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Indiana Medicaid Promoting Interoperability Program

(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

Help the ONC Improve Transparency in the Certified Health IT Market

Stakeholders are invited to attend an open forum to provide input on the EHR Reporting Program, which the Office of the National Coordinator for Health Information Technology (ONC) is developing to provide publicly available, no-cost, comparative information on certified health information technology (IT) available on the market. See Open Forums to Inform a New Comparison Tool for details.

Greenway Health Calculation Errors

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
These measures are calculating numerators at higher values than they should. Greenway Health is actively working to remediate the issues and has notified CMS and state agencies as well as customers using the impacted products, versions, and Certified Health IT Product List (CHPL) ID numbers. 
 
Current Indiana Medicaid Promoting Interoperability Program providers impacted by this issue are advised not to attest to program year 2018 PI Program measures using the current reports.
 
Providers should not attest to the Indiana Medicaid PI Program measures for program year 2018 if they are impacted by this calculation error. In the meantime, providers can log into the Medical Assistance Provider Incentive Repository (MAPIR) attestation system (available from the IHCP Provider Healthcare Portal) and enter program year 2018 Medicaid patient volume data. 
 
After Greenway Health fixes the issues and providers have updated their Greenway Health product, if providers still achieve the PI measure thresholds, they may then reaccess their application in MAPIR, enter the remaining data, and submit the application for processing. Greenway Health representatives have stated that fixes may not occur until late 2019. 
 
In the event that a provider attests using the deficient CEHRT and is randomly selected for an audit, the provider will not be penalized during the post-payment audit if they were unaware of CEHRT deficiencies at the time of their attestation. However, now that Greenway Health has alerted state agencies and their customers of known issues, providers should not attest to Meaningful Use with data they know to be incorrect. As a reminder, per regulation, eligible providers must maintain documentation to support their attestations for at least 6 years.
 
If you are a Greenway Health EHR software customer and want to be considered for an attestation extension for Program Year 2018 ONLY, please fill out the online form available on the Greenway Health EHR Software Issues web page at pha.purdue.edu. Indiana Family and Social Services Administration (FSSA) will review the submissions and notify providers whether or not they have been approved for an extension of 60 days. 
 

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: 

For more information and additional resources, visit the CMS 2019 Medicaid Promoting Interoperability (PI) Program Requirements for EPs and Hospitals page at cms.gov.

Program Deadlines

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.

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