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Kentucky Medicaid EHR Incentive Program

Status of the Kentucky Medicaid EHR Incentive Program

Attention Providers: The Kentucky Medicaid EHR Incentive Program is not accepting program year 2017 MU attestations at this time.

Please visit EHR Incentive Program to complete your registration for the Kentucky Medicaid EHR Incentive Program. Information about the program is provided below.

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What's New

Kentucky REC hosts Healthcare Transformation Survival Seminars

(July 10, 2017) The Kentucky REC is hosting four seminars providing an in-depth look at the Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program. Significant changes to physician payments now are tied to quality and value. This event will prepare healthcare providers for the changes under MACRA and Value-Based Payment. We will explore: QPP eligibility, QPP reporting metrics, improvement activities, ACI and meaningful use, HIPAA requirements and quality improvement. Lunch will be provided. This activity has been approved for AMA PRA Category 1 Credit.

Dates/Locations
Aug. 18, 2017 - London, KY
London Community Center
Room AB
529 S Main St
London, KY 40741
9:30 a.m. - 3 p.m. Eastern time

Sept. 14, 2017 - Georgetown, KY
Georgetown College
Banquet Hall
100 Crawford Drive
Georgetown, KY 40324
9:30 a.m. - 3 p.m. Eastern time

Sept. 28, 2017 - Paducah, KY
Baptist Health Paducah
Heart Center Auditorium
2501 Kentucky Avenue
Paducah, KY 42003
9:30 a.m. - 3 p.m. Central time

Oct. 5, 2017 - Ashland, KY
Ashland Community College
The Rocky Adkins Pavilion
902 Technology Drive
Grayson, KY 41143
9:30 a.m. - 3 p.m. Eastern time

Register Now

Registration Fee
Clinicians/practice representatives/non-profit organizations: $25
Vendors and non-practice representatives: $75

Quality Payment Program (QPP) Resources

(June 15, 2017) CMS recently has revamped the look of the Quality Payment Program website and also posted new resources to help clinicians successfully participate in the first year of the Quality Payment Program. CMS encourages clinicians to visit the website to review the following new resources:

To get the latest information, visit the Quality Payment Program website.

KHIE Declaration of Readiness: Program Year 2018

(June 15, 2017) The Kentucky Health Information Exchange (KHIE) is the Public Health Authority for meaningful use (MU) reporting in Kentucky.  Kentucky Eligible Professionals (EPs) and Eligible Hospitals/Critical Access Hospitals (EH/CAHs) who wish to submit to any of the following registries must do so through KHIE. 
For Meaningful Use, KHIE provides support for the following public health reporting measures:

Kentucky Immunization Registry
Any EP or EH/CAH that administers any type of immunization (influenza, pneumococcal, HPV, chickenpox, shingles, etc.) during the EHR reporting period, can submit to or query the immunization registry.

CDC BioSense Syndromic Surveillance
In Kentucky, all EPs or EH/CAHs collect syndromic surveillance data.

Kentucky Cancer Registry
Any EP that diagnoses and/or treats cancer patients is eligible to submit to the Kentucky Cancer Registry.

KHIE Advance Directive Registry
In Kentucky, any EP or EH/CAH is eligible to submit advance directive documents to the KHIE Advance Directive Registry.

Kentucky National Electronic Disease Surveillance System
Kentucky recently adopted legislation, 902 KAR 2:020, requiring laboratory results to be reported electronically to KHIE.

Kentucky Health Information Exchange
Any EP or EH/CAH is eligible to utilize KHIE as a public health measure.
KHIE supports public health reporting data submission from ONC 2014 certified electronic health record technology (CEHRT) and ONC 2015 CEHRT. To register your intent to submit to any of these registries, contact the KHIE outreach coordinator for your region.

MIPS Lookup Tool

(May 12, 2017) Unsure of your participation status in the Merit-based Incentive Payment System (MIPS)? Clinicians now uses an interactive tool on the CMS Quality Payment Program website to determine if they should participate in the MIPS track of the Quality Payment Program in 2017. To determine your status, enter your national provider identifier in the entry field on the tool which can be found on the Quality Payment Program website. Information then will be provided on whether or not you should participate in MIPS this year and where to find resources.

You will participate in MIPS in 2017 if you bill Medicare Part B more than $30,000 a year AND see more than 100 Medicare patients a year. You must be a physician, physician assistant, nurse practitioner, clinical nurse specialist or certified nurse practitioner. If you are new to Medicare in 2017, you do not participate in MIPS. You also may be exempt if you qualify for one of the special rules for certain types of clinicians or are participating in an Advanced Alternative Payment Model. To learn more, review the MIPS Participation Fact Sheet.

To get the latest information, visit the Quality Payment Program website. The Quality Payment Program Service Center may be reached at 1-866-288-8292 (TTY 1-877-715- 6222), available Monday through Friday, 8 a.m. - 8 p.m. Eastern time or via email.

