ICD-10 Update for PAG/TAG

1. ICD-10 Update for PAG/TAG August 8th, 2014

2. Contents

3. ICD-10 Project Update 2

4. Countdown to ICD-10 Implementation We are now one year, one month and 23 days away from the ICD-10 Implementation! DAYS October 1st, 2015 What are your next steps to prepare for the transition?

5. MaineCare’s ICD-10 Phase 2 Project Timeline Today Monitoring Period

6. MaineCare’s ICD-10 Delay Timeline MaineCare has developed an alternate project plan to meet the ICD-10 compliance deadline of October 1, 2015. Timeline Resume Implementation Activities 02/01/2015 Continue Progress Present – 09/30/2014 Monitor Developments 10/01/2014 – 01/31/2015 Key Activities It is critical that providers use this additional time to continue preparing for the ICD-10 transition!

7. MaineCare’s ICD-10 Phase 2 Key Accomplishments The MaineCare ICD-10 project is currently in the Testing Stage.

8. MaineCare’s ICD-10 Phase 2 Activities System changes and supporting business processes are being tested to confirm that they meet ICD-10 requirements. Training materials for MaineCare employees are being finalized and development of communication material is ongoing.

9. MaineCare’s ICD-10 Phase 2 Upcoming Activities System changes will go through several testing stages before training is provided to MaineCare employees. Operations and Data Analytics System Integration Testing (SIT) User Acceptance Testing (UAT) Finalization of training materials System Configuration and Information Technology Remediation Implementation Activities

10. Provider Outreach and Resources 9

11. ICD-10 Delay Update • On April 1, 2014, Congress enacted a law that delayed the implementation of ICD-10. • MaineCare distributed a listserv on July 25, 2014 containing information on CMS’s interim ruling on the ICD-10 implementation date and MaineCare’s response. • CMS has recently released a final ruling to confirm that October 1, 2015 will be the official date for the ICD-10 implementation. • Now that this final rule has been issued, it is critical that providers continue preparing for ICD-10 in order to be ready for the transition.  • Given the ICD-10 compliance delay, pilot testing is now targeted for spring 2015.

12. ICD-10 Provider Resources Both MaineCare and CMS have developed a variety of resources containing information on ICD-10 for providers. • MaineCare’s ICD-10 website contains ICD-10 related resources: • ICD-10 Background • ICD-10 FAQs • PAG/TAG Meeting Materials • Regional Forum Presentation and Recording • Provider Type Specific Presentations • MaineCare also encourages providers to access CMS resources about ICD-10 on the CMS Provider Resources webpage. • Examples of resources for providers include the following tools: • Online ICD-10 Implementation Guide – Roadmap and tools for transitioning to ICD-10 for small, medium, and large providers • ICD-10 Coding Basics – Video describing the differences between ICD-9 and ICD-10, including how to determine appropriate codes in ICD-10 • Talking to Your Vendors About ICD-10: Tips for Medical Practices – Tip sheet for discussing ICD-10 readiness with vendors

13. Additional Resources For more information, please refer to the following resources:

14. Questions and Answers for being part of this important initiative! 13