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Adding Minnesotans to the largest consolidation of personal data in the history of the republic - USA TODAY

Minnesota Health Insurance Exchange


Other Entities Unique MN HIX ID# for Individuals Third Parties Individuals Employers Employees Insurers Navigators/ Brokers Doctors/ Hospitals

Federal Data Services Hub


(the Central Server) Exchanges sole validation source for state/federal data: Tax Information Income Employment Patient Medical Records Social Security No. Welfare Information Family Size Demographic Data Incarceration/Criminal History

Treasury IRS HHS DOJ Social Security Administration

70 MNHIX Employees
KEY
State Federal Non-Govt

Where individuals apply for insurance/exemption

HUBs WEBSITE FOR MN

Federal MNHIX Information Technology (IT) Data-Sharing System

$54-$64 Million Limit Health Plan Choices on Website

Meets Quarterly

BOARD
MN Insurance Marketplace is created as a board (SF1/HF5) Seven (7) Governor appointees

Consumer Health Technologies MNHIX Contract

Maximus, Inc. Contract

Data Shared with Federal Hub by State of MN: private, confidential, welfare, medical, and non-public defined by MN Statute health records chemical health records protected health records electronic health records federal tax information Fed. Privacy Act record and other data $41.2 Million
(per Maximus contract)

Homeland Security Non-State Systems:


SERFF Systematic Alien Verification for Entitlements PARIS TALX/Work Number IVR System Premium Processing
State Systems: All-Payer Claims Database (DHS) doctor/clinic/hospital data (M.S. 62U.04) MMIS - Medicaid Mgmt Info Sys. MAXIS - Medicaid Eligibility Sys. PRISM - Child Support Enforcment DHS - Shared Master Index SSIS - Social Services Info System DVS - Dept Driver/Vehicle Services DEED - Dept Employ./Econ Dev. Dept Human Services data warehouse SWIFT Invoice Processing

Exchange Functions:
Eligibility Criteria (including but not limited to): Citizenship or immigration status Residency/geography Incarceration status American Indian/Native American status Income Access to affordable employer-based coverage Age Smoking status Family/household composition Pregnancy Parental Status Disability or Blindness Emergency Medical Condition

IBM Curan MNHIX Contract

Connecture MNHIX Contrac

Individual Eligibility & Exemption Individual Enrollment Small Employer Eligibility & Enrollment Certification of Health Plans & Brokers Provider Display Fund Aggregation & Payment Account Administration

Employer Eligibility Criteria: Corporate structure Location Employer size Average employee wage and contribution levels other information Information updates for: 1. New hires 2. Terminations 3. Life-changing events (marriage, divorce, births)

www.cchfreedom.org

1/22/13 News Source: Potential Obamacare Privacy Nightmare, USA TODAY, December 6, 2012; State sources include: SF 1/HF 5 and MNHIX RFP and MN Exchange Contracts Federal sources include: Federal PPACA Risk-Adjustment Rules, and Federal Exchange Program System Data Services Hub Statement of Work, CMS,HHS, July 15, 2011.

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