(Formerly Electronic Health Records Incentive Program)
Since May 2, 2011, the state of Indiana has participated in the federal Promoting Interoperability (PI) Program, formerly the Electronic Health Records (EHR) Incentive Program or meaningful use (MU), 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 of certified EHR technology (CEHRT) (see Promoting Interoperability (PI) 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 their first year, providers were eligible to receive incentive payments for adopting, implementing, or upgrading (AIU) to EHR technology.* Providers must demonstrate meaningful use in subsequent years to receive incentive payments.
* Program Year 2016 was the last year in which an eligible professional could begin participating in the Medicaid Promoting Interoperability Program.
News and Announcements
The reporting period for Program Year 2017 is now closed; therefore, no additional applications may be submitted.
For program year (PY) 2017, EPs/EHs/Critical Access Hospitals (CAHs) had until February 28, 2018, to attest to Medicaid PI criteria. Access to the Medical Assistance Provider Incentive Repository (MAPIR) for information is still available via the IHCP Provider Healthcare Portal (Portal). You can access the Portal to register for a secure account. To register on the Portal, IHCP rendering providers must have their Social Security numbers (SSNs) on file with the IHCP. Rendering providers can update their IHCP Provider Profiles with an SSN using the IHCP Rendering Provider Enrollment and Profile Maintenance Packet at indianamedicaid.com.
If you are unsure whether you need to attest, or you need help preparing for attestation or registering at the Portal, contact the Purdue Health Advisors (PHA) PI Help Desk at 1-844-742-4668.
Purdue Healthcare Advisors Provides Promoting Interoperability Support
Purdue Healthcare Advisors at Purdue University continues its work in guiding Medicaid-eligible, Indiana healthcare providers toward the PI standards associated with EHR systems. Providers eligible to benefit from this assistance are those participating in the PI programs under Medicaid or Medicare (must be actively billing Indiana Medicaid for services) and who are practicing in any of the following:
- Small groups/independent practices
- Federally qualified health centers (FQHCs)
- Community health clinics (CHCs)
- Rural health clinics (RHCs)
- Community mental health centers (CMHCs)
- Ambulatory practices employed by a critical access hospital
Additional eligibility questions are answered on the PI Help Desk web page at the Purdue Healthcare Advisors website. To see if you qualify for no-cost technical assistance*, visit the Indiana Medicaid Promoting Interoperability Programs (formerly MU) page, also on the Purdue Healthcare Advisors website. (Note: Funding for Purdue Healthcare Advisors is provided by the Centers for Medicare & Medicaid Services and administered by the Indiana Family and Social Services Administration.)
- For information about registering or attesting to PI through Indiana's portal, Medical Assistance Provider Incentive Repository (MAPIR), please contact the Indiana Medicaid PI Program Help Desk at 855-856-9563 or MedicaidHealthIT@fssa.in.gov.
- For information about the PI rule or questions related to meeting PI objectives, please contact Purdue Healthcare Advisors at 844-PHA-INMU (844-742-4668) or INMedicaidMUHelp@pha.purdue.edu.
New CMS Rule Modifies PI Program for 2015-2017
On October 16, 2015, the CMS released a final rule specifying the criteria that EPs, EHs, and CAHs must meet to demonstrate adherence to PI measures. The final rule encompasses modifications to the program for 2015-2017 (Modified Stage 2).
What You Need to Know for Program Year 2018
EPs, EHs, and CAHs that directly participate in the Indiana Medicaid PI Program will continue to attest to the objective/measure requirements as finalized in the Modified Stage 2 final rule:
- PI Reporting Period: The PI reporting period must be completed within the 2018 calendar year (January 1 through December 31 of 2018). All participants will attest to a continuous 90-day reporting period within the calendar year.
- CQM Reporting Period: The clinical quality measures (CQMs) reporting period is a continuous 90-day reporting period within the calendar year for EPs or hospitals attesting to their first year of MU in 2018. For all returning participating EPs/EHs/CAHs, the CQM reporting period is the full calendar year.
- Objectives and Measures: All participants are required to use 2014 Edition certified EHR technology (CEHRT)*. If available, providers may also attest using EHR technology certified to the 2015 Edition, or a combination of the two editions. All providers are required to attest to a single set of objectives and measures, which replaces the core/menu structure from previous program years.
*In 2018, participants may potentially attest to Stage 3 requirements if they use EHR technology certified to 2015 Edition standards, or a combination of EHR technology certified to 2015 Edition and 2014 Edition (if the combination of certified technologies would not prohibit them from meeting Stage 3 requirements). In 2019, all providers will be required to participate in Stage 3 through the use of 2015 Edition CEHRT.
For more information and additional resources, visit the CMS 2018 Medicaid Promoting Interoperability (PI) Program Requirements for EPs and Hospitals page at cms.gov.
The Indiana deadline for eligible professionals, eligible hospitals, and critical access hospitals to complete the attestation period for any Medicaid Promoting Interoperability 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 to allow for the submission of attestation data. For example, the last day to complete the attestation period for Program Year 2018 is December 31, 2018, with the 60-day grace period extending the date for eligible professionals, eligible hospitals, and critical access hospitals to submit attestation data to no later than February 28, 2019.
Please note: Program year 2016 was the last year in which an eligible professional could begin participating in the Medicaid Promoting Interoperability (PI) Program.