1. MAGI MEDICAID SYSTEM TRANSFER PROJECT
System Objectives NUMBER: 443-01-100
EFFECTIVE DATE: 12-08-2015
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SYSTEM OBJECTIVES
PURPOSE
The purpose of this document is to define, scope, and give context to the product and services that the MAGI
Medicaid System Transfer project was chartered to analyze, develop, and implement. The technology solution being
implemented is referred to as the ONE System.
BUSINESS NEED SERVED BY THE “ONE” SYSTEM
Oregonians will be able to apply for MAGI Medicaid, receive an eligibility determination and, if eligible, to enroll in
MAGI Medicaid online whether they have accessed the Federally Facilitated Marketplace at Healthcare.gov or a site
created and supported by the State of Oregon.
CONTEXT
Implementation of the “ONE” System is to enable the State of Oregon’s goal of complying with Federal Affordable
Care Act requirements and providing all Oregonians with access to affordable health care. The project
encompasses the acquisition and implementation of an ACA compliant solution for automated MAGI Medicaid
eligibility and enrollment.
BUSINESS AND SYSTEM OBJECTIVES
The State of Oregon is looking for a long term solution to support the eligibility determination and case management
of its MAGI Medicaid caseload.
At a high level, the system must support the following primary business objectives:
1. Enable the ability for OHA to interact with FFM to conduct application referrals and leverage verification
mechanisms for eligibility determination.
2. Provide a self-service portal to enable service accessibility for citizens initial application, change reporting,
electronic notice, and renewal processing.
3. Provide a worker portal to enable OHA staff to process intake, determine MAGI Medicaid eligibility, and
initiate enrollment to MMIS.
4. Provide a document management solution for the storage of scanned artifacts.
In order to best meet these business objectives the “ONE” system must provide:
1. An online application intake module (Self Service Portal) to allow any user to fill out an application through an
online screen flow to capture the information necessary for enrollment.
2. Deliver a data collection module (Worker Portal) to allow the case worker to perform primary case actions on
MAGI Medicaid applications.
3. Provide a system to integrate with the Federal Data Services Hub (FDSH), including Minimum Essential
Coverage (MEC) Check, and required State-based systems and trusted third parties.
4. A master client index for verifying client’s identity and current coverage.
5. Integration of the solution’s document management system with the State’s enterprise document processing
unit (for scanning).
6. Appropriate conversion of MAGI case data from legacy systems.
7. Support functions such as Workflow, Notifications, Scheduling, and Business Rules Management.

2. MAGI MEDICAID SYSTEM TRANSFER PROJECT
System Objectives NUMBER: 443-01-100
EFFECTIVE DATE: 12-08-2015
Page 2 of 2
FUNCTIONAL OBJECTIVES
DHS and OHA business programs validated that the following core capabilities were needed to support their eligibility
programs:
1. Eligibility – Ability to seamlessly process and determine eligibility of Oregonians for Medicaid and similar
benefits based on a set of defined criteria like annual income, citizenship status, age, etc.
2. Enrollment – Ability to enroll Oregonians to various programs provided by the state and provide coverage.
3. Case Management – Supports a collaborative process of assessment, planning, facilitation, care coordination,
evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health
and human service needs through communication and available resources to promote quality, cost-effective
outcomes.
4. Portal Services – Roles-based access to information and applications through an enterprise website that
provides self-service capabilities and is available to providers, clients and state staff.
5. Document Management – Ability to systematically manage and provide the functions necessary for uploading
and creating new documents, as well as tracking different versions of the documents generated as part of
any business process.
6. Business Intelligence – Ability to generate operational and analytical reports required for timely business
decisions using data from different programs and systems and with minimal, manual effort.
7. Notices – Ability to generate different types of notices for customers with minimum manual effort.
8. Mobility – Ability to support self-service capabilities for internal staff and external customers through a mobile
application that is accessible via mobile technologies such as tablets and smartphones.