements can be entered into the
        Oracle Database to flag records for deletion from
        the system when retention requirements have
        been met.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal supports search
        queries using Boolean operators.

        Fuzzy text search functionality is not included in
        APSP. We’d like to discuss options for meeting
        this functionality with KHPA.
Yes/5   Image Now data can be searched with standard
        SQL capabilities and is cross platform(Oracle,
        SQL Server,DB2)
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   Image Now provides ability to attach 'sticky notes',
        rubber stamps, annotations. i.e. rubber stamp date
        document scanned into system
Yes/5   Image Now has parallel routing capability of
        documents with a delete check, due to legal
        reasons documents are sensitive to deletion,
        instead images can be hidden from view except
        for authorized users.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   Image Now imposes a read only prompt when a
        version of a document is opened simultaneously.


Yes/5   Image Now has the capability to export into the
        noted file formats as well as print to file
        format(similar to print pdf)
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The end user does not index documents with
        Image Now.

Yes/5   The Public Assistance Portal allows this
        functionality for database administrators out of the
        box. This is not recommended as it may cause
        variations of index fields that will be difficult to
        manage.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   Image Now has the capability to allow index
        processing while other stations are actively
        searching.


Yes/5   Image Now has this capability and is handled in a
        manner similar to sticky notes, rubber stamps etc.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   K-MED will be implementing a strategy that does
        not require the off-line archiving of records.
        Accenture has successfully utilized this strategy
        on large eligibility implementations which uses
        partitioning.
Yes/5   K-MED will be implementing a strategy that does
        not require the off-line archiving of records.
        Accenture has successfully utilized this strategy
        on large eligibility implementations which uses
        partitioning.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.



Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   K-MED will be implementing a strategy that does
        not require the off-line archiving of records.
        Accenture has successfully utilized this strategy
        on large eligibility implementations which uses
        partitioning.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.

Yes/5   K-MED will be implementing a strategy that does
        not require the off-line archiving of records.
        Accenture has successfully utilized a strategy on
        large eligibility implementations which does not
        archive records.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.




Yes/5   The Public Assistance Portal provides this
        functionality out of the box.


Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   The Public Assistance Portal provides this
        functionality out of the box.
Yes/5   Due to the online availability of data in the system,
        no case will exist where data is not available for
        display through online pages and/or reports.

Yes/5   Our reporting platform, which leverages the robust
        ad hoc reporting capabilities of Cognos, will
        provide the ability to create, edit, and delete new
        and existing reports.
Yes/5   The intuitive user interface of our reporting
        platform allows users to create and request
        reports with minimal training. When users
        produce reports, the reporting interface is user-
        friendly and data is quickly accessible enabling
        non-technical staff and management to make
        decisions faster.
Yes/1   Cognos delivers traditional business intelligence
        (BI) with planning, scenario modeling, real-time
        monitoring and predictive analytics. These
        functions will be made available to users who
        access the ad hoc reporting environment.

Yes/5   The reporting platform will access both the
        production and reporting databases. As data
        elements are added or modified, both databases
        will be updated to reflect the new data allowing the
        reporting platform and reports to access and use
        the new data elements.

Yes/5   The ad hoc reporting function will also offer users
        the flexibility to conduct "what-if" analysis through
        the option of identifying sample selection criteria
        and requesting random samples of data in the
        query results.
Yes/5   Reports generated from the new K-MED system
        can be transformed into several different file types
        such as text and spreadsheets in order to further
        utilize the data.

Yes/1   Our reporting solution allows data input from       Yes      Data Warehouse
        outside sources to be used alone or in conjunction
        with system data to produce reports and queries.
        This function is supported by a custom set of ETL
        functions which allow outside data to be loaded to
        the reporting database. Using the Cognos Virtual
        View Manager, data can be combined from
        multiple sources into a virtual view which can then
        be used for reporting purposes. However, this
        function must be supported by data professionals
        who understand the data structures and can
        combine both system and outside data into a
        single, easy-to-query view, without incurring the
        overhead of physically building a data warehouse
        or data mart.

Yes/1   Please see response to RPRT-007.                       Yes   Data Warehouse



Yes/5   Users control report formatting by arranging report Yes      Data Warehouse
        objects by dragging and dropping them into the
        report authoring window. Report layout
        automatically adapts and rearranges as report
        objects are added or removed. A full set of report
        object is supported and the output of reports can
        be exported to a large number of PC formats.

Yes/5   The ability to request and produce reports in         Yes    Data Warehouse
        multiple file formats, including rich text format, MS
        Excel, etc. is a feature of our solution. Please also
        see response to RPRT-0009 above.
Yes/1   The Accenture Team understands the                  Yes   Data Warehouse
        performance considerations that must be
        contemplated when final infrastructure decisions
        are made. We have designed the reporting
        environment to use real-time production data as
        the basis for the creation of performance and
        dashboard reporting. We intend to build a series of
        OLAP Cubes that will facilitate this reporting,
        ensure performance standards can be met and
        minimize the impact of these reports on the overall
        performance of the production environment. The
        Accenture Team will work closely with KHPA to
        identify specific dashboard and performance
        reporting requirements that must access real-time
        data. For reporting that does not require real-time
        data, functions will be included in the reporting
        platform to minimize the impact on the production
        system.


Yes/1   The Accenture Team will work with KHPA to
        determine approved operation time parameters for
        running reports against the production (OLTP)
        database. Ad hoc and on request reports can be
        run against the Reporting database nearly
        anytime, except in the cases where the database
        may be offline due to maintenance or upgrade.

Yes/1   The K-MED database includes a column for each
        table that tracks the source of the data (e.g. data
        that originated from an interface) which allows
        users to filter reports based on data origination.
        The Accenture Team will further clarify this
        requirement with KHPA during design.

Yes/5   The combination of our database design and the
        use of the flexible Cognos reporting tool will allow
        users to retrieve data at multiple levels and utilize
        all data elements to produce reports.



Yes/5   The Cognos platform allows for report and query     Yes     Clarification
        design to include drill down capability as well as
        complex analytical functionality. During design
        specific drill down requirements will have to be
        defined within summary reports.
Yes/3   The Cognos ad hoc reporting feature allows users Yes        Clarification
        to specify calculated values and to filter based on
        the results of the calculated value.
Yes/5   Summary reports can be developed with drill down
        capabilities to allow users to select summary data
        and view the detailed data sets used to create the
        summary. The Accenture Team will conduct
        further analysis during design to determine the
        best approach to meeting this requirement.

Yes/5   Within the K-MED reporting platform, users have
        the ability to customize and save standard reports
        specific to their role or use the ad hoc reporting
        tool to develop custom reports which can also be
        saved for future use.
Yes/5   Our reporting platform will allow users to modify
        and rename reports.
Yes/5   Through our configuration management approach
        for K-MED and by leveraging inherent version
        control features of Cognos, we provide version
        control for all created reports.

Yes/5   We configure our solution to accommodate this
        requirement through Cognos version control
        capabilities and our configuration management
        solution.

Yes/3   Our reports solution will accommodate storage
        and retrieval of ad hoc reports in shared or
        restricted libraries depending on user defined
        security. Logging of modifications may require
        some configuration and modification.

Yes/1   We configure our solution to store all versions of   Yes   Clarification
        standardized reports through Cognos in concert
        with our configuration management solution.

Yes/3   The Cognos platform is designed to leverage         Yes    Clarification
        existing enterprise security allowing existing user
        profiles to restrict access to data according to
        business requirements including at the report,
        dashboard page, data model or individual record
        level. We will configure Cognos to display
        dashboards according to the location of the
        individual.
Yes/5   The Accenture Team will work with KHPA during
        design to identify and shape a reporting solution
        that makes best use of the 75 pre-defined reports,
        factoring in Key Performance Indicators (KPI's)
        and Dashboard designs based on KHPA business
        driven objectives and goals.
Yes/5   The K-MED solution will provide reports that
        monitor system performance as well as reports
        that provide metrics relating to service level
        agreements in the operations environment.
        Where necessary and practical, we will leverage
        the Cognos reporting tool to produce such reports.

Yes/1   Our mass change processes produce standard
        reports that provide the results of the mass
        change process. We track changes at the
        program, case, and client level.
Yes/5   The K-MED mass change processes will produce
        control reports that relate to actions taken and
        errors for each case impacted by the mass
        change process. This requirement is more of a
        feature/by product of the mass change process.

Yes/1   Cognos delivers traditional business intelligence Yes   Clarification
        (BI) with planning, scenario modeling, real-time
        monitoring and predictive analytics. We will
        configure the K-MED reporting solution to track
        and view performance measures at multiple levels
        within the State, as defined by KHPA.

Yes/1   The K-MED reporting solution, in concert with our
        data model, will be configured to compare
        outcomes at various levels.

Yes/1   The K-MED reporting solution, in concert with our
        data model, will be configured to identify potential
        training needs at various levels. We will work with
        KHPA during design to define the types of "errors"
        that will require tracking within the application.

Yes/5   The K-MED reporting solution, in concert with our
        data model, will be configured to track all levels of
        performance.

Yes/1   The K-MED reporting solution, in concert with our
        data model, will be configured to identify the
        impact of outreach efforts. We will work with
        KHPA during design to define the types of
        outreach efforts and associated data requirements
        for measuring the outcomes of outreach efforts.

Yes/5   The K-MED reporting solution, in concert with our
        data model, will be configured to track required
        performance outcomes. Once these have been
        defined, comparisons and trends can be created
        between outcomes.
Yes/5   System parameters, including those that impact
        performance monitoring, are user controlled. The
        K-MED solution maintains a history of all
        parameters.
Yes/3   The K-MED performance monitoring solution will
        be configured to track the performance measures
        required by KHPA. We will integrate the
        performance measures with the application
        workflows to alert workers when performance is
        outside of pre-defined parameters.

Yes/3   We will work with KHPA during design to define
        the staff performance expectation parameters and
        configure the K-MED solution to allow creation and
        maintenance of all such parameters.

