Nevada Medicaid EHR Incentive Program for Eligible Hospitals

1. Nevada Medicaid EHR Incentive Program for Eligible Hospitals Rural Hospitals Critical Access Hospitals

2. Information & Handouts • Accessing Handouts and Supporting Documents • Asking Questions & Getting Answers

3. Agenda • What Incentives are Available • Calculating Incentive Payments • When Incentives are Available • Qualifying for Incentives • Brief Q&A

4. What Incentives Are Available • Medicare AND Medicaid Incentives Available to Eligible Hospitals • Eligible Hospitals may participate in only BOTH of the two programs • Medicaid incentive payments may begin as late as FY2016 • https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdf

5. Hospital Incentive Calculation • The Overall EHR Amount is determined by the formula: • The Medicaid Share is determined by the formula:

6. When are Incentives Available • Nevada Medicaid EHR Incentive Program is currently scheduled to launch early August • Expect Year 1 payment 4-6 weeks after attestation for Adoption Implementation or Upgrade • Medicaid Incentive Payments will be made up to 2021

7. What is needed to Qualify for Incentives • Have at least 10% of patient volume attributable to Medicaid • Have a CCN that has the last four digits in the series 0001 – 0879 or 1300 – 1399 • Have an average length of patient stay of 25 days or fewer. • Adopt, Implement or Upgrade to a Certified EHR Solution

8. Adopt, Implement & Upgrade • Simple Definition: Sign an agreement to implement a Certified EHR (if not on an EHR) or upgrade to the Certified EHR Version (if already on an EHR) • Verify your EHR is certified by visiting: http://oncchpl.force.com/ehrcert?q=CHPL • Clinical Compliance is not required in Year 1

9. Patient Volume • 10% Medicaid patient volume over 90-day period in the most recent prior fiscal year • Patient volume can be aggregated from multiple locations or states • Medicaid Patient volume = (Total Medicaid Patient encounters / total patient encounters) x 100

10. A, I, U Requirements • EPs and EHs will need to be prepared to provide information and documentation about their EHR adoption efforts at the time of attestation including: • EHR Certification Number which can be found at http://oncchpl.force.com/ehrcert?q=CHPL • Medicaid Patient Volume Information including Numerator and Denominator • Signed letter on practice letterhead stating Adopt, Implement or Upgrade methodology being used and how efforts support this methodology • Copy of Purchase Order, Contract, Service Agreement, etc. to prove the purchase or acquisition of a Certified EHR.

11. Register for Incentive Programs • Users must have an Identity and Access Management system (I&A) web user account • Register using the Medicare and Medicaid EHR Incentive Program Site to indicate your intent to participate in Nevada Medicaid EHR Incentive Program • https://ehrincentives.cms.gov/hitech/login.action

12. Contact Information

13. Webinar Schedule Past Sessions • July 11th– General information including requirements for qualification and computing Patient volume & registering with PECOS (access the recording at http://www.healthinsight.org/Internal/REC_Events.html Upcoming Sessions • July 18th at 11am – Hospital Medicaid Information http://tinyurl.com/NVMedicaidHospital • July 18th at 1pm – Frequently Asked Questions http://tinyurl.com/NVMedicaidFAQ • July 25th at 12 pm – Registration/Attestation Process http://tinyurl.com/NVMedicaidReg • August 1st at 1pm – Repeat of Registration/Attestation Process http://tinyurl.com/NVMedicaidAttest

14. Links & Resources HealthInsight: http://www.HealthInsight.org Incentive Registration: https://ehrincentives.cms.gov/hitech/login.action CMS Medicaid FAQ: https://questions.cms.gov/ Nevada Medicaid FAQ: https://dhcfp.nv.gov/EHRI/Final%20FAQ's.pdf EHR Certification Information: http://oncchpl.force.com/ehrcert?q=CHPL Hospital Attestation User Guide: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/HospAttestationUserGuide.pdf CMS Medicaid Hospital Incentive Calculation Tip Sheet: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdf