1. MO HealthNet EHR Incentive Program MHA Meaningful Use Symposium April 27, 2012

2. 2 ARRA & HITECH HITECH Act Health Information Technology for Economic & Clinical Health Act Title XIII and Title IV of the ARRA stimulus package focus on supporting widespread adoption of health information technology. ARRA American Recovery & Reinvestment Act $787 Billion federal stimulus package passed by Congress and signed in February 2009.

3. 3 EHR Incentive Programs  Incentive payments through Medicare and/or Medicaid support certain hospitals and professionals in adopting “certified EHR technology” Different eligibility criteria, payment calculation, etc.  For Medicaid, professionals receive $21,250 in year 1 with a documented effort to “adopt, implement, or upgrade” $8,500 in subsequent years  For Medicaid, hospital payments vary based on a calculation that takes into account inpatient volume and other criteria Benchmark of $2 million (over 3 years); amounts vary significantly

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5. Missouri Registrations  2800 professionals and hospitals have registered with CMS to apply for Missouri’s EHR Medicaid Incentive Program (04/20/12): o 125 hospitals o 1790 physicians o 660 nurse practitioners o 185 dentists o 40 midwives and physician assistants  2466 providers have accounts on Missouri’s portal; 52% have completed attestations: o 404 have received payment; 144 have future payment scheduled o 16 are pending payment, awaiting final CMS approval o 870 more have submitted attestations (20 EHs, 850 EPs) 5

6. Missouri EHR Incentive Payments July 2011 – May 1, 2012 Total hospital payments (50) $ 49,072,474 Total professional payments (498) $ 10,575,417 Total incentive payments = $ 59,647,891 6

7. EHs & EPs Receiving Incentive Payments Year 1: AIU thru February 2012 Hospitals Professionals

8. Important Dates - 2012 January 2012 Medicaid only Eligible Hospitals can submit MU attestation for FFY 2012 (3 months data) Dually eligible Hospitals can submit 1 st year MU attestation for FFY 2012 (3 months data) March 30, 2012 The last day for Eligible Professionals to submit AIU attestation to receive a Medicaid EHR incentive payment for Calendar Year 2011 April 2012 Eligible Professionals can submit MU attestation for Calendar Year 2012 (3 months data) October 2012 Dually eligible Hospitals can submit 2 nd year MU attestation for FFY 2012 (12 months data) 8

9. 9 Resources Missouri’s Portal: http://mo.arraincentive.com http://mo.arraincentive.com o SLR Help Desk: SLRHelpdesk@acs-inc.com and (866) 879-0109SLRHelpdesk@acs-inc.com o Missouri specific Help Desk for consultations and webinars MO HealthNet EHR Incentive Program website: http://www.dss.mo.gov/mhd/ehr/ http://www.dss.mo.gov/mhd/ehr/ o Program Fact Sheet & Frequently Asked Questions o Email address for questions: MHD.EHRincentives@dss.mo.govMHD.EHRincentives@dss.mo.gov Missouri HIT Assistance Center http://ehrhelp.missouri.edu http://ehrhelp.missouri.edu o Assistance with EHR adoption for certain provider segments CMS EHR website: https://www.cms.gov/EHRIncentivePrograms/ https://www.cms.gov/EHRIncentivePrograms/ o Fact sheets, Registration, FAQs, etc.

10. 10 SLR Meaningful Use Demonstration Issues o Numerator/denominator for clinical quality measures o Options for submitting data for multiple providers Questions

11. SLR Demo https:// acs-inc.webex.com/acs- inc/j.php?ED=163483482&UID=0&PW=NMjcz ZjQ5NDcw&RT=MiMxMQ%3D%3D 11