Yes/3   We will work with KHPA during design to define
        the program performance expectation parameters
        and configure the K-MED solution to allow creation
        and maintenance of all such parameters.

Yes/3   We will work with KHPA during design to define
        the progress related expectation parameters.
        Once defined, we can track the performance of
        such objectives at multiple levels within the
        application.
Yes/1   The Cognos platform provides comprehensive          Yes    Clarification
        tools that allow access to the complete mix of data
        sources included in the K-MED solution including
        the production environment, reporting database,
        OLAP cubes, legacy data sources or modern data
        sources. We will configure the reporting solution
        to factor in these data sources as part of our
        overall performance monitoring strategy for K-
        MED.
Yes/5   The reporting solution ability to create reports
        containing any number of report objects- charts,
        cross tabs and lists, as well as non-BI components
        such as images, logos and live embedded
        applications that can be linked to the information.
        We will work with KHPA during design to configure
        the reporting solution to make sure all data
        elements are available to produce the
        performance reports.
Yes/1   The Cognos reporting platform expands traditional Yes      Clarification
        business intelligence (BI) with planning, scenario
        modeling, real-time monitoring and predictive
        analytics. During design, we will work with KHPA
        to configure Cognos Data Cube to accommodate
        the required performance monitoring requirements
        on the production database.

Yes/3   We intend to maximize the use of the Cognos          Yes   Clarification
        platform to support dashboards, data analysis and
        drill down capabilities. We will configure
        performance reports to provide the ability for users
        to set dashboard indicators for specified
        performance elements.
Yes/3   Our parameter driven approach allows users to
        set the timing and update frequency of
        performance reports in their areas of responsibility.

Yes/5   For standard reports, we can configure the
        reporting solution to distribute the reports to a
        target audience via email.
Yes/5   The application will be accessed via a web
        browser from the K-MED system allowing users to
        search for a report using a static set of search
        parameters and select a report from the repository
        to run. Once a report has been selected, the user
        will be prompted to enter the required parameters
        (if applicable), select how the report will be
        displayed and execute the report.

Yes/1   The reporting solution contains the 111 reports         Yes   Clarification
        included in the RFP Appendix 3. We have also
        included in our estimate 75 pre-defined reports or
        queries that will be developed and included in the
        report library. We will work with KHPA during
        design to configure the reporting solution to
        provide the suite of canned reports based on the
        desired organizational structure of KHPA.

Yes/1   The K-MED reporting solution will use the
        production database as the basis for performance
        and dashboard reports along with pre-defined
        production reports. KPI's and dashboard data will
        be present in both the production database and
        the reporting database.

Yes/1   The example provided in this requirement is a
        classic example of an eligibility related dashboard.
         We will configure the reporting solution to address
        KHPA's requirements for all dashboard reports,
        which will reflect real time statuses in the
        production environment.
Yes/5   APSP provides this functionality out of the box.



Yes/5   APSP provides this functionality out of the box.
        APSP includes integration with authentication,
        authorization, and auditing (AAA) industry-
        standard security systems providing controlled
        access to the application, such as the Oracle
        Access Management product. The AAA product
        gives K-MED the capability for customer
        authentication and password
        control/authentication.
Yes/5   APSP provides this functionality out of the box.
Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.




Yes/5   APSP provides this functionality out of the box.
        KHPA and Accenture will work together to perform
        the security test and assessments. Accenture is
        responsible for correcting items within its control.




Yes/5   APSP provides this functionality out of the box.
        KHPA and Accenture work together at selecting
        and approving a third-party so as not to impact the
        performance of the project.
Yes/5   APSP provides this functionality out of the box.
        KHPA and Accenture work together to schedule
        the audits so as not to negatively impact the
        performance of the system, or the performance of
        the overall project. Accenture is responsible for
        correcting items within its control.

Yes/5   APSP provides this functionality out of the box.
        Third-party applications integrated with APSP, and
        within Accenture's control, adhere to KHPA
        system security practices, configurations, and
        procedures required for K-MED.

Yes/5   APSP provides this functionality out of the box.       Yes   Met through
                                                                     configuration


Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.




Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.       Yes   Met through
                                                                     configuration
Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration

Yes/5   APSP provides this functionality out of the box.
        KHPA and Accenture work together to approve the
        password reset procedures so as not to impact the
        overall performance of the project.

Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration
Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration

Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration
Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration

Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration

Yes/3   KHPA and Accenture work together to define the
        password security policy requirements for K-MED.

Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration
Yes/5   APSP provides this functionality out of the box.    Yes   Met through
                                                                  configuration

Yes/5   APSP provides this functionality out of the box.    Yes   Met through
        APSP has the capability of generating the email           configuration
        formatted message, so that KHPA may send he
        email to the user, as required for K-MED.

Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.

Yes/3   APSP provides this functionality out of the box.
        APSP includes integration with authentication,
        authorization, and auditing (AAA) industry-
        standard security systems providing controlled
        access to the application, such as the Oracle
        Access Management product. The AAA product
        gives K-MED the capability to comply with the
        National Institute of Standards and Technology
        (NIST) standards for security, as required by K-
        MED. KHPA and Accenture work together to
        define the standards applicable for K-MED and
        their implementation.
Yes/3   APSP provides this functionality out of the box.
        KHPA and Accenture work together to define the
        K-MED transactions subject to HIPAA, and
        ARRA/HI-TECH rules, as required for K-MED.

Yes/5   APSP provides this functionality out of the box.
        APSP includes integration with reporting tools,
        such as Cognos BI, and the Oracle Enterprise
        Edition database. These two products aid KHPA in
        restricting access to data and reports for specific
        user profiles, within the capabilities of the products.

Yes/5   APSP provides this functionality out of the box.



Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.
        APSP provides access to modules within its
        control.
Yes/5   APSP provides this functionality out of the box.

Yes/3   APSP provides this functionality out of the box.
        APSP includes a hierarchical role structure. KHPA
        and Accenture work together to define the
        structure and roles required for K-MED.



Yes/5   APSP provides this functionality out of the box.
        Audit data may have read-only permissions,
        controlled by the underlying file system or
        database.
Yes/5   APSP provides this functionality out of the box.


Yes/3   APSP provides this functionality out of the box.
        APSP includes integration with reporting products,
        such as Cognos BI. The reporting product
        provides KHPA with the ability to configure reports
        and alerts that may\ query the system for misuse.

Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.
        Using the integrated Cognos BI reporting tool,
        APSP provides ad-hoc reporting capabilities to
        KHPA, as required for K-MED.
Yes/5   APSP provides this functionality out of the box.
Yes/3   APSP supports this functionality out of the box.
        KHPA and Accenture work together to define the
        naming convention required for K-MED.

Yes/5   APSP provides this functionality out of the box.
        KHPA and Accenture work together to define
        when recoveries are required for K-MED.
        Accenture is responsible for recovery of items
        within its control.
Yes/3   APSP provides this functionality out of the box.
        KHPA and Accenture work together to define
        which policies are applicable to K-MED and how
        they are to be implemented. Accenture is
        responsible complying with items within its control.

Yes/5   APSP provides this functionality out of the box.
        APSP includes integration with the Oracle Portal
        and application servers. These products control
        the session state, and can be configured to do so
        without use of cookies, within the capabilities of
        the product.
Yes/3   KHPA and Accenture work together to define the
        Statement on Auditing Standards (SAS) 70
        standards applicable to the system. APSP
        includes integration with the reporting tools, such
        as the Cognos BI reporting product. KHPA may
        use other reporting products compatible with the
        Oracle Enterprise Edition database to generate
        SAS 70 reports, as required for K-MED.

Yes/5   APSP provides this functionality out of the box.




Yes/5   APSP provides this functionality out of the box.



Yes/5   APSP provides this functionality out of the box.       Yes    Met through
                                                                     configuration of
                                                                     security profiles




Yes/5   APSP provides this functionality out of the box.       Yes    Met through
                                                                     configuration of
                                                                     security profiles
Yes/3   KHPA and Accenture work together to determine
        the access required to medical representatives
        and the information they are authorized to view, as
        required for K-MED. APSP includes role-based
        security and integration with the Oracle Access
        Manager authentication, authorization, and
        auditing product to support special profiles and
        permissions, as required for K-MED.

Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
N/A     See requirement responses below.


Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles


Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.   Yes       Met through
        APSP includes integration with authentication,              configuration of
        authorization, and auditing (AAA) security systems          security profiles
        providing controlled access to the application,
        such as the Oracle Access Management product.
        The AAA product gives KHPA the ability to
        administer passwords and control password rules
        and configurations.

Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/3   KHPA and Accenture work together to determine
        the access required to community partners and
        the information they are authorized to view, as
        required for K-MED. APSP includes role-based
        security and integration with the Oracle Access
        Manager authentication, authorization, and
        auditing product to support special profiles and
        permissions, as required for K-MED.

Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles

Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles
Yes/5   APSP provides this functionality out of the box.      Yes    Met through
                                                                    configuration of
                                                                    security profiles

Yes/5   APSP provides this functionality out of the box.




Yes/5   APSP provides this functionality out of the box.
        APSP includes an auditing and logging framework
        that captures transactions processed by APSP.

Yes/5   APSP provides this functionality out of the box.
        APSP includes an auditing and logging framework
        that captures transactions processed by APSP. It
        includes the capability of creating a separate file
        for user transactions, as opposed to system-
        initiated transactions.
Yes/5   APSP provides this functionality out of the box.
        APSP includes an auditing and logging framework
        that captures transactions processed by APSP. It
        includes the capability of creating a separate file
        for view transactions performed by a user.

Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.
        Audit data may have read-only permissions,
        controlled by the underlying file system or
        database.
Yes/5   APSP provides this functionality out of the box.


Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it, including the security information of
        the transaction, audit level or event level, IP
        address of the user from the KHPA network, user
        ID from the KHPA domain, and the type of edit
        transaction performed.

