(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
In the fall of 2018, Greenway Health LLC reached out to their customers regarding measure calculation errors affecting two Promoting Interoperability measures:
- View, Download, Transmit (VDT)
- Patient-Specific Education
For program year 2018, EPs, EHs, and Critical Access Hospitals (CAHs) now have until March 14, 2019, to attest to Medicaid Promoting Interoperability criteria. Access to the 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 on this website.
If you are unsure whether you need to attest, or you need help preparing for attestation or registering at the Portal, contact the Purdue Healthcare Advisors Indiana Medicaid Promoting Interoperability Programs 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 Promoting Interoperability Help Desk Eligibility Q&A web page on the Purdue Healthcare Advisors website at pha.purdue.edu. 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 CMS and administered by the Indiana FSSA.)
- For information about registering or attesting to PI through MAPIR (via the IHCP Portal), please contact Indiana Medicaid Promoting Interoperability Program/MAPIR Customer Service at 1-855-856-9563 or MedicaidHealthIT@fssa.in.gov.
- For information about the PI rule or questions related to meeting PI objectives, please contact the Purdue Healthcare Advisors Indiana Medicaid Promoting Interoperability Programs Help Desk at 1-844-PHA-INMU (1-844-742-4668) or INMedicaidMUHelp@pha.purdue.edu.
What You Need to Know for Program Year 2019
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 CMS 2019 Inpatient Prospective Payment Systems (IPPS) Final Rule:
- Promoting Interoperability Reporting Period: For 2019, the PI reporting period for Medicaid EPs and EHs is a minimum of any continuous 90-day period in calendar year 2019 (January 1 through December 31 of 2019).
- Electronic Clinical Quality Measures (eCQM) Reporting Period: The 2019 Physician Fee Schedule (PFS) Final Rule established that, in 2019, Medicaid EPs who are returning participants must report on a 1-year eCQM reporting period, and first-time meaningful users must report on a 90-day eCQM reporting period. EPs are required to report on any six eCQMs related to their scope of practice. In addition, Medicaid EPs are required to report on at least one outcome measure. If no outcome measures are relevant to that EP, they must report on at least one high-priority measure. If there are no outcome or high-priority measures relevant to an EP’s scope of practice, they must report on any six relevant measures.
- Certified Electronic Health Records Technology: Beginning with the EHR reporting period in calendar year 2019, all participants in the Medicaid PI Program are required to use 2015 Edition CEHRT. This requirement will benefit healthcare providers and patients by using the most up-to-date standards and functions to better support interoperable exchange of health information and improve clinical workflows. The 2015 Edition CEHRT does not need to be implemented by January 1, 2019, but must be used for the entirety of the self-selected 90-day EHR reporting period.
- Objectives and Measures: The 2019 Medicare Physician Fee Schedule (PFS) Final Rule made changes to the previously established Stage 3 Objectives and Measures. Please see the following Medicaid specification sheets for more information on the requirements to meet all eight Medicaid Promoting Interoperability Program objectives:
- Eligible Professionals - PI Objectives and Measures
- Eligible Hospitals and Critical Access Hospitals - PI Objectives and Measures
For more information and additional resources, visit the CMS 2019 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.
Please note that, for Program Year 2018, the CMS has directed an extension of the 60-day grace period. The last day to complete the attestation period for Program Year 2018 was December 31, 2018, with the grace period extending the date for eligible professionals, eligible hospitals, and critical access hospitals to submit attestation data to no later than March 14, 2019. This grace period end date is a change from the previous date of February 28, 2019.
Note: Program year 2016 was the last year in which an eligible professional could begin participating in the Medicaid Promoting Interoperability Program.