Announcement

CMS has updated the CMS EHR Incentive Programs website and resources based on changes to the program. CMS encourages EPs, eligible hospitals and CAHs to visit the updated website to find official CMS resources and program information, including:

Since the Stage 2 Final Rule was released there have been numerous changes to the meaningful use (MU) objectives and measures. CMS has made available comparison tools for EPs and EHs. The tool highlights how the MU objectives have evolved from Stage 2 to Modified Stage 2 to Stage 3. In addition to describing the MU requirement changes, a timeline is presented that includes key dates and deadlines associated with the MU stages and associated program years.

CMS Finalizes Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Rule

The Centers for Medicare and Medicaid Services finalized updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for calendar year 2017. This rule includes changes to the EHR Incentive Program, as well. Changes include a 90-day meaningful use reporting period in program years 2016 and 2017, removal of clinical decision support and computerized provider order entry objectives and measures and reduction of a subset of the remaining objectives and measure for EHs, new participants in program year 2017 must attest to modified stage 2 objectives and measures, significant hardship exception for new participants transitioning to MIPS in 2017 and modifications to measure calculations for actions outside of the EHR reporting period.

For more information, read the:
Press Release
Fact Sheet
The OPPS/ASC Final Rule with comment period and the IFC are available on the Federal Register.

CMS Finalizes MACRA

(Oct. 14, 2016) The Department of Health and Human Services finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternate Payment Model incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015. A Quality Payment Program website has been created to help explain the new program and help clinicians identify the measures most meaningful to their practice or specialty.

What does MIPS mean for the Medicaid EHR Incentive Program? MIPS applies to physicians and clinicians providing services under Medicare Part B. MIPS does not replace the Medicaid EHR Incentive Program, which will continue through program year 2021. Clinicians eligible for the Medicaid EHR Incentive Program will continue to attest to their respective State Medicaid Agencies to receive their incentive payments. If those clinicians are also Medicare Part B clinicians, they may also participate in MIPS.

MACRA/MIPS will sunset the Medicare meaningful use payment adjustment, and there will no longer be a separate Medicare EHR Incentive Program at the end of CY 2018. Medicaid EPs that fail to meet the eligibility criteria for the Medicaid EHR Incentive Program, or who fail to properly attest to meaningful use, will no longer be subject to any Medicare payment adjustments after the CY 2018 payment year. No changes were proposed to the objectives and measures previously established in rulemaking for the Medicaid EHR Incentive Program (for EPs). MIPS does not apply to hospitals or facilities – it only applies to clinicians.

Please read the

Help Stop Information Blocking

(Aug. 11, 2016) -The Department of Health and Human Services is working to identify and stop instances of information blocking. Information blocking (or data blocking) occurs when individuals or entities (healthcare providers or IT vendors as example) knowingly and unreasonably interfere with the exchange or use of electronic health information. Read more information regarding helping to stop information blocking. Help stop information blocking by reporting information blocking.

Kentucky Health Information Exchange Declaration of Readiness: Program Year 2017

(July 5, 2016) The Kentucky Health Information Exchange (KHIE) is the Public Health Authority for meaningful use (MU) reporting in Kentucky. Eligible Professionals (EPs) and Eligible Hospitals/Critical Access Hospitals (EH/CAHs) who wish to submit electronic immunization, syndromic surveillance, laboratory results, and cancer cases (specialized registry reporting) in Kentucky must do so through KHIE. Additionally and with regards to the immunization registry, KHIE has the ability to respond to bidirectional queries and receive NDC codes.

For EHR Incentive Program Year 2017, KHIE provides support for the following public health reporting measures:

Measure 1 - Immunization Registry Reporting
Any EP or EH/CAH that administers any type of immunization (influenza, pneumococcal, HPV, chickenpox, shingles, etc.) during the EHR reporting period, can submit to the immunization registry.

Measure 2 - Syndromic Surveillance Reporting
In Kentucky, all EPs or EH/CAHs collect Syndromic Surveillance data; therefore, this option is available to all providers.

Measure 3 - Specialized Registry Reporting
Any EP that diagnoses and/or treats cancer patients is eligible to submit to the Kentucky Cancer Registry through KHIE for specialized registry reporting.

Measure 4 - Electronic Reportable Laboratory (ELR) Results Reporting
Kentucky recently adopted legislation, 902 KAR 2:020, requiring laboratory results to be reported electronically to KHIE.

KHIE supports public health reporting data submission from ONC 2014 certified electronic health record technology (CEHRT). KHIE will make a separate announcement when we are ready to begin onboarding of public health reporting from providers that are using ONC 2015 CEHRT.

View older EHR announcements.

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Kentucky Medicaid EHR Incentive Program Information

The American Recovery and Reinvestment Act of 2009 (Section 4201) established the Medicaid EHR Incentive Program for payment to certain classes of Medicaid professionals and hospitals who adopt and become meaningful users of electronic health records.

The Centers for Medicare and Medicaid Services (CMS) and Office of the National Coordinator have released rules to guide the program, integrating it into the broader health information technology infrastructure needed to reform the health care system and improve health care quality, efficiency and patient safety.

Information on the Medicare and Medicaid EHR Incentive Programs can be found on the CMS website. Administration of the Medicaid EHR Incentive Program is a combined effort of both the states and CMS. We recommend you visit the CMS website for a baseline understanding of the program and use this website to find information on Kentucky-specific questions.