Yes/5   APSP provides this functionality out of the box.
        Using the auditing and configuration management
        features available with the Oracle Enterprise
        Edition database, KHPA has the ability to create
        an audit trail for database changes.

N/A     See requirement responses below.

Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
Yes/5   APSP provides this functionality out of the box.
        The logging/auditing framework of APSP has the
        capability to capture and record data that is made
        available to it.
 N/A    See requirement responses below.
Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to view and control access to, APSP-
        generated audit information stored in databases,
        made available to the reporting tool.

Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to query the APSP-generated audit
        information against specific time periods, and
        other information stored within the audit records.

Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to query the APSP-generated audit
        information against specific sort criteria, as the
        criteria is available within the audit records.

N/A     See requirement responses below.

Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to set access permissions to the
        audit information.
Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to set access permissions to the
        audit information.
Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to set access permissions to the
        audit information.
Yes/5   APSP provides this functionality out of the box.
        Using the features built within the Oracle
        Enterprise Edition database and its Partitioning
        features, KHPA is able to archive audit
        information, as required for K-MED.
Yes/5   APSP provides this functionality out of the box.
        Using the features built within the Oracle
        Enterprise Edition database and its Partitioning
        features, KHPA is able to restore archived audit
        information, as required for K-MED.

Yes/5   APSP provides this functionality out of the box.
        Using the features built within the Oracle
        Enterprise Edition database, KHPA is able to
        backup, restore, refresh audit information.
Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.

Yes/5   APSP provides this functionality out of the box.
        Using online reporting tools, such as Cognos BI,
        KHPA is able to generate ad-hoc reports against
        required parameters for K-MED, within the
        capabilities of the reporting tool.

Yes/5   APSP provides this functionality out of the box.
        Using the logging and auditing framework of
        APSP, KHPA is able to create a history of user
        and automated actions, provided the information
        to be recorded is made available to APSP.
                   Revision Description




We agree to convert to additional languages but would need
all of the translations to be provided.




HOSTING OPTION - This feature is provided by the hosting
provider, and monitored and reported by the Application
Security Staff as part of the option.




Inquiry type information can be captured. We agree to work
with KDHE on a reasonable method to capture usage
statistics for click-through on links to external websites.
Some features may be provided by web site monitoring per
PSSP-006
Kansas to provide the eligibility rules associated to each
program



Kansas to provide the fact sheets for each of the programs
Kansas to determine which data elements are required.
There is an E-Signature page. Kansas to provide the actual
verbiage they would like displayed
Met through development of PE rules




Met through workflow configuration
Kansas to supply custom text for PE notices




Met through development of PE rules




Met through workflow configuration
Kansas to provide the links to policy and training information
This will be met through the configuration of a batch job.
We will work with the State to implement this scope where
feasible, understanding that data sources need to be identified
and available to allow 'hands free' operation.
During gap analysis, we will determine the different types of
penalty periods, the impact to eligibility, and then make
updates in rules, java, NOA snippets, and codes tables.



During gap analysis, we will determine the different types of
penalty periods, the impact to eligibility, and then make
updates in rules, java, NOA snippets, and codes tables.



During gap analysis, we will determine the different types of
penalty periods, the impact to eligibility, and then make
updates in rules, java, NOA snippets, and codes tables.




During gap analysis, we will identify the due dates needed.
Will be met through alert configuration.




Will be met through alert configuration.




Will be met through alert configuration.
Specific referal tracking rules to be confirmed during design.
Requires configuration for automatic information capture, and
an appropriate data source.




Auto generated case log entries can be modified. We work
with you to confirm format and triggers/options for case logs
during design.




Case Logs can be printed and then stored in various formats
as required.
Requires configuration of batch files.




Requires configuration of notices
Functionality provided through in-scope requirements

Functionality provided through in-scope requirements




Requires configuration of parameters for calendars/schedules.


Requires configuration of notices
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
Requires configuration for KS policy.




Requires configuration for KS policy.


This requirement is referenced in proposal materials, and will
be included in Requirements Analysis.
This requirement is referenced in proposal materials, and will
be included in Requirements Analysis.




Requires configuration of case assignment.




Requires configuration of alerts
Requires configuration for PERM policy regulations


Requires more information from Kansas
Requires more information from Kansas on what referrals are
expected.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
Rules configuration for KS specific programs.




Rules configuration for KS specific programs.




Rules configuration for KS specific programs.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.



Rules configuration for KS specific programs.



This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.


Rules configuration for KS specific programs.




Configuration of the Other Insurance Page and notices.




Rules configuration for KS specific programs.


Rules configuration for KS specific programs.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.


This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.

This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.

This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.

This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.




This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
Accenture will update to identify cases subject to estate
recovery

This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
This requirement may be included as part of the MMIS Benefit
Subsystem additional anaylsis will be conducted to determine
viability of implementing this functionality.
Requires configuration of flags based on information provided
by the State.
Configuration of Security profiles
Requires configuration of questionnaires and forms.




Rules configuration for KS specific programs.
Requires configuration of batch and interfaces
The project team will work with Kansas to design electronic
signature functionality
The project team will work with Kansas to design electronic
signature functionality


Met through optional IVR Scope.

Met through optional IVR Scope.




This feature was added to scope during negotiations.
Suppression logic will require configuration changes and
coordination with our print/mail vendor.




Print mail facility has ability to print in braille.
We have included spell check as part of negotiations. There
is not an adequate third party software to address the balance
of the requriements.



The Wintertree tool is used to provide spell check to select
fields.




Requires configuration of legal disclaimers
Kansas will define the schedule and criteria




Requires configuration of printing and mailing criteria based
on Kansas' policy
Met to the extent that identified interfaces include the
implementation of that sharing requirement.
Live monitoring software has been included to meet this
requirement.
Requires more information from Kansas
The Oracle Master Data Management tool will be used to
meet the HLCI requirements, this comment applied to all
relevant HLCI requirements.
Data Warehouse capacity has been included.




Data Warehouse capacity has been included.



The OBIEE toolset provides this capability.




Data Warehouse capacity has been included.
The data warehouse capacity can be used for this
requirement, or the reporting database can support the
requested reporting.




OBIEE is the selected reporting tool, any references to
Cognos are no longer applicable.



OBIEE is the selected tool, any references to Cognos are no
longer applicable. OBIEE provides this capability.
OBIEE has replaced Cognos to meet this requirement.



OBIEE has replaced Cognos to meet this requirement.
OBIEE has replaced Cognos to meet this requirement.
OBIEE has replaced Cognos to meet this requirement.




OBIEE has replaced Cognos to meet this requirement.




OBIEE has replaced Cognos to meet this requirement.
Revised report counts have been included in the SOW.
Security configuration




Security configuration
Kansas to provide guidance on security questions required




Security configuration

Security configuration


Security configuration

Security configuration


Security configuration




Security configuration

Security configuration


This capability exists but configuration is required to
implement Kansas' specific requirements as detailed in the
requirements matrix.
Security configuration




Security Role configuration
Security Role configuration




Security Role configuration


Security Role configuration


Security Role configuration


Security Role configuration


Security Role configuration


Security Role configuration




Security Role configuration


Security Role configuration


Security Role configuration


Security Role configuration
Security Role configuration




Security Role configuration




Security Role configuration




Security Role configuration


Security Role configuration
Proposer Fit Rating Response Codes: In the "Response" column please provide a Yes or No indicating whether or not the requirement is met. In a
solution meets the requirement. (Example of Response - Yes/3)
Fit Rating 5: Solution meets the requirement without any customization or configuration to implement.
Fit Rating 3: Solution mostly meets the requirement, but will require minor customization or configuration to implement.
Fit Rating 1: Solution somewhat meets the requirement, but will require significant customization or configuration to implement.
Fit Rating 0: Solution does not meet the requirement at all, and cannot do so through customization.

Fit/Gap Analysis
                Workbook                          Req #                              Requirement
 Technical Requirements Workbook               ARCH-001 The system must be based on:
 Technical Requirements Workbook              ARCH-001.1 Real-time update of tables from end-user input
                                                         screens without the use of batch processes.



 Technical Requirements Workbook              ARCH-001.2 All input (i.e., batch and on-line) edited via State
                                                         defined parameters prior to processing.



 Technical Requirements Workbook              ARCH-001.3 100% Web-enabled architecture.

 Technical Requirements Workbook               ARCH-002       The Vendor must propose a solution that supports
                                                              a Service Oriented Architecture (SOA) and
                                                              Enterprise Service Bus (ESB) based solution. The
                                                              solution must ensure that primary application
                                                              functions and data are available via external
                                                              industry standard API (Application Programming
                                                              Interface), web service call or other acceptable
                                                              processes.



 Technical Requirements Workbook               ARCH-003       The system must provide the capability to support
                                                              client services through a variety of channels. This
                                                              may include, but is not limited to web, kiosks, call
                                                              centers, other organizations, and walk ins.


 Technical Requirements Workbook               ARCH-004       The system must allow The system administrators
                                                              to control the priority and sequencing of processes
                                                              based on operational guidelines.




 Technical Requirements Workbook               ARCH-005       The system must support the development of
                                                              multiple web-enabled user interfaces or portals.
Technical Requirements Workbook   ARCH-006   The system must have a development platform
                                             that incorporates current industry standard tools or
                                             technology where the skill sets are readily
                                             available in the industry.



Technical Requirements Workbook   ARCH-007   The system must support a fully scalable
                                             architecture designed to allow incremental
                                             increases in hardware capacity to meet increases
                                             in usage demand.
Technical Requirements Workbook   ARCH-008   The system must support multi-node application
                                             server processing so that application processing
                                             load can be distributed and balanced across
                                             multiple physical servers.



Technical Requirements Workbook   ARCH-009   The system architecture must support rapid
                                             failover or redeployment in the event of planned or
                                             unplanned interruptions.




Technical Requirements Workbook   ARCH-010   The system architecture must ensure that ninety-
                                             nine percent of all failover events are concluded in
                                             less than five minutes.




