FAQs - Indiana Electronic Health Records Incentive Program

What individual provider types are eligible?

Eligible professionals under the Medicaid EHR Incentive Program include:

  • Physicians (primarily doctors of medicine and doctors of osteopathy)
  • Nurse practitioners
  • Certified nurse-midwives
  • Dentists
  • Physician assistants practicing in Federally Qualified Health Centers (FQHCs) or rural health clinics (RHCs) led by a physician assistant

What hospital types are eligible?

Eligible hospitals under the Medicaid EHR Incentive Program include:

  • Acute care hospitals
    • Subsection(d) hospitals in the 50 U.S. states or the District of Columbia, or critical access hospitals (CAH); and
    • Have a CMS Certification Number ending in 0001-0879 or 1300-1399; and
    • Have 10 percent of their patient volume derived from Medicaid encounters.
  • Children's hospitals - Have a CMS Certification Number ending in 3300-3399

What are the patient volume requirements necessary to qualify?

To qualify for an incentive payment under the Medicaid EHR Incentive Program, eligible professionals must meet one of the following criteria:

  • Have a minimum of 30 percent of their patient volume derived from Medicaid
  • Have a minimum of 20 percent of their patient volume derived from Medicaid and be a pediatrician
  • Practice predominantly (more than 50 percent of clinical services) in an FQHC or rural health clinic (RHC) and have a minimum of 30 percent of their patient volume attributable to needy individuals

To qualify for an incentive payment under the Medicaid EHR Incentive Program, eligible acute care hospitals must have a minimum Medicaid patient volume of 10 percent. Children's hospitals have no patient-volume requirements.

Will I have to meet meaningful use criteria during my first year of participation?

No, during the first participation year, eligible providers and hospitals will not have to demonstrate meaningful use. In Indiana, eligible providers and hospitals will be required to attest that they had adopted, implemented, or upgraded (sometimes referred to as "AIU") to certified EHR technology in the first year. Eligible providers and hospitals will have to demonstrate meaningful use in future years.

Where can I find a list of certified EHR systems? What information will I need to provide about my EHR system?

A list of certified EHR systems is available through the Office of the National Coordinator for Health Information Technology at http://onc-chpl.force.com/ehrcert.

Once you select a certified EHR system, you will need the following information to attest:

  • CMS EHR Certification Identification (ID)
  • Vendor name
  • Product name
  • Product version

What is acceptable verification of adopting, implementing, or upgrading to certified EHR technology?

Appropriate documentation can be a copy of a contract, sales receipt, invoice, or other official record.

What information do I need to provide to complete the hospital payment worksheet?

To complete the hospital payment worksheet, you will need the following information from an auditable source:

  • Annual discharges for the most recent four fiscal years (federal, state, or hospital)
  • Medicaid inpatient-bed days (most recent year)
  • Total inpatient-bed days (most recent year)
  • Historical data for the most recent four years (for example, Medicare Cost Report)

If I am not eligible for the Medicaid EHR incentive program, is there another way I might receive incentive payments?

Based on CMS-specified eligibility criteria, it is possible that even if you are deemed ineligible for the Medicaid EHR Incentive Program, you might qualify for the Medicare EHR Incentive Program. Check the Medicare eligibility guidelines on the CMS Web site to see if you qualify.

How do I enroll in Web interChange?

If you are a rendering provider who will be registering for the EHR Incentive Program, you will need to obtain access to Web interChange. To do so, please complete the Web interChange Administrator Request Form located under Web interChange > "How to Obtain an ID" on indianamedicaid.com. Submit the request form and a letter of acknowledgement to the address on the form or fax it to HP EDI Solutions at (317) 488-5185. To complete the EHR registration process, all rendering providers will need their own access to Web interChange.

For assistance, please contact the Web interChange team via telephone at (317) 488-5160 or 1-877-877-5182; or via email at INXIXElectronicSolution@hp.com.