Nevada Medicaid EHR Incentive Program Information for Eligible Providers

1. Nevada Medicaid EHR Incentive Program Information for Eligible Providers

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

3. Agenda • Review Incentive Programs • Payment Year 1 Requirements • Calculating Patient Volume • PECOS & Incentive Program Registration • Brief Q&A

4. What Incentives are Available • Medicare OR Medicaid Incentives Available to Providers • Eligible Providers may participate in only ONE of the two programs • Medicaid Incentives may be paid out over 6 years. These years DO NOT have to be consecutive.

5. 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

6. What is needed to Qualify for Incentives • Be active and in good standing with Nevada Medicaid • Be a Medicaid Eligible Provider • Not hospital-based MD, DO, PA*, NP, Certified Nurse Midwife, DDS • Have a 20% - 30% Medicaid Patient Volume • 30% patient volume attributable to Medicaid or needy individual • 20% Medicaid for Pediatricians • Adopt, Implement or Upgrade to a Certified EHR Solution • Have a valid PECOS Username and Password for each provider

7. Calculating Patient Volume • Eligible Providers must have: • 30% Patient Volume attributable to Medicaid • 20% Patient Volume attributable to Medicaid for Pediatricians • Patient Volume is computed on a 90-day period in the prior calendar year • Any encounter an eligible professional has with a Medicaid recipient (whether it’s paid through a capitated arrangement with an MCO plan or fee-for-service claim to the Medicaid System) can and should be included in the patient volume calculation • This includes Advantage Plans (such as Amerigroup) • This includes border state Medicaid (such as MediCAL)

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. Registering for PECOS • PECOS: Provider Enrollment Chain and Ownership System • PECOS Username & Password is required to register for Nevada Medicaid EHR Incentives • Required for EACH Eligible Provider • https://pecos.cms.hhs.gov/pecos/login.do • PECOS Helpdesk: 866-484-8049

10. Register for Incentive Programs • Once a valid PECOS ID is obtained you will 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

11. Contact Information

12. Webinar Schedule • July 11th at 12 pm – General information including requirements for qualification and computing Patient volume & registering with PECOS register at http://tinyurl.com/NVMedicaid • 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

13. Links & Resources HealthInsight: http://www.HealthInsight.org PECOS: https://pecos.cms.hhs.gov/pecos/login.do PECOS Helpdesk: 866-484-8049 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