Technical Requirements Workbook   ARCH-011   The system architecture must ensure that batch
                                             processing does not interfere with online
                                             responsiveness or availability.




Technical Requirements Workbook   ARCH-012   The solution must include multiple environments,
                                             such as Development, Reference, UAT and
                                             Training.


Technical Requirements Workbook   ARCH-013   The system must utilize standard e-mail protocols.
                                             (e.g. IMAP, MAPI, POP3, SMTP, etc)
Technical Requirements Workbook   ARCH-014    The system must be compatible with industry-
                                              standard fax server systems.




Technical Requirements Workbook   ARCH-015    The system must use a consistent user interface
                                              across all components.




Technical Requirements Workbook   ARCH-016    The system utilizes on-line, drop-down lists for all
                                              valid values for each validated field which may be
                                              based on prior data entered.




Technical Requirements Workbook   ARCH-017    The system must have multi level help capability
                                              like page help, field level help. Bubble help, Pop
                                              up help with search capability.




Technical Requirements Workbook   ARCH-018    The system must consists of fully-integrated
                                              application modules. (e.g. data is stored and
                                              updated in only one place.)




Technical Requirements Workbook   ARCH-019   The system must provide toolsets to
                                             accommodate the following:
Technical Requirements Workbook   ARCH-019.1 Database maintenance




Technical Requirements Workbook   ARCH-019.2 Report design and generation
Technical Requirements Workbook   ARCH-019.3 Application security administration




Technical Requirements Workbook   ARCH-019.4 End-user interface design




Technical Requirements Workbook   ARCH-019.5 System upgrade administration




Technical Requirements Workbook   ARCH-019.6 API maintenance




Technical Requirements Workbook   ARCH-019.7 Archiving/purging of data




Technical Requirements Workbook   ARCH-020     The system must maintain the state of the
                                               browser session without cookies.
Technical Requirements Workbook    ARCH-021   The system must integrate any proposed third
                                              party applications into the main menu structure.




Technical Requirements Workbook    ARCH-022   Vendor must provide a flexible system
                                              architecture. The system must be scalable,
                                              customizable and highly configurable, vendor must
                                              provide customizable impacts.



Technical Requirements Workbook               The system must supply job scheduling tools that
                                              allow users to predefine start times for batch
                                              processes.
                                  PROP-001



Technical Requirements Workbook               The system must supply job scheduling tools that
                                              allow users to control jobs by transaction type.


                                  PROP-002




Technical Requirements Workbook               The system must allow users to sequence multiple
                                              jobs based on outcome of each successive job.


                                  PROP-003




Technical Requirements Workbook               The system must provide automatic program
                                              checks for controlling data files, verifying correct
                                              processing, and ensuring data integrity. Available
                                              program checks include record counts, totals, limit
                                  PROP-004    checks, and dollar totals.
Technical Requirements Workbook              The system must automatically reconcile all
                                             exported/imported data.

                                  PROP-005



Technical Requirements Workbook              The system must provide job scheduling tools
                                             and/or 3rd party job scheduling tool interface to
                                             automate administrative tasks such as data base
                                             backups or regular report production.
                                  PROP-006




Technical Requirements Workbook              The system must provide software distribution
                                             tools to facilitate migration of application software
                                             to other servers. (e.g. test, development,
                                             production, etc.)
                                  PROP-007




Technical Requirements Workbook              The system must be supported by version control
                                             tools that provide "check in" and "check out"
                                             support.
                                  PROP-008



Technical Requirements Workbook              The system must maintain a system-wide
                                             calendar, which can be updated on-line by the
                                             user, for production scheduling.
                                  PROP-009




Technical Requirements Workbook              The system tools must support proactive
                                             management of application server resources.

                                  PROP-010



Technical Requirements Workbook              The system must provide the ability to have all
                                             related business files shared across functional
                                             areas or across organizations.
                                  PROP-011
Technical Requirements Workbook              The system tools must support enterprise-wide
                                             administration of multiple application servers.

                                  PROP-012



Technical Requirements Workbook              The system must support integration with the
                                             State's current calendar and e-mail environment
                                             (currently Microsoft Exchange).
                                  PROP-013



Technical Requirements Workbook              The system must have the ability to integrate with
                                             emerging collaboration tools and unified
                                             communications (UC).


                                  PROP-014




Technical Requirements Workbook              The system must provide a flexible framework to
                                             support exporting and importing of data using
                                             industry standard file transmission protocols.



                                  PROP-015




Technical Requirements Workbook              The system must provide the capability to
                                             interface with Interactive Voice Response (IVR)
                                             systems for purposes such as providing eligibility
                                             status information to the consumer.
                                  PROP-016




Technical Requirements Workbook              The system must provide for and support the
                                             ability to control batch job execution by time of
                                             day, date, and processing cycle (weekly, monthly,
                                             yearly, quarterly, on request, etc.).
                                  PROP-017
Technical Requirements Workbook              The system must provide for and support the
                                             ability to sequence multiple jobs with multiple
                                             dependencies on jobs, files, exceptions, etc.
                                  PROP-018




Technical Requirements Workbook              The system must provide for and support
                                             automated, internal, integrated system
                                             checkpoints that monitor the system accuracy and
                                             completeness before proceeding to the next step
                                             or application batch process.
                                  PROP-019




Technical Requirements Workbook              The system must have the ability to backup,
                                             recover, restart, and cancel jobs.


                                  PROP-020




Technical Requirements Workbook              The system must provide a clearly defined
                                             promote-to-production process that enforces a
                                             strictly defined methodology for movement from
                                             development to Quality Assurance (QA) and
                                             production, with the ability to “roll back” to previous
                                             version.
                                  PROP-021




Technical Requirements Workbook              The system must support the importing/exporting
                                             of data with popular desktop applications. (e.g.,
                                             Microsoft Excel, Microsoft Word)
                                  PROP-022
Technical Requirements Workbook              The system must provide immediate transfer of
                                             values from "Pop up" tables to the appropriate
                                             field when selected.


                                  PROP-023




Technical Requirements Workbook              The system must be table-driven with online
                                             screens to control parameters.



                                  PROP-024




Technical Requirements Workbook              The system must utilizes effective-dated
                                             transactions and table updates (either future dated
                                             or retroactive) with the ability to specify data edits
                                             by type of transaction.
                                  PROP-025




Technical Requirements Workbook              The system must provide the ability to transmit
                                             and receive transactions electronically (e.g.
                                             Electronic Data Interchange web based
                                             transactions.)



                                  PROP-026




Technical Requirements Workbook              The system must support all online transactions
                                             for data integrity, redundancy, and recoverability
                                             purposes.


                                  PROP-027
Technical Requirements Workbook              The system must have the ability to use secure
                                             (SSL/SSH) FTP to accommodate file transfers.
                                  PROP-028


Technical Requirements Workbook              System applications must incorporate business
                                             rules into the system so that the rules are
                                  PROP-029   appropriately applied at the time data is being
                                             entered.

Technical Requirements Workbook              The system must provide the ability to have
                                             descriptions on all transactions.
                                  PROP-030


Technical Requirements Workbook              The system must provide the ability to have KHPA-
                                             specific data fields.


                                  PROP-031




Technical Requirements Workbook              The system must provide the ability to have user-
                                             defined data fields for agency use across the state.




                                  PROP-032




Technical Requirements Workbook              The system must provide the ability to
                                             import/export data. (e.g. Open Data Base
                                             Connectivity {ODBC) compliant and/or other
                                  PROP-033   generally accepted formats.)



Technical Requirements Workbook              The system must provide the ability to process
                                  PROP-034   and update Web site information at times defined
                                             by KHPA.
Technical Requirements Workbook              The system must provide the ability to have
                                             agency-specific edit checking tables that can be
                                             maintained and modified at the agency level.
                                  PROP-035
Technical Requirements Workbook               The system must provide the ability to void or
                                              cancel documents at any process level with user
                                  PROP-036
                                              defined reason codes or with standard reason
                                              codes.
Technical Requirements Workbook               The system must provide the ability to provide
                                              templates or shortcuts for recurring document
                                  PROP-037    entry or processing.


Technical Requirements Workbook               The system must provide the ability to generate
                                              special clauses on documents as defined by users
                                              or by standard clauses.
                                  PROP-038



Technical Requirements Workbook               The system must provide the ability to prevent
                                  PROP-039    transactions that reference a record in an
                                              "inactive" status.
Technical Requirements Workbook               The system must provide the ability to post
                                              messages on the system for better communication
                                  PROP-040
                                              about the system wide issues/issues affecting all
                                              agencies or users.
Technical Requirements Workbook               The system must provide the ability to define and
                                              tailor required input based on transaction type
                                  PROP-041    defined by KHPA.


Technical Requirements Workbook               The system must support electronic transactions
                                              compliant with established federal standards such
                                              as HIPAA.


                                  PROP-042




Technical Requirements Workbook    DBMG-001   The system must use industry established
                                              relational database technology that efficiently
                                              handles the required volumes.


Technical Requirements Workbook    DBMG-002   The system database must support data
                                              replication and synchronization across multiple
                                              physical servers.



Technical Requirements Workbook    DBMG-003   The system database must support execution of
                                              stored procedures in the database based on event
                                              triggers.
Technical Requirements Workbook   DBMG-004     The system database must provide automatic
                                               replication of table updates to multiple databases.



Technical Requirements Workbook   DBMG-005     The system database must lock records at the
                                               data item level.




Technical Requirements Workbook   DBMG-006     The system administrator must be allowed to
                                               configure data attributes.
Technical Requirements Workbook   DBMG-007     The system database must provide standard
                                               query language (SQL) capabilities for database
                                               queries.
Technical Requirements Workbook   DBMG-008     The system must be able to suspend processing
                                               of erroneous transactions until the error is
                                               resolved.


