1. Oklahoma EHR Incentive Program

2. Incentive to in the first year... Adopt (acquire and install) Implement (commenced utilization, train staff, deploy tools, exchange data) Upgrade (expand functionality or interoperability) Or in years 2-6… Meaningfully Use (meet specified criteria)**... a certified EHR System **Meaningful Use in Year 2 Oklahoma EHR Incentive Program

3. EP & EH Eligibility Medicare Only Eligible ChoiceMedicaid Only Eligible Doctors of OptometryDoctors of MedicineNurse Practitioners Doctors of Podiatric Medicine Doctors of OsteopathyCertified Nurse Midwives ChiropractorsDoctors of Dental Medicine or Surgery Physician Assistants leading a FQHC or RHC Medicare Only Eligible BothMedicaid Only Eligible Subsection(d) hospitals in 50 U.S. states and the District of Columbia* Most subsection(d) hospitals/acute care hospitals Children’s Hospitals Critical Access Hospitals (CAHs)* Most CAHsAcute Care Hospitals in the territories Cancer Hospitals * without 10% Medicaid Encounters Eligible Hospitals Eligible Professionals

4. Can tribal clinics be treated as Federally Qualified Health Centers (FQHCs) for the Medicaid EHR Incentive Program? CMS previously issued guidance stating that health care facilities owned and operated by American Indian and Alaska Native tribes and tribal organizations ("tribal clinics") with funding authorized by the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended) must be reimbursed as FQHCs in order to be considered FQHCs in the Medicaid EHR Incentive Program. CMS revised this policy and will allow any such tribal clinics to be considered as FQHCs for the Medicaid EHR Incentive Program, regardless of their reimbursement arrangements.

5. The Attestation Process 1. Provider registers with CMS Must wait two days after Centers for Medicare and Medicaid Services registration and attestation system registration Make sure you enter your CMS certification number for your EHR system 2. Complete the Appendix A for all individuals in an Indian Health Service, Tribal Hospital, or Outpatient Clinic Must receive PIN from OHCA 3. Proceed to the OHCA electronic provider enrollment (EPE) website 4. Fill out attestation, electronically sign contract amendment and fax requested supporting documentation to OHCA Registration CMS Complete Appendix A for all Professionals Appendix A Secure Site Attestation OHCA Fax Required Documents FAX Non-Claim Specific Payout RA

6. Meaningful Use of EHR Meaningful Use (MU) Meaningful use of EHR technology is a major goal of this program. CMS has determined that MU will be rolled out in three stages. The current rule provides specific information on Stage 1 which focuses heavily on establishing the functionalities in certified EHR technology that will allow for continuous quality improvement and ease of information exchange. Eligible Professionals 25 meaningful use objectives Minimum of 20 objectives 6 clinical quality measures Eligible Hospitals 24 meaningful use objectives Minimum of 19 objectives 15 clinical quality measures Must report on all measures

7. Current Statistics for IHS/Tribal Providers (7.8%) TypeRegisteredPaid$ Totals Eligible Professionals 200110$2,237,500 Eligible Hospitals 42$1,660,916 Total:204112$3,998,416 *As of 9/29/2011 TypeRegisteredPaid$ Totals Eligible Professionals 1231862$32,845,474 Eligible Hospitals 7845$18,352,916 Total:$51,198,390 Current Statistics for Oklahoma EHR Incentive Program

8. Helpful Resources www.okhca.org/ehr-incentive www.cms.gov/EHRIncentivePrograms www.HealthIT.hhs.gov Email: okehrincentive@okhca.orgokehrincentive@okhca.org Email: melissa.clampitt@okhca.orgmelissa.clampitt@okhca.org Upcoming Regular All-Provider Spring & Fall Training Phone: Melissa Clampitt – 405-522-7567

9. Thank You!