Filing with Ohio Medicaid for EHR Incentives in 2012 Cathy Costello, JD March 16, 2012.

Filing with Ohio Medicaidfor EHR Incentives

in 2012

Cathy Costello, JDMarch 16, 2012

Medicaid EHR Incentives

Calendar Year 2011 2012 2013 2014 2015 2016

2011 $21,250 ---------- ---------- ---------- ---------- ----------

2012 $8,500 $21,250 ---------- ---------- ---------- ----------

2013 $8,500 $8,500 $21,250 ---------- ---------- ----------

2014 $8,500 $8,500 $8,500 $21,250 ---------- ----------

2015 $8,500 $8,500 $8,500 $8,500 $21,250 ----------

2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250

2017 ---------- $8,500 $8,500 $8,500 $8,500 $8,500

2018 ---------- ---------- $8,500 $8,500 $8,500 $8,500

2019 ---------- ---------- ---------- $8,500 $8,500 $8,500

2020 ---------- ---------- ---------- ---------- $8,500 $8,500

2021 ---------- ---------- ---------- --------- ---------- $8,500

TOTAL $63,750 $63,750 $63,750 $63,750 $63,750 $63,750

From 2011 – 2013Filing for Medicaid Incentives

MPIP Overviewfor Eligible Professionals

MPIP runs through Calendar Year 2021 Participation in the program

EPs - 6 years (not necessarily consecutive)

Year 1 (Regardless of year of filing) - Eligible professionals qualify by adopting, implementing, or upgrading to certified EHR technology; EHR technology must be tested and certified by the Office of the National Coordinator (ONC) Authorized Testing and Certification Body (ATCB)

Year 2 (Regardless of year of filing) – Eligible professionals qualify by meeting 90 days of Meaningful Use and attesting to MU

Year 3 (Regardless of year of filing) – Eligible professionals qualify by meeting 365 days of Meaningful Use, attesting and/or submitting as required

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Information Needed for Year 2

The Provider/Group information will pre-populate if the EP is filing for 90 days MU in Year 2.

Information on the EHR system will only need to be re-entered if there is some change in the system (i.e., different vendor; new version).

Information that needs to be entered each year is information relating to Patient Volume.

Information relating to the Meaningful Use attestation will need to be filed separately each year.

Medicaid Patient Volume for FQHC/RHC-based EPs

Needy Patient EncountersTotal Patient Encounters

For any continuous 90-day period in the preceding calendar year

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EP Patient Volume Calculation

FQHC/RHC

Definition of Needy Encounters:

Services rendered to an individual on any one day where Medicaid or SCHIP paid for all or part of the service

Services rendered to an individual on any one day where Medicaid or SCHIP paid for all or part of their premiums, copayments, and/or cost-sharing

Services rendered to an individual on any one day on a sliding scale or that were uncompensated

Out-of-State Medicaid Encounters:

Can be included in Medicaid patient encounters (numerator) Must also be included in total encounters (denominator)

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EP Patient Volume Calculation

FQHC/RHC Needy Patient Encounters

Meaningful Use Attestation

Every provider that has received A/I/U will need to meet 90 days of MU before receiving the next incentive payment ($8,500) for Year 2.

MU measures include 15 Core measures and 5 of 10 Menu measures for each provider. Most measures should be recorded by the EHR system in use.

Core measures include such items as e-prescribing, recording patient demographics, recording vital signs, performing a security check, recording Clinical Quality Measures (CQM) among others.

Meaningful Use Specification Sheet

The authoritative source on MU Criteria

Downloadable PDF index that links to the details

online:http://www.cms.gov/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdf

Updated by CMS to account for any

corrections or changes

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Example of e-Exchange of Clinical Info

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Meaningful Use Attestation

Meeting/Not Meeting MUhttp://www.cms.gov/apps/ehr/meaningful-use-calculator-

professionals.aspx

Public Health Reporting

All Eligible Professionals (EPs) and Eligible Hospitals (EHs) are required to meet one MU measure related to public health reporting.

For FQHC EPs, this reporting would be immunization reporting to the Ohio Department of Health’s Impact SIIS program (Menu Measure 9).

If your providers are not already reporting to Impact SIIS, ODH/Medicaid are establishing the parameters for PH reporting, to be announced this month.

Medicaid Contact Information

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MPIP Help Desk Support: 877-537-6747 (JFS-MPIP) Technical Assistance

Password reset, log-in assistance Program Support

MPIP eligibility, enrollment, payment or appeals status

MPIP Team ODJFS MPIP Website: http://jfs.ohio.gov/OHP/HIT

%20Program.stm Email: [email protected]

FAQs for Medicaid EHR Incentive Programhttp://jfs.ohio.gov/OHP/reports/data/MPIP_FAQv3.1.pdf

Questions

Cathy Costello, [email protected]

614.664.2607

David [email protected]

513.247.6860

[email protected]

877.537.6747