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Indiana Medicaid Promoting Interoperability 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 hospitals (eligible hospitals [EHs] and critical access hospitals [CAHs]) 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.**

* New registrations for the Indiana Medicaid Promoting Interoperability Program are no longer being accepted. Program year 2016 was the last year in which eligible professionals and hospitals could begin participating in the Medicaid Promoting Interoperability Program.

** No incentive payments will be made after December 31, 2021. 

News and Announcements

Program Year 2021 Reporting Is Now Open

For program year 2021, EPs and hospitals have from May 3, 2021, until October 31, 2021, to attest to Medicaid Promoting Interoperability criteria. Access to the Medical Assistance Provider Incentive Repository (MAPIR) for information is available via the IHCP Provider Healthcare Portal (Portal).

Accessing the Portal and Registering: 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.

If 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 or INMedicaidMUHelp@purdue.edu.

What You Need to Know for Program Year 2021

EPs and hospitals 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.

  • PI Objective/Measure Reporting Period: The PI reporting period for all Medicaid EPs and hospitals is a minimum of any continuous 90-day period during the respective calendar year.
    • For 2021, the reporting period can be any continuous 90-day period between January 1 and October 30, 2021.
  • Electronic Clinical Quality Measures (eCQM) Reporting Period: The 2020 Physician Fee Schedule (PFS) Final Rule established that, for both program years 2020 and 2021, all Medicaid EPs must report on a minimum 90-day eCQM reporting period. CMS encourages EPs and hospitals to submit longer timeframes, if possible.
    • For 2021, the reporting period can be any continuous 90-day period between January 1 and October 30, 2021.

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 other 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.

  • 2015 Edition Certified Electronic Health Records Technology (CEHRT): 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 must be used for the entirety of the self-selected 90-day EHR reporting period.
  • 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 program years 2020 and 2021:

For more information and additional resources, visit the CMS 2020/2021 Medicaid Promoting Interoperability (PI) Program Requirements for EPs and Hospitals page at cms.gov.

Program Deadlines

The last day to submit program year 2021 Medicaid PI data for EPs and hospitals is Sunday, October 31, 2021.

The IHCP strongly encourages EPs and hospitals to submit their attestations as early as possible before the close of the reporting period.

No incentive payments will be made after December 31, 2021.

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 Indiana Medicaid PI Q&A 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 Program 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 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 844-PHA-INMU (844-742-4668) or INMedicaidMUHelp@purdue.edu.

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