Indiana medicaid Electronic Health Records (EHR) Incentive
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.
New CMS Rule allows flexibility in certified EHR technology for
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.
EHR Incentive Program Medicare payment adjustments
Beginning January 1, 2015, payment adjustments will be applied
to Medicare eligible professionals (EPs) who are not meaningful
users of Certified Electronic Health Record (EHR) Technology under
the Medicare Electronic Health Records (EHR) Incentive Programs.
Please note that EPs who participate only in the Indiana Medicaid
EHR Incentive Program and do not bill Medicare are not subject to
these payment adjustments. EPs who can participate in the Medicare
or the Indiana Medicaid EHR Incentive Programs will be subject to
the payment adjustments unless they are meaningful users as
specified by the Centers for Medicare & Medicaid Services
To avoid payment adjustments, EPs who are first demonstrating
meaningful use in 2014 must demonstrate meaningful use for a 90-day
reporting period in 2014. The 90-day reporting period must
occur within the first nine months of calendar year 2014, and EPs
that fall into this category must attest to meaningful use no later
than October 1, 2014, to avoid the payment adjustments. Provider
attestations must be completed and submitted to the Medical
Assistance Provider Incentive Repository (MAPIR) by October 1,
2014. For example, if a provider attested to adoption,
implementation, or upgrade (AIU) in 2013, that EP must attest to 90
days of meaningful use in 2014 by October 1, 2014, to avoid a
Medicare payment penalty for 2015.
Please note ‒ EPs attesting to adoption, implementation, or
upgrade (AIU) with the Medicaid EHR Incentive Program will not be
exempt from the Medicare payment adjustments.
For more detail, see the
Payment Adjustments & Hardship Exceptions Tipsheet for Eligible
Professionals on the CMS website at cms.gov. If you have
further questions, please contact the Indiana Medicaid EHR
Incentive Program Customer Service at (317) 488-5137 or
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 2013 is December 31, 2013,
with the 60-day grace period extending the submission date for EPs'
attestations to no later than February 28, 2014.
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 2013 was September 30, 2013, with the 60-day grace
period extending the date for EHs' attestation submission to no
later than November 30, 2013.
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
Meaningful Use Interactive Report, hosted by Social Health
Insights at in.muprogress.com.