Technical Requirements Workbook   DBMG-009   The system must be configured to purge records
                                             upon request for records within a user-defined
                                             time and criteria:
Technical Requirements Workbook   DBMG-009.1 The system must not have any orphaned records.
                                             (e.g., records that do not have parent values.)

Technical Requirements Workbook   DBMG-010     The system must provide a method to access,
                                               query, and report against archived data.




Technical Requirements Workbook   DBMG-011 The system must include the ability to list all
                                           records included in purge.




Technical Requirements Workbook   DBMG-012 The system must provide the ability to purge,
                                           archive, and restore inactive records based on
                                           user defined criteria.


Technical Requirements Workbook   DBMG-013 The system must maintain referential integrity
                                           throughout system life.
Technical Requirements Workbook   MAIN-001   The system must be easily upgradable through
                                             the latest technology and not require extensive
                                             technical assistance or intervention by state staff
                                             for upgrades and new releases.




Technical Requirements Workbook   MAIN-002   The new data items must be automatically
                                             included in migration paths during software
                                             upgrades.


Technical Requirements Workbook   MAIN-003   Data model documentation for accommodating
                                             new fields must be included as part of upgrade
                                             strategy.
Technical Requirements Workbook              The system must be able to accommodate varying
                                  MAIN-004   retention periods for data, images, documents, etc.

Technical Requirements Workbook              The system must provide the ability to meet
                                  MAIN-005   provisions of records retention schedule as
                                             defined by KHPA.
Technical Requirements Workbook              The system must have the ability to change or
                                  MAIN-006   update retention periods for data, images,
                                             documents, etc.
Technical Requirements Workbook              The system must provide system maintenance
                                             routines and necessary system maintenance
                                  MAIN-007
                                             processes such as purge, backup, recovery, and
                                             restore routines.
Technical Requirements Workbook              The system must have the ability for remote
                                  MAIN-008   monitoring and administration of all applications.

Technical Requirements Workbook              The system must provide utilities including, but not
                                             limited to, the following functions: Version control,
                                             Backup and recovery, Data archiving, Job
                                  MAIN-009
                                             scheduling, Security, Document attachment, audit
                                             trail and Performance monitoring.

Technical Requirements Workbook              Menu structure must be maintained during
                                  MAIN-010   software upgrades for primary KHPA the system
                                             and third-party applications.
Technical Requirements Workbook              Client stations may run under any hardware/OS
                                             configuration capable of supporting a current-
                                  DSCG-001
                                             generation Web browser.

Technical Requirements Workbook              The system must be web-based and requires no
                                  DSCG-002
                                             installation on client workstations.
Technical Requirements Workbook              System must be able to handle locally attached
                                             printers as well as network printers. To the degree
                                             possible, the system must use universal printing
                                             methods to support the widest range of printing
                                  DSCG-003   solutions.




Technical Requirements Workbook              System must have the ability to accept input from
                                             a variety of devices such as: Keyboard, Barcode
                                             reader, IVR, Mouse, Scanner, Batch File (TAPE,
                                             FTP and So on), Signature Pad, Digital Camera.
                                  DSCG-004




Technical Requirements Workbook              The system must allow access from standard
                                  DSCG-005   browsers without requiring specialized plug-ins or
                                             applets to function.
Technical Requirements Workbook              Server Configuration
Technical Requirements Workbook              Web servers utilize a Windows, Unix, z/OS, or
                                  DSCG-006
                                             Linux operating system.
Technical Requirements Workbook              Application servers and Database servers utilize a
                                  DSCG-007   Windows, Unix (Solaris), z/OS, or Linux operating
                                             system.
Technical Requirements Workbook              Technologies based on "Virtual Server
                                  DSCG-008
                                             Architecture" will be considered.
Technical Requirements Workbook              System must be fully supportable within the
                                  DSCG-009
                                             infrastructure platform that is recommended.
Technical Requirements Workbook              Infrastructure platform must provide mature
                                             support practices for both hardware and software.
                                             (e.g. such as automated security update
                                  DSCG-010
                                             processes available on Windows and automated
                                             problem detection with phone home support.)

Technical Requirements Workbook              Capacity estimates for processor performance
                                  DSCG-011   requirements must be provided for all proposed
                                             solutions.
Technical Requirements Workbook              Capacity estimates for processor memory
                                  DSCG-012   requirements must be provided for all proposed
                                             solutions.
Technical Requirements Workbook              Capacity estimates for storage requirements must
                                  DSCG-013   be provided for all proposed solutions.

Technical Requirements Workbook              System must be fully supportable within the
                                             infrastructure platform that is recommended
                                  DSCG-014
                                             providing extensibility, redundancy, scalability,
                                             reliability, and connectivity.
Technical Requirements Workbook              The system must use a version of software that is
                                             currently supported under standard maintenance
                                  DSCG-015
                                             agreements and is generally available during the
                                             life of the contract.
Technical Requirements Workbook              The system must meet State and Federal
                                             protection policies and procedures. This includes,
                                             but is not limited to data encryption and data
                                             retention. The Kansas Department of
                                             Administration master security policy can be found
                                  POLY-001
                                             at: http://da.ks.gov/disc/dasecurity/default.htm.
                                             The various NIST publication can be found at:
                                             http://www.nist.gov/index.html


Technical Requirements Workbook              The system must be compliant with the GIS
                                             Addressing Standard established by the Kansas
                                  POLY-002   GIS Policy Board. This is accessible from the
                                             Kansas GIS website link at:
                                             http://da.ks.gov/kito/gis/default.htm
Technical Requirements Workbook              The system must comply with the most current
                                             version of the Kansas Statewide Technical
                                             Architecture. This can be found at:
                                             http://da.ks.gov/kito/cita/KITA.htm
                                  POLY-003




Technical Requirements Workbook              The Contractor must adhere to KANSAS
                                             Information Technology Policies & Guidelines.
                                             These policies and guidelines can be found at the
                                  POLY-004
                                             following link:
                                             http://www.da.ks.gov/kito/itec/ITPoliciesMain.htm

Technical Requirements Workbook              The system must be compliant with the State
                                  POLY-005   Strategic Information Management (SIM) Plan.
                                             Http://da.ks.gov/kite/
Technical Requirements Workbook              The system must communicate via TCP/IP and
                                  POLY-006   integrate with the State's wide area network
                                             (KANWIN).
Technical Requirements Workbook              The system must be ADA (glossary/acronyms)
                                             compliant. State of Kansas Accessibility
                                             Guidelines are available at:
                                             http://da.ks.gov/itab/was/guidelines.htm
                                  POLY-007




Technical Requirements Workbook              The system must demonstrate its Medicaid
                                             Information Technology Architecture (MITA)
                                  POLY-008   maturity level. Compare capability maturity level of
                                             their product to a maturity model/matrix see
                                             evaluation form in appendix.
Technical Requirements Workbook              The system must meet HIPAA Security Rules
                                             (http://www.cms.hhs.gov/SecurityStandard/02_Reg
                                             ulations.asp#TopOfPage)

                                  POLY-009




Technical Requirements Workbook              The contractor must complete the annual ITEC
                                             security assessment.
                                  POLY-010


Technical Requirements Workbook              The solution must meet HIPAA Transaction Rules.



                                  POLY-011




Technical Requirements Workbook              The solution must meet HIPAA Privacy Rules
                                             (http://www.hhs.gov/ocr/hipaa/finalreg.html


                                  POLY-012




Technical Requirements Workbook              The system must provide disaster recovery and
                                  DREC-001   business continuance processes, including offsite
                                             storage capability.
Technical Requirements Workbook              Disaster recovery approach and environment must
                                             enable restoration of operations within 24 hours
                                  DREC-002
                                             from the loss of processing capability.

Technical Requirements Workbook              The system must allow complete or incremental
                                             database and the system backups on a nightly
                                  DREC-003
                                             schedule as well as on demand as needed.

Technical Requirements Workbook              The system must support failover redundancies
                                             and swapping of critical the system components
                                             and critical data of all the system components.
                                  DREC-004
Technical Requirements Workbook              The system must have sufficient redundancy and
                                             modularity so that if any single component or part
                                             of a component fails, work can continue. There
                                  DREC-005   must be redundant copies of each log file or the
                                             system Database or both, with open support for
                                             Backups and restoration.

Technical Requirements Workbook              In the event of a catastrophic failure when the
                                             system(s) cannot be restarted in any other way, it
                                             must be possible to reload the system from the
                                             last viable backup point and fully recover the
                                  DREC-006
                                             contents to the point of failure. The contractor
                                             must propose the system recovery plan to include
                                             successful testing of recovery plan.

Technical Requirements Workbook              Structured exception handling must be used.



                                  EXHD-001




Technical Requirements Workbook              Exception details must be logged on the server.
                                  EXHD-002
Technical Requirements Workbook              Generic error pages with harmless messages
                                  EXHD-003
                                             must be returned to the client.
Technical Requirements Workbook              Page-level or application-level error handlers are
                                             implemented.
                                  EXHD-004


Technical Requirements Workbook              The application distinguishes between errors and
                                  EXHD-005   exception conditions.

Technical Requirements Workbook              The system error messages must appear in a
                                             consistent format for both batch and on-line
                                  EXHD-006
                                             processing. Specifically, error messages have like
                                             codes, text and screen locations.
Technical Requirements Workbook              The system must integrate error messages with
                                             on-line help function.
                                  EXHD-007



Technical Requirements Workbook              The system must provide an error/recycle file for
                                             rejected batch transactions.
                                  EXHD-008


Technical Requirements Workbook              The system must capture rejected or un-posted
                                             transactions in a file for user resolution.
                                  EXHD-009
Technical Requirements Workbook              The system must produce error statistics by
                                  EXHD-010
                                             module, transaction and source.
Technical Requirements Workbook              The system must provide the ability to highlight
                                  EXHD-011   errors on the screen for immediate correction.

