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

New CMS Rule allows flexibility in certified EHR technology for 2014

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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 (CMS).

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 1-855-856-9563.

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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 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 Indiana Meaningful Use Interactive Report, hosted by Social Health Insights at in.muprogress.com.

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