Vermont Medicaid EHR Incentive Payment Program

1. Vermont Medicaid EHR Incentive Payment Program MAPIR Launch Update Program Status Meaningful Use Plans December 15, 2011 VITL Meaningful Use Webinar - 12/15/2011 - Bequette

2. Today’s agenda • Vermont’s Incentive Payment Program • Preliminary comments • MAPIR launch and EHRIP program update • Medical Assistance Provider Information Repository • By the numbers, and the dates • Experience and issues to date • Next milestone: Meaningful Use • Q&A VITL Meaningful Use Webinar - 12/15/2011 - Bequette

3. Preliminary Comments • Funding and payment delays explained • “Show us the money!” • Payment processing through year-end • Income tax considerations • Supporting the program - staffing • Thoughts on working together VITL Meaningful Use Webinar - 12/15/2011 - Bequette

4. EHRIP Update – Dates and Numbers • AIU (Adopt/Implement/Upgrade) Attestations began on October 17 • To date: • 273 Providers have accessed MAPIR • 119 Not started • 17 Incomplete • 93 Pended for Review • 32 Payment Approved • 3 Denied • 9 Cancelled (Inactive) VITL Meaningful Use Webinar - 12/15/2011 - Bequette

5. EHRIP Update – Payments • Approved to date: • $2,333,022 • (one hospital; 31 eligible professionals) • Pending approval • $3,638,496 • (two hospitals; 91 eligible professionals) • Potential year end payout: • $5,971,518 • (3 hospitals; 122 eligible professionals) VITL Meaningful Use Webinar - 12/15/2011 - Bequette

6. EHRIP Update – Grace Period • Eligible providers have a grace period during which they can still apply for a 2011 payment year A/I/U incentive payment • For Eligible Providers the grace period is 60 days following the end of the year, • February 29, 2012 • For Hospitals the grace period is 90 days following the end of the Federal Fiscal Year which ended September 30, 2011 • December 29, 2011 VITL Meaningful Use Webinar - 12/15/2011 - Bequette

7. Beyond AIU – Meaningful Use Planning • Meaningful Use Reporting Criteria: • 2nd payment year: • Meaningful Use Stage 1; 90 day EHR Reporting • 3rd payment year: • Meaningful Use Stage 1; full year EHR Reporting • 4th payment year: • Meaningful Use Stage 2; full year EHR Reporting • Some of this may change with CMS updates VITL Meaningful Use Webinar - 12/15/2011 - Bequette

8. Beyond AIU – Meaningful Use Planning • Things you will need for Meaningful Use attestation (eligible professionals): • A 90-day period from the previous calendar year used to demonstrate your Medicaid and/or Needy Individual patient encounter volume; • A 90-day EHR reporting period from the payment year (e.g., from 2012 for a 2012 payment) from which Meaningful Use measures are taken VITL Meaningful Use Webinar - 12/15/2011 - Bequette

9. Beyond AIU – Meaningful Use Planning • Vermont’s preparation for Meaningful Use attestation: • Software update to the MAPIR system to support Meaningful Use Attestation (June 2012) • Manuals under development for Hospitals and Eligible Professionals • Webinars to walk through the screens and the process • Testing (with some volunteer providers?) VITL Meaningful Use Webinar - 12/15/2011 - Bequette

10. EHRIP Update – Future Topics • Auditing the EHRIP program • Develop Audit program, procedures and process • Implement the audit function • Ongoing oversight of the EHRIP attestations and payments • Valid sampling of providers to review data submissions • Addressing multi-year issues • Tracking providers through the EHRIP process from year to year • Payment accumulations • Provider movement from Group to Group • Provider migrations in and out of the State VITL Meaningful Use Webinar - 12/15/2011 - Bequette

11. EHRIP Update - Issues • Provider Access to MAPIR • Provider relationships with Payee and Groups • Providing a complete set of NPIs to validate encounter data VITL Meaningful Use Webinar - 12/15/2011 - Bequette

12. Contact Information • Terry Bequette Assoc. State HIT Coordinator Department of Vermont Health Access 289 Hurricane Lane Williston VT 05495 Terry.bequette@ahs.state.vt.us 802.879.5996 • Paul Forlenza Vice President, Policy and Special Projects Vermont Information Technology Leaders, Inc. Vermont’s Regional Extension Center 144 Main Street, Suite 1 Montpelier VT 05602 pforlenza@vitl.net 802.839.1942 • Carol Kulczyk Director of Program Implementation Vermont Information Technology Leaders, Inc. Vermont’s Regional Extension Center 144 Main Street, Suite 1 Montpelier VT 05602 ckulczyk@vitl.net 802.839.1957 FIRST CHOICE: Send Email query to ahs.mapir.vt@state.vt.us Call the MAPIR support line: 802.879.2377 (leave a message; this line is monitored several times a day) VITL Meaningful Use Webinar - 12/15/2011 - Bequette 12

13. Questions? VITL Meaningful Use Webinar - 12/15/2011 - Bequette