Indiana medicaid Electronic Health Records Incentive Program

Since May 2, 2011, the state of Indiana has participated in the federal Electronic Health Records (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 (AIU) to EHR technology. Providers must demonstrate meaningful use (MU) in subsequent years to receive incentive payments.

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EHR NEWS AND ANNOUNCEMENTS

The EHR reporting period for Program Year 2017 is now closed; therefore, no additional meaningful use applications may be submitted.

For program year (PY) 2017, EPs/EHs/Critical Access Hospitals (CAHs ) had until February 28, 2018, to attest to MU and AIU. Access to the Medical Assistance Provider Incentive Repository (MAPIR) for information is still available via the IHCP Provider Healthcare Portal (Portal). You can access the Portal to register for a secure account. In order to register on the Portal, IHCP rendering providers must have their Social Security numbers (SSNs) on file with the IHCP. Rendering providers can update their IHCP Provider Profiles with an SSN using the  IHCP Rendering Provider Enrollment and Profile Maintenance Packet at indianamedicaid.com.

If you are unsure whether you need to attest, or you need help preparing for attestation or registering at the EHR Portal, contact the Purdue Health Advisors (PHA) Meaningful Use Help Desk at 1-844-742-4668.

Purdue Healthcare Advisors Provides EHR Meaningful Use Support

Purdue Healthcare Advisors at Purdue University continues its work in guiding Medicaid-eligible, Indiana healthcare providers toward the meaningful use standards associated with EHR systems. Providers eligible to benefit from this assistance are those participating in the MU programs under Medicaid or Medicare (must be actively billing Indiana Medicaid for services) and who are practicing in:

  • Small groups/independent practices
  • Federally qualified health centers (FQHCs)
  • Community health clinics (CHCs)
  • Rural health clinics (RHCs)
  • Community mental health centers (CMHCs) or
  • Ambulatory practices employed by a critical access hospital

Additional eligibility questions are answered on the MU Help Desk web page at the Purdue Healthcare Advisors website. To see if you qualify for no-cost technical assistance*, visit the FSSA Meaningful Use Assistance page, also on the Purdue Healthcare Advisors website. (Note: Funding provided by the Centers for Medicare & Medicaid Services and administered by the Indiana Family and Social Services Administration.)

  • For information about registering or attesting to MU through Indiana's portal, Medical Assistance Provider Incentive Repository (MAPIR), please contact the Indiana Medicaid EHR Incentive Program Help Desk at 855-856-9563 or MedicaidHealthIT@fssa.in.gov.
  • For information about the MU rule or questions related to meeting MU objectives, please contact Purdue Healthcare Advisors at 844-PHA-INMU (844-742-4668) or INMedicaidMUHelp@pha.purdue.edu.

New CMS Rule Modifies Meaningful Use for 2015-2017

On October 16, 2015, the CMS released a final rule specifying the criteria that EPs, EHs, and CAHs must meet to demonstrate meaningful use. The final rule encompasses modifications to the program for 2015-2017 (Modified Stage 2).

What You Need to Know for Program Year 2018 (PY2018)

EPs, EHs, and CAHs that directly participate in the Indiana Medicaid EHR Incentive Program will continue to attest to the objective/measure requirements as finalized in the Modified Stage 2 final rule:

  • EHR Reporting Period: The EHR reporting period must be completed within January 1-December 31 of calendar year 2018. All participants will attest to a continuous 90-day reporting period within the calendar year.
  • CQM Reporting Period: The clinical quality measures (CQMs) reporting period is a continuous 90-day reporting period within the calendar year for EPs or hospitals attesting to their first year of MU in 2018.  For all returning participating EPs/EHs/CAHs, the CQM reporting period is the full calendar year.
  • Objectives and Measures: All participants are required to use 2014 Edition certified EHR technology (CEHRT)*. If available, providers may also attest using EHR technology certified to the 2015 Edition, or a combination of the two editions. All providers are required to attest to a single set of objectives and measures, which replaces the core/menu structure from previous program years.
    • EPs MU Objectives/Measures
      • List of Modified Stage 2 Objectives available HERE
      • List of Stage 3 Objectives available HERE
    • EH/CAH MU Objectives/Measures
      • List of Modified Stage 2 Objectives available HERE
      • List of Stage 3 Objectives available HERE

*In 2018, participants may potentially attest to Stage 3 requirements if they use EHR technology certified to 2015 Edition standards, or a combination of EHR technology certified to 2015 Edition and 2014 Edition (if the combination of certified technologies would not prohibit them from meeting Stage 3 requirements). In 2019, all providers will be required to participate in Stage 3 through the use of 2015 Edition CEHRT.

For more information and additional resources, visit the  CMS 2018 Medicaid MU EHR Program Requirements for EPs and Hospitals page at cms.gov.

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Program Deadlines

The Indiana deadline for eligible professionals, eligible hospitals, and critical access hospitals to complete the attestation period 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 to allow for the submission of attestation data. For example, the last day to complete the attestation period for Program Year 2018 is December 31, 2018, with the 60-day grace period extending the submission date for eligible professionals', eligible hospitals', and critical access hospitals' attestation data to no later than February 28, 2019.

Please note: Program year 2016 was the last year in which an eligible professional could begin participating in the Medicaid EHR Incentive Program.

More information