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.
EHR Program Year 2014 grace period extended through April 30,
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
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;
- 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
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.
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
Meaningful Use Interactive Report, hosted by Social Health
Insights at in.muprogress.com.