Technical Requirements Workbook              The system must provide the ability for a central
                                             log of all problems/errors.
                                  EXHD-012


Technical Requirements Workbook              The system must provide the ability to provide
                                  EXHD-013
                                             descriptive error messages.
Technical Requirements Workbook              The system must provide exceptions due to
                                  EXHD-014   resource failures. (e.g. The systems runs out of
                                             memory or a network connection fails.)
Technical Requirements Workbook              The system must provide exceptions due to client
                                             code errors. (e.g. Client code attempts something
                                  EXHD-015
                                             not allowed by the API, and thereby violates its
                                             contract.)
Technical Requirements Workbook              The system must provide exceptions due to
                                  EXHD-016
                                             programming errors.
Technical Requirements Workbook              Enterprise Service Bus (ESB) must provide
                                             logging and auditing of services as well as the
                                             monitoring of faults, service and process status,
                                  EXHD-017   and detailed performance statistics.



Technical Requirements Workbook              Enterprise Service Bus (ESB) must provide real
                                             time message tracking and distributed flow control
                                             debugging. It also must allow for the diagnosis
                                  EXHD-018   and management of problems in complex
                                             distributed systems.


                                             `
her or not the requirement is met. In addition to Yes or No, include a number rating indicating to what level the proposed



implement.
ration to implement.




                Implementation Phase        Meeting Response                       Explanation to Response
                         N/A                       N/A            See requirement responses below.
                          1                       Yes/5           APSP provides this functionality out of the box.
                                                                  APSP is a web-based system that allows viewing,
                                                                  editing, and updating of data through its built-in
                                                                  role-based authorization system.

                           1                      Yes/5           APSP provides this functionality out of the box.
                                                                  APSP includes online and batch capabilities that
                                                                  allow input from State staff and State-defined
                                                                  automated batch scheduling systems.

                           1                      Yes/5           APSP provides this functionality out of the box.

                           1                      Yes/5           APSP provides this functionality out of the box.
                                                                  APSP is built on a Service Oriented Architecture
                                                                  (SOA), and is compatible with an Enterprise
                                                                  Service Bus (ESB). It is based on industry
                                                                  standards defined by the Web Service
                                                                  Interoperability (WSI) and World Wide Web
                                                                  Consortium (W3C). APSP services can be
                                                                  exposed externally using industry-standard Web
                                                                  Service Description Language (WSDL) files and
                                                                  consumer-provider agreed-upon XML data
                                                                  definitions.
                           1                      Yes/5           APSP provides this functionality out of the box.
                                                                  APSP includes multi-channel user interface and
                                                                  data-integration layers. It is the capability of
                                                                  supporting web users and customer walk-ins,
                                                                  kiosks, call centers, and KHPA's organizations
                                                                  requiring use of K-MED.
                           1                      Yes/5           APSP provides this functionality out of the box.
                                                                  APSP includes a batch framework that is
                                                                  compatible with industry-standard batch-
                                                                  scheduling systems. The batch-scheduling system
                                                                  can be used to control the priority and sequencing
                                                                  of batch processing based on KHPA operational
                                                                  requirements.
                           1                      Yes/5           APSP provides this functionality out of the box.
1   Yes/5   APSP provides this functionality out of the box.
            Standard Java programming and XML editing
            tools are used to build upon the APSP technical
            and application architectures. For example, APSP
            supports the world-wide standard Eclipse open-
            source Integrated Development Environment
            (IDE).
1   Yes/5   APSP provides this functionality out of the box.
            APSP is 100% based on Java and is not hardware
            dependent. APSP meets the scalability
            requirements of KHPA.
1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with industry-standard Java
            Enterprise Edition (JEE) application servers from
            Oracle. It supports the scalability and distributed-
            processing features built-into the Oracle
            WebLogic and Portal application servers.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with industry-standard Java
            Enterprise Edition (JEE) application servers from
            Oracle. It supports the failover and redeployment
            features built-into the Oracle WebLogic and Portal
            application servers.

2   Yes/3   KHPA and Accenture work together to define the
            failover events required in K-MED. APSP is
            compatible with industry-standard Java Enterprise
            Edition (JEE) application servers from Oracle. It
            supports the failover features built-into the Oracle
            WebLogic and Portal application servers.

1   Yes/3   KHPA and Accenture work together to define the
            batch processes and processing windows and
            schedules on a daily, weekly, monthly, quarterly,
            and annual basis. APSP includes a batch
            framework compatible with industry-standard
            batch-scheduling systems to provide an open,
            flexible means of defining the batch schedule so it
            does not interfere with the online user experience,
            as required.
1   Yes/5   Our proposal includes a specification for the
            development, reference, User Acceptance Testing
            (UAT), and training environments, as required.
            APSP is compatible with the environments
            proposed.
2   Yes/5   APSP provides this functionality out of the box.
            APSP includes a correspondence framework
            capable of generating e-mail messages to K-MED
            requirements. E-mail messages are sent to a
            KHPA provided, operated, and maintained proxy
            or message-queue that is capable of supporting
            the required protocols for K-MED.
2     Yes/5   APSP provides this functionality out of the box.
              APSP includes a correspondence framework
              capable of generating "fax" compatible documents
              to K-MED requirements. Documents are sent to a
              KHPA provided, operated, and maintained proxy
              or message-queue that is capable of supporting
              the required fax-server systems for K-MED.

1     Yes/5   APSP provides this functionality out of the box.
              The user interface layer of APSP is based on
              industry-standards for Java Enterprise Edition
              (JEE) web-based and portal-based systems. The
              web user interface components of APSP have the
              capability of being standardized using the Spring
              framework's capabilities, as required for K-MED.


1     Yes/3   APSP provides this functionality out of the box.
              APSP includes a codes-table framework that
              enables web-pages to display valid values based
              on prior data entered. KHPA and Accenture work
              together during design and analysis to define
              which fields and which values are required on
              which pages.
1     Yes/1   APSP provides page-level and field-level help, out
              of the box. Bubble-help, and pop-up help with
              search capability provided by industry-standard
              tools, such as Adobe RoboHelp, is compatible with
              APSP. KHPA and Accenture would work together
              on defining the help requirements, including
              pages, content, and user-interface for K-MED.

1     Yes/5   APSP provides this functionality out of the box.
              APSP includes a data integration layer that
              marshals and un-marshals data create, update,
              and delete requests to/from data tables in the
              database. Industry standard databases, such as
              the Oracle Enterprise Edition, are compatible with
              APSP.
N/A   N/A     See requirement responses below.

1     Yes/5   APSP provides this functionality out of the box.
              The database of APSP is compatible with industry-
              standard database maintenance tools from
              Oracle, including the Oracle Enterprise Manager
              (OEM) suite of products.
1     Yes/5   APSP provides this functionality out of the box.
              APSP includes a reports integration capability that
              is compatible with the IBM Cognos BI reporting
              product.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes role-based security capabilities
            that can be modified through web-pages, as
            required by K-MED. APSP is also compatible with
            industry-leading security authentication,
            authorization, and auditing (AAA) tools, such as
            the Oracle Access Manager product. Application
            security is administered through the Oracle
            product, as required.

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes integration with Oracle WebLogic
            Portal and its J-Developer toolset. Non-portal web-
            pages can also be designed using industry leading
            tools, such as those in Adobe's Macromedia
            product suite, and the open source Eclipse toolset.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with the IBM Rational
            Lifecycle suite of products, including ClearCase,
            ClearQuest, and BuildForge, which aid in the
            administration of system upgrade packages.

1   Yes/5   APSP provides this functionality out of the box.
            The Application Programming Interfaces (API) of
            APSP are built in Java and XML using industry
            standards from Web Service Interoperability (WSI)
            and World Wide Web Consortium (W3C). Industry
            leading tools, such as the open source Eclipse
            and Oracle J-Developer Integrated Development
            Environments (IDE), are used to maintain the API
            of APSP.

2   Yes/5   APSP provides this functionality out of the box.
            APSP includes compatibility with the Oracle
            Enterprise Edition database Partitioning and
            Enterprise Management tools for managing the
            archiving and purging of data, as required for K-
            MED.
1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with industry-standard Java
            Enterprise Edition (JEE) application servers from
            Oracle, IBM, and RedHat. It supports the browser-
            session maintenance features built-into those
            application servers.
1           Yes/5   APSP provides this functionality out of the box.
                    APSP is developed-upon and maintained using
                    Industry leading tools, such as the open source
                    Eclipse and Oracle J-Developer Integrated
                    Development Environments (IDE). The IDE
                    contains the required menu structure to third-party
                    development tools. For example, the Adobe
                    Livecycle, Oracle Portal, Oracle Policy
                    Administration (OPA), and Rational Lifecycle suite
                    of tools contain Eclipse plug-ins that appear in the
                    menu structures of Eclipse and J-Developer.


1           Yes/5   APSP provides this functionality out of the box.
                    APSP is 100% based on Java and readily
                    available, industry-standard open-source libraries
                    from Spring Source and the Apache Foundation. It
                    is scalable, customizable, and highly configurable
                    to meet the requirements of K-MED.

1   Yes/5           APSP provides this functionality out of the box.
                    APSP includes a batch framework that is
                    compatible with industry-standard batch-
                    scheduling systems, such as BMC Control-M. The
                    batch-scheduling system can be used to predefine
                    the start times for batch processing based on K-
                    MED operational requirements.
1   Yes/5           APSP provides this functionality out of the box.
                    APSP includes a batch framework that is
                    compatible with industry-standard batch-
                    scheduling systems, such as BMC Control-M. The
                    batch-scheduling system can be used to control
                    jobs by transaction type for batch processing
                    based on K-MED operational requirements.

