Indiana medicaid Electronic Health Records (EHR) Incentive Program

Since May 2, 2011, the state of Indiana has participated in the federal EHR Incentive Program, funded through the Centers for Medicare & Medicaid Services (CMS). The American Recovery and Reinvestment Act of 2009 authorizes the CMS to provide incentives for eligible professionals (EPs) and eligible hospitals (EHs) as practices and hospitals adopt, implement, upgrade, or demonstrate meaningful use (MU) of certified EHR technology (CEHRT) (see EHR Incentive Programs on the CMS website at cms.gov).

The implementation of the EHR initiative is a major cornerstone in improving providers' access to health information, coordination of care, and health outcomes for Indiana Health Coverage Programs (IHCP) members. In the first year, providers can receive incentive payments for adopting, implementing, or upgrading EHR technology. Providers must demonstrate meaningful use in following years to receive incentive payments.

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EHR NEWS AND  ANNOUNCEMENTS

EHR Program Year 2014 grace period extended through April 30, 2015

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The Program Year 2014 grace period for eligible hospitals (EHs) and eligible professionals (EPs) has been extended, due to the time needed to upgrade the Medical Assistance Provider Incentive Repository (MAPIR) to accept the Final Rule on flexibility changes for Certified Electronic Health Record Technology (CEHRT). If you qualify to attest using this CEHRT flexibility, you are able to submit your attestation in MAPIR beginning April 1, 2015, through April 30, 2015. Please see the Final Rule guidance on CEHRT Flexibility on the Centers for Medicare & Medicaid Services (CMS) website at cms.gov for details. If you do not qualify to use CEHRT flexibility, your Program Year 2014 attestation submission deadline will follow the standard 60-day grace period (see Program Deadlines). If you have questions, please contact the Indiana Medicaid EHR Incentive Program Customer Service at 1-855-856-9563, or email MedicaidHealthIT@fssa.in.gov.

Deadline for hardship exception application extended to November 30, 2014

Extension will help providers avoid 2015 Medicare EHR payment adjustment

If a provider is eligible to participate in the Medicare Electronic Health Records (EHR) Incentive Program, the provider must demonstrate meaningful use in either the Medicare OR Medicaid EHR Incentive Program to avoid a payment adjustment. Medicaid providers that are eligible to participate only in the Medicaid EHR Incentive Program are not subject to these payment adjustments.

Eligible professionals (EPs) and eligible hospitals (EHs) may be exempt from payment adjustments if they can show that demonstrating meaningful use would result in a significant hardship. To be considered for an exception, an EP or EH must submit a hardship exception application along with proof of the hardship. If approved, the hardship exception is valid for one payment year only. A new application must be submitted if the hardship continues for the following payment year.

The Centers for Medicare & Medicaid Services (CMS) has announced its intent to reopen the submission period for hardship exception applications to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use of Certified Electronic Health Record Technology (CEHRT). The new deadline for both EPs and EHs is November 30, 2014.

This reopened submission period for hardship exception applications is for:

  • EPs and EHs that have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability; AND
  • EPs who were unable to attest by October 1, 2014, and EHs that were unable to attest by July 1, 2014, using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.

These are the only circumstances that will be considered for this extended hardship application submission period.

Visit the Payment Adjustments and Hardship Exceptions page of the CMS website at cms.gov for more information, including the hardship exception application form. If you have further questions, please contact Indiana Medicaid EHR Incentive Program Customer Service at (317) 488-5137 or 1-855-856-9563.

New CMS Rule allows flexibility in certified EHR technology for 2014

In August 2014, the Centers for Medicare & Medicaid Services (CMS) released a Final Rule that grants flexibility to providers that are unable to fully implement 2014 Edition certified electronic health record technology (CEHRT) for an EHR reporting period in 2014 due to delays in CEHRT availability. The new CMS rule changes the meaningful use time line and the requirements of CEHRT to allow more flexibility in how eligible hospitals and eligible professionals use CEHRT to meet meaningful use requirements for the 2014 reporting period. The rule also sets the requirements for reporting on meaningful use objectives and measures, as well as clinical quality measure (CQM) reporting for providers that use one of the CEHRT options finalized in this rule for their EHR reporting period in 2014.

The Indiana Health Coverage Programs (IHCP) is now updating the Medical Assistance Provider Incentive Repository (MAPIR) system to accommodate these new provisions. If providers wish to attest using the flexibility offered, they must wait until the MAPIR system upgrades are complete. The IHCP anticipates that all system updates will be complete by March 31, 2015.

To view all the program changes in the Final Rule, visit the CMS EHR Incentive Program web page at cms.gov. For updates and information related to Program Year 2014 attestations and deadlines, watch IHCP publications and this web page. If you have questions, contact the Indiana Medicaid EHR Incentive Program Help Desk toll-free at 1-855-856-9563 or at MedicaidHealthIT@fssa.in.gov.

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Program Deadlines

The Indiana deadline for eligible professionals (EPs) to attest for any Electronic Health Records (EHR) Incentive Payment Program Year is the last day of the calendar year. A 60-day grace period is allowed following the last day of the calendar year. For example, the last day to attest for Program Year 2014 is December 31, 2014, with the 60-day grace period extending the submission date for EPs' attestations to no later than February 28, 2015.

The deadline for eligible hospitals (EHs) to attest for any EHR Incentive Payment Program Year is the last day of the federal fiscal year (FFY). A 60-day grace period is allowed following the last day of the FFY. For example, the last day for EHs to attest for Program Year 2014 was September 30, 2014, with the 60-day grace period extending the date for EHs' attestation submission to no later than November 30, 2014.

Interactive Presentation of Indiana's Meaningful Use Data Is Available

Indiana providers continue to make progress toward meaningful use of electronic health records technology. An Indiana-specific, web-based presentation of that progress has been developed using openly available Indiana Medicare and Medicaid MU attestation data. The presentation provides an overview of EHR adoption and MU progression in our state. This tool helps stakeholders access the latest information in an interactive, easy-to-leverage, graphic format. You can filter this data several ways, including by:

  • Dollars received
  • Bed count
  • Participation in Medicaid versus Medicare or both
  • And more!

For a visual presentation of Indiana's progress, please see the Indiana Meaningful Use Interactive Report, hosted by Social Health Insights at in.muprogress.com.

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