Filing with Ohio Medicaid for EHR Incentives in 2012

1. Filing with Ohio Medicaidfor EHR Incentivesin 2012 Cathy Costello, JD March 16, 2012

2. Medicaid EHR Incentives

3. From 2011 – 2013Filing for Medicaid Incentives

4. MPIP Overviewfor Eligible Professionals • MPIP runs through Calendar Year 2021 • Participation in the program • EPs - 6 years (not necessarily consecutive) • Year 1 (Regardless of year of filing) - Eligible professionals qualify by adopting, implementing, or upgrading to certified EHR technology; EHR technology must be tested and certified by the Office of the National Coordinator (ONC) Authorized Testing and Certification Body (ATCB) • Year 2 (Regardless of year of filing) – Eligible professionals qualify by meeting 90 days of Meaningful Use and attesting to MU • Year 3 (Regardless of year of filing) – Eligible professionals qualify by meeting 365 days of Meaningful Use, attesting and/or submitting as required

5. Information Needed for Year 2 • The Provider/Group information will pre-populate if the EP is filing for 90 days MU in Year 2. • Information on the EHR system will only need to be re-entered if there is some change in the system (i.e., different vendor; new version). • Information that needs to be entered each year is information relating to Patient Volume. • Information relating to the Meaningful Use attestation will need to be filed separately each year.

6. EP Patient Volume CalculationFQHC/RHC • Medicaid Patient Volume for FQHC/RHC-based EPs Needy Patient Encounters Total Patient Encounters • For any continuous 90-day period in the preceding calendar year

7. EP Patient Volume CalculationFQHC/RHC Needy Patient Encounters • Definition of Needy Encounters: • Services rendered to an individual on any one day where Medicaid or SCHIP paid for all or part of the service • Services rendered to an individual on any one day where Medicaid or SCHIP paid for all or part of their premiums, copayments, and/or cost-sharing • Services rendered to an individual on any one day on a sliding scale or that were uncompensated • Out-of-State Medicaid Encounters: • Can be included in Medicaid patient encounters (numerator) • Must also be included in total encounters (denominator)

8. Meaningful Use Attestation • Every provider that has received A/I/U will need to meet 90 days of MU before receiving the next incentive payment ($8,500) for Year 2. • MU measures include 15 Core measures and 5 of 10 Menu measures for each provider. Most measures should be recorded by the EHR system in use. • Core measures include such items as e-prescribing, recording patient demographics, recording vital signs, performing a security check, recording Clinical Quality Measures (CQM) among others.

9. Meaningful Use Specification Sheet • The authoritative source on MU Criteria • Downloadable PDF index that links to the details online: • http://www.cms.gov/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdf • Updated by CMS to account for any corrections or changes

10. Example of e-Exchange of Clinical Info

11. Meaningful Use Attestation

12. Meeting/Not Meeting MUhttp://www.cms.gov/apps/ehr/meaningful-use-calculator-professionals.aspx

13. Public Health Reporting • All Eligible Professionals (EPs) and Eligible Hospitals (EHs) are required to meet one MU measure related to public health reporting. • For FQHC EPs, this reporting would be immunization reporting to the Ohio Department of Health’s Impact SIIS program (Menu Measure 9). • If your providers are not already reporting to Impact SIIS, ODH/Medicaid are establishing the parameters for PH reporting, to be announced this month.

14. Medicaid Contact Information • MPIP Help Desk Support: 877-537-6747 (JFS-MPIP) • Technical Assistance • Password reset, log-in assistance • Program Support • MPIP eligibility, enrollment, payment or appeals status • MPIP Team • ODJFS MPIP Website: http://jfs.ohio.gov/OHP/HIT%20Program.stm • Email: MPIP@jfs.ohio.gov • FAQs for Medicaid EHR Incentive Program • http://jfs.ohio.gov/OHP/reports/data/MPIP_FAQv3.1.pdf

15. Questions • Cathy Costello, JD • ccostello@ohiponline.org • 614.664.2607 • David Groves • DGroves@HEALTHBRIDGE.org • 513.247.6860 • MPIP • MPIP@jfs.ohio.gov • 877.537.6747