1   Yes/5           APSP provides this functionality out of the box.
                    APSP includes a batch framework that is
                    compatible with industry-standard batch-
                    scheduling systems, such as BMC Control-M. The
                    batch-scheduling system can be used to
                    sequence multiple jobs based on the outcome of
                    each successive job, within the capabilities of the
                    product.
1   Yes/3           APSP provides this functionality out of the box.
                    The APSP batch framework includes the capability
                    for a "file check" batch process to be run at the
                    start of a batch process. The file check is
                    implemented to provide record counts, totals, limit
                    checks, and dollar totals of batch programs. The
                    file check has the capabilities of controlling data
                    files, verifying correct processing, and data
                    integrity.
1   Yes/3   APSP provides this functionality out of the box.
            The APSP batch framework includes the ability to
            implement a batch process to reconcile the receipt
            the imported data and to reconcile the transfer of
            exported data, against known data records and
            content in the database, as required by K-MED.

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that is
            compatible with industry-standard batch-
            scheduling systems, such as BMC Control-M. The
            batch-scheduling system can be used to automate
            adminsitrative tasks, such as database backups or
            regular report production, based on K-MED
            operational requirements.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with software distribution
            tools, including the IBM Rational Lifecycle suite of
            products. It includes ClearCase, ClearQuest, and
            BuildForge, which aid in the migration of
            application software to K-MED environments
            (development, test, production).

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with version controls tools,
            including the IBM Rational Lifecycle suite of
            products. It includes ClearCase, which provides
            check-in and check out support.

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that is
            compatible with industry-standard batch-
            scheduling systems, such as BMC Control-M. The
            batch-scheduling system can be used to maintain
            a system-wide calendar for production scheduling,
            within the capabilities of the product.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with industry-standard Java
            Enterprise Edition (JEE) application servers from
            Oracle. It supports the application server resource
            management features built-into the Oracle
            WebLogic and Portal application servers.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with the IBM Rational
            Lifecycle suite of products, including ClearCase,
            which helps enable the sharing of business files
            across functional areas and KHPA's organizations,
            in a secure, governed fashion, as required for K-
            MED.
          1           Yes/5   APSP provides this functionality out of the box.
                              APSP is compatible with industry-standard Java
                              Enterprise Edition (JEE) application servers from
                              Oracle. It supports the management features for
                              administration of multiple Oracle WebLogic and
                              Portal application servers.

          1           Yes/3   APSP provides this functionality out of the box.
                              APSP includes the capability of generating
                              industry-standard “iCal” (ICS) files that are
                              compatible with most calendar and e-mail
                              environments, including Microsoft Outlook and
                              Exchange.
Post Implementation   Yes/5   APSP has the capability of supporting
                              collaboration tools and unified communications
                              (UC) out of the box. APSP includes a presentation
                              integration layer and integration with the Oracle
                              Portal server. It is based on Java portal standards,
                              industry web-page standards, and open source
                              frameworks, like Spring. Using the Oracle Portal
                              server, KHPA can integrate portlets (supplied by
                              collaboration tool and UC vendors) with the
                              application.

          1           Yes/5   APSP provides this functionality out of the box.
                              APSP is compatible with industry-standard file
                              transmission protocols, such as File Transmission
                              Protocol (FTP), and Hyper-text Transmission
                              Protocol (HTTP). When transferring files,
                              Accenture recommends that a secure public-
                              private key encryption mechanism and protocol be
                              deployed, such as Secure Sockets Layer (SSL),
                              and GNU Privacy Guard. The secure encryption
                              keys and generation capability would be provided
                              by KHPA or a KHPA managed third-party authority.


          1           Yes/5   APSP provides this functionality out of the box.
                              APSP includes the capability to interface with
                              Interactive Voice Response (IVR) systems through
                              its integration layer. Interfaces to APSP are built in
                              Java and XML using industry standards from Web
                              Service Interoperability (WSI) and World Wide
                              Web Consortium (W3C).

          1           Yes/5   APSP provides this functionality out of the box.
                              APSP includes a batch framework that is
                              compatible with industry-standard batch-
                              scheduling systems, such as BMC Control-M. The
                              batch-scheduling system can support the ability to
                              control batch job execution by time of day, date,
                              and processing cycle (weekly, monthly, yearly,
                              quarterly, and on request), within the capabilities
                              of the product.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that is
            compatible with industry-standard batch-
            scheduling systems, such as BMC Control-M. The
            batch-scheduling system can support the ability to
            sequence multiple jobs with multiple
            dependencies on jobs, files, and exceptions, within
            the capabilities of the product.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that supports
            internal and integrated checkpoints that capture
            the last commit point and necessary information to
            restart the job from that point. It is also compatible
            with industry-standard batch-scheduling systems,
            such as BMC Control-M. The batch-scheduling
            system can monitor system accuracy and
            completeness before proceding to the next step or
            application batch process, within the capabilities of
            the product.

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that is
            compatible with industry-standard batch-
            scheduling systems, such as BMC Control-M. The
            batch-scheduling system has the ability to backup,
            recover, restart, and cancel jobs, based on the
            batch processing requirements of K-MED.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with software version control
            and configuration management tools, including the
            IBM Rational Lifecycle suite of products. It
            includes ClearCase, ClearQuest, and BuildForge,
            which enforce a pre-defined methodology for the
            movement of application software from
            development to test (Quality Assurance - QA) to
            production environments. The suite includes the
            ability to roll back to a previous version to meet K-
            MED requirements, provided data integrity is
            maintained, and within the capabilities of the
            product.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with the IBM Cognos BI
            reporting suite. The suite supporting the
            capabilities of importing/exporting data with
            Microsoft Office desktop applications, such as
            Excel and Word.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a web-based user interface and
            supports web industry standards and development
            languages like HTML, XHTML, and JavaScript, as
            defined by the World Wide Web Consortium.
            APSP supports the ability to pop-up a window
            containing a table, the web-user to select a item
            from the table, and to have the required data
            copied into the appropriate input field on the
            parent page.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is compatible with the Oracle Enterprise
            Edition database, and is designed to be table-
            driven. For example, it includes a codes-table
            framework to populate web-based selection and
            list-boxes from which a web-user would choose a
            value. The codes-table data is stored in database
            tables and can be updated with secure,
            administrator-authorized web-based (online)
            reporting and database maintenance tools.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is designed to be effective-dated and
            supports effective-dated transactions and rules.
            Based on the type of transaction, the effective
            date may be updated. For example, if a new
            member or case is added to the system, and the
            effective date of the address is not specified, the
            application will insert the current business-day
            date.
1   Yes/5   APSP provides this functionality out of the box.
            APSP is built on a Service Oriented Architecture
            (SOA), and is compatible with an Enterprise
            Service Bus (ESB). It is based on industry
            standards defined by the Web Service
            Interoperability (WSI) and World Wide Web
            Consortium (W3C). APSP services can transmit
            and receive transactions electronically (such as
            Electronic Data Interchange - EDI - web-based
            transaction) using industry-standard Web Service
            Description Language (WSDL) files and consumer-
            provider agreeded-upon XML data definitions.


1   Yes/5   APSP provides this functionality out of the box.
            APSP includes integration with the transaction
            management capabilities built into the Spring open-
            source framework, Oracle WebLogic application
            server and Portal, and the Oracle Enterprise
            Edition database. These components work
            together to manage create, update, and delete
            trasactions for data integrity, redundancy, and
            recoverability purposes, within their capabilities.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that is
            compatible with industry-standard File Transfer
            Protocol (FTP) mechanisms and Secure Sockets
            Layer (SSL) encryption.
1   Yes/5   APSP provides this functionality out of the box.
            APSP business modules include integration with
            industry-leading business rules engine products,
            such as the Oracle Policy Administration (OPA)
            product.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes integration with the open-source
            Spring framework for management of
            transactions. The description of transactions is
            provided within the capabilities of Spring.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes the ability for KHPA to create data
            fields on web-pages and/or the database tables,
            as required for K-MED. APSP is built on industry-
            standards, and can be maintained using industry-
            leading tools, such as the Eclipse open-source or
            Oracle J-Developer Integrated Development
            Environment (IDE).

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes the ability for KHPA to create user-
            defined data fields on web-pages and/or the
            database tables, as required for K-MED. APSP is
            built on industry-standards, and can be maintained
            using industry-standard tools, such as the Eclipse
            open-source or Oracle J-Developer Integrated
            Development Environment (IDE). When sharing
            data fields across the state, Accenture
            recommends the use of secure encryption, and
            the Enterprise Service Bus (ESB), which is
            integrated with APSP.

1   Yes/5   APSP provides this functionality out of the box.
            APSP uses the Oracle Enterprise Edition
            database to store its data. Oracle database
            includes facilities for importing and exporting data,
            including support for Open Database Connectivity
            (ODBC) through its software drivers.

1   Yes/5   APSP provides this functionality out of the box.
            APSP meets the availability requirements for K-
            MED.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a data validation framework that
            enables data edits submitted through the web-
            based application to be validated against agency-
            specific data ranges, as required for K-MED.
1   Yes/5           APSP provides this functionality out of the box.
                    APSP supports the ability for documents to be
                    cancelled and voided using reason codes defined
                    through APSP code tables.
1   Yes/5           APSP provides this functionality out of the box.
                    APSP includes integration with the Adobe
                    Livecycle suite for correspondence and forms.
                    Templates and shortcuts capabilities are included
                    within the Livecycle product.
1   Yes/5           APSP provides this functionality out of the box.
                    APSP includes integration with the Adobe
                    Livecycle suite for correspondence and forms.
                    Capabilities for generating clauses, or short,
                    repeatable statements, are included within the
                    Livecycle product.
1   Yes/3           KHPA and Accenture work together to define
                    which transactions are not to reference an
                    "inactive" record.
1   Yes/5           APSP provides this functionality out of the box



1   Yes/5           KHPA and Accenture work together to define
                    which transactions are to have "required inputs".
                    APSP includes the ability to define input elements
                    that are requirement versus optional.

1   Yes/3           APSP provides this functionality out of the box.
                    APSP includes an auditing framework that has the
                    capability of supporting transactions containing
                    Electronically Protected Health Information (ePHI).
                    APSP also supports encryption of health
                    information stored in the Oracle database. KHPA
                    and Accenture will work together to define which
                    transactions are transactions subject to HIPAA
                    regulations.

