Filing with Ohio Medicaid for EHR Incentives in 2012 Cathy Costello, JD March 16, 2012

Medicaid EHR Incentives Calenda r Year $21, $8,500$21, $8,500 $21, $8,500 $21, $8,500 $21, $8,500 $21, $8, $8, $8, $8, $8,500 TOTAL$63,750

From 2011 – 2013 Filing for Medicaid Incentives 2011 Only A/I/U 1 st Year Incentive Available 2012 A/I/U (if not previously filed for incentive) or MU 90 days, depending on A/I/U 2011 filing 2013 A/I/U or MU 90 days or MU full calendar year, depending on previous filings

MPIP Overview for Eligible Professionals MPIP runs through Calendar Year 2021 Participation in the program EPs - 6 years (not necessarily consecutive) Year 1 (Regardless of year of filing) - Eligible professionals qualify by adopting, implementing, or upgrading to certified EHR technology; EHR technology must be tested and certified by the Office of the National Coordinator (ONC) Authorized Testing and Certification Body (ATCB) Year 2 (Regardless of year of filing) – Eligible professionals qualify by meeting 90 days of Meaningful Use and attesting to MU Year 3 (Regardless of year of filing) – Eligible professionals qualify by meeting 365 days of Meaningful Use, attesting and/or submitting as required 4

Information Needed for Year 2  The Provider/Group information will pre-populate if the EP is filing for 90 days MU in Year 2.  Information on the EHR system will only need to be re- entered if there is some change in the system (i.e., different vendor; new version).  Information that needs to be entered each year is information relating to Patient Volume.  Information relating to the Meaningful Use attestation will need to be filed separately each year.

Medicaid Patient Volume for FQHC/RHC-based EPs Needy Patient Encounters Total Patient Encounters For any continuous 90-day period in the preceding calendar year 6 EP Patient Volume Calculation FQHC/RHC

Definition of Needy Encounters:  Services rendered to an individual on any one day where Medicaid or SCHIP paid for all or part of the service  Services rendered to an individual on any one day where Medicaid or SCHIP paid for all or part of their premiums, copayments, and/or cost-sharing  Services rendered to an individual on any one day on a sliding scale or that were uncompensated Out-of-State Medicaid Encounters:  Can be included in Medicaid patient encounters (numerator)  Must also be included in total encounters (denominator) 7 EP Patient Volume Calculation FQHC/RHC Needy Patient Encounters

Meaningful Use Attestation  Every provider that has received A/I/U will need to meet 90 days of MU before receiving the next incentive payment ($8,500) for Year 2.  MU measures include 15 Core measures and 5 of 10 Menu measures for each provider. Most measures should be recorded by the EHR system in use.  Core measures include such items as e-prescribing, recording patient demographics, recording vital signs, performing a security check, recording Clinical Quality Measures (CQM) among others.

Meaningful Use Specification Sheet The authoritative source on MU Criteria Downloadable PDF index that links to the details online: ePrograms/Downloads/Hosp_C AH_MU-TOC.pdf Updated by CMS to account for any corrections or changes 9

Example of e-Exchange of Clinical Info 10

Meaningful Use Attestation

Meeting/Not Meeting MU

Public Health Reporting  All Eligible Professionals (EPs) and Eligible Hospitals (EHs) are required to meet one MU measure related to public health reporting.  For FQHC EPs, this reporting would be immunization reporting to the Ohio Department of Health’s Impact SIIS program (Menu Measure 9).  If your providers are not already reporting to Impact SIIS, ODH/Medicaid are establishing the parameters for PH reporting, to be announced this month.

Medicaid Contact Information 14 MPIP Help Desk Support: (JFS-MPIP)  Technical Assistance Password reset, log-in assistance  Program Support MPIP eligibility, enrollment, payment or appeals status MPIP Team  ODJFS MPIP Website:   FAQs for Medicaid EHR Incentive Program

Questions Cathy Costello, JD David Groves MPIP