1           Yes/5   APSP provides this functionality out of the box.
                    APSP includes integration with the Oracle
                    Enterprise Edition database. Data volumes are
                    handled within the capabilities of the product.

1           Yes/5   APSP provides this functionality out of the box.
                    APSP includes integration with the Oracle
                    Enterprise Edition database. Data replication and
                    synchronization are supported by the Oracle
                    Active Data Guard feature of the product, within its
                    capabilities.
1           Yes/5   APSP provides this functionality out of the box.
                    APSP includes integration with the Oracle
                    Enterprise Edition database, which supports
                    stored procedures.
1     Yes/5   APSP provides this functionality out of the box.
              APSP includes integration with the Oracle
              Enterprise Edition database, which supports
              automated replication of table updates to multiple
              databases.
1     Yes/5   APSP provides this functionality out of the box.
              APSP includes integration with the Oracle
              Enterprise Edition database, which supports the
              ability to lock records. The system uses optimistic
              locking. The database is configured to lock
              records that are undergoing an update or insert in
              the unlikely event another database-connection
              attempts to update or insert the exact same record
              at the same time.

1     Yes/5   APSP provides this functionality out of the box

1     Yes/5   APSP provides this functionality out of the box


1     Yes/5   APSP provides this functionality out of the box.
              APSP includes a batch framework that supports
              the ability to suspend processing of erroneous
              records through its checkpoint and restart features.

N/A   N/A     See requirement responses below.


1     Yes/5   APSP provides this functionality out of the box.
              APSP does not generate orphaned records.

1     Yes/5   APSP provides this functionality out of the box.
              APSP includes integration with the Oracle
              Enterprise Edition database. The Oracle
              Partitioning feature enables APSP to access,
              query, and report against archived data.

1     Yes/5   APSP provides this functionality out of the box.
              APSP includes integration with the Oracle
              Enterprise Edition database. The Oracle
              Partitioning feature enables APSP to define a
              purge segment of a database table, and to list
              records contained within it.
1     Yes/5   APSP provides this functionality out of the box.
              APSP includes integration with the Oracle
              Enterprise Edition database. The Oracle
              Partitioning feature enables APSP to purge,
              archive, and restore inactive records.
1     Yes/5   APSP provides this functionality out of the box.
              APSP includes integration with the Oracle
              Enterprise Edition database. The Oracle
              database provides referential integrity, when
              required.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes the ability for KHPA to upgrade its
            technology, as required for K-MED. APSP is built
            on industry-standards, and can be maintained
            using industry-leading tools, such as the Eclipse
            open-source or Oracle J-Developer Integrated
            Development Environment (IDE).

1   Yes/5   APSP provides this functionality out of the box.
            APSP is integrated with the IBM Rational Lifecycle
            suite of products for version control, configuration
            management, and deployment of software
            upgrades.
1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box



1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box




1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box.
            KHPA and Accenture work together to agree on
            which hardware/OS combinations will undergo
            testing.
1   Yes/5   APSP provides this functionality out of the box
1   Yes/5   APSP provides this functionality out of the box.
            Users may print a web-page using the local and
            network print functions built into the web-browser
            and desktop. APSP also includes integration with
            the Adobe Livecycle product for correspondence
            and forms. Livecycle has the capability of
            generating PDF files that can be printed on
            network and locally attached printers.

1   Yes/5   APSP provides this functionality out of the box.
            KHPA has the flexibility of being able to provide a
            variety of input devices, including barcode
            readers, scanners, signature pads, and digital
            cameras. APSP has the capability of integrating
            with an Interactive Voice Response (IVR) system
            through its integration layer. APSP supports web-
            services interfaces using XML over HTTP, as well
            as direct in-line calls using XML and Java.

1   Yes/5   APSP provides this functionality out of the box



1   Yes/5   APSP provides this functionality out of the box.

1   Yes/5   APSP provides this functionality out of the box.


1   Yes/5   APSP provides this functionality out of the box.

1   Yes/5   APSP provides this functionality out of the box.

1   Yes/5   APSP provides this functionality out of the box.




1   Yes/5   Our proposal includes capacity estimates for the
            required K-MED environments, as required in the
            RFP.
1   Yes/5   Our proposal includes capacity estimates for the
            required K-MED environments, as required in the
            RFP.
1   Yes/5   Our proposal includes capacity estimates for the
            required K-MED environments, as required in the
            RFP.
1   Yes/5   APSP provides this functionality out of the box.



1   Yes/5   APSP provides this functionality out of the box.
2   Yes/5   APSP provides this functionality out of the box.
            APSP supports encryption of data at rest in the
            database using the Oracle Enterprise Edition
            database Advanced Security features. It also
            supports encryption of data in flight using the
            Secure Sockets Layer (SSL) protocol and GNU
            Privacy Guard. The secure encryption keys and
            generation capability would be provided by KHPA
            or a KHPA managed third-party authority.

2   Yes/3   APSP provides this functionality out of the box.
            APSP includes integration with the ESRI ArcGIS
            product. APSP has the capability of supporting an
            adapter to KHPA's ESRI system.

2   Yes/5   APSP provides this functionality out of the box.
            APSP is a multi-layered enterprise architecture
            and supports federal standards, including the
            Federal Technical Reference Model (FTRM),
            National Institute of Standards and Technology
            (NIST) publications dealing with security and
            encryption, Section 508 user accessibility, and
            Electronically Protected Health Information (ePHI)
            for storing and transmitting health information.

2   Yes/3   KHPA and Accenture will work together to
            determine how the policies apply to the unique
            business processes of K-MED. APSP has the
            capability of supporting the polocies, as described.


1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box


1   Yes/3   APSP is compatible with the State of Kansas
            Accessibility Guidelines. KHPA and Accenture
            work together on the testing of the application
            against the guidelines. A limited amount of
            configuration may be needed to provide alternate
            means for some page functions, such as the
            required "pop up" capability described elsewhere
            in the K-MED technical requirements.

1   Yes/5   APSP provides this functionality out of the box.
            APSP is measured at MITA level 3.
1   Yes/3   APSP provides this functionality out of the box.
            APSP supports gudielines in the Health
            Information Portability and Accountability Act
            (HIPAA) security. KHPA and Accenture work
            together on defining which transactions are
            subject to Electronically Protected Health
            Information (ePHI), and which controls are
            implemented to satisfy the requirements for K-
            MED.
1   Yes/5   APSP provides this functionality out of the box.
            KHPA and Accenture will work together on
            completing the annual security assessment.
            Accenture assesses the items within its control.

1   Yes/3   APSP provides this functionality out of the box.
            APSP supports gudielines in the Health
            Information Portability and Accountability Act
            (HIPAA) security. KHPA and Accenture work
            together on defining which transactions are
            subject to Electronically Protected Health
            Information (ePHI), and which controls are
            implemented to satisfy the requirements for K-
            MED.
1   Yes/3   APSP provides this functionality out of the box.
            APSP supports gudielines in the Health
            Information Portability and Accountability Act
            (HIPAA) security. KHPA and Accenture work
            together on defining which transactions are
            subject to Electronically Protected Health
            Information (ePHI), and which controls are
            implemented to satisfy the requirements for K-
            MED.
2   Yes/5   APSP provides this functionality out of the box


2   Yes/5   APSP provides this functionality out of the box.
            Accenture is responsible for restoration of
            operations for those items within its control.

2   Yes/5   APSP provides this functionality out of the box.
            Accenture is responsible for backups of data
            within its control, against the nightly backup
            schedule required for K-MED.
2   Yes/5   APSP provides this functionality out of the box.
            APSP includes integration with the Oracle
            WebLogic and Portal application servers and
            Oracle Enterprise Edition database. The Oracle
            products provide failover and redundancy
            capabilities, to meet the requirements of K-MED.
2   Yes/5   APSP provides this functionality out of the box




2   Yes/5   APSP provides this functionality out of the box.
            Accenture is responsible for the recovery of items
            within its control.




1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a "last resort exception handling"
            framework that captures run-time Java
            exceptions, matches them with a user-friendly
            message, and records the message in a log (file,
            database, or real-time) and/or displays it on a web-
            screen for the user, as required for K-MED.

1   Yes/5   APSP provides this functionality out of the box

1   Yes/5   APSP provides this functionality out of the box

1   Yes/5   APSP provides this functionality out of the box.
            The APSP last-resort-exception-handler is multi-
            layered and captures errors (with the exception of
            web-browser errors out of our control) at the
            application and page level.
1   Yes/5   APSP provides this functionality out of the box.
            APSP enables the developer to choose between a
            run-time error and an exception.
1   Yes/5   APSP provides this functionality out of the box



1   Yes/3   APSP includes an error message facility.
            Additional configuration and customization is
            needed to integrate it with the online help function.
             A link to a help page would be displayed with the
            error message, to provide additional system
            information to the user.
1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a batch framework that generates
            a "lost record" file containing records that could
            not be processed due to errors.

1   Yes/5   APSP provides this functionality out of the box.
            The last-resort-error-handler facility of APSP has
            the capabability of capturing non-comitted
            transactions in a file.
1   Yes/5   APSP provides this functionality out of the box

1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box.
            APSP includes a logging framework that includes
            Syslog capability. Using a Syslog aggregator, a
            central file can be created.
1   Yes/5   APSP provides this functionality out of the box

1   Yes/5   APSP provides this functionality out of the box


1   Yes/5   APSP provides this functionality out of the box



1   Yes/5   APSP provides this functionality out of the box

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes integration with the Oracle Service
            Bus product. It includes logging and auditing of
            services and monitoring of faults, service, process
            status, and performance statistics, within the
            capabilities of the product.

1   Yes/5   APSP provides this functionality out of the box.
            APSP includes integration with the Oracle Service
            Bus product. It includes real time message
            tracking and distributed flow control debugging
            that enables diagnosis and management of
            problems, within the capabilities of the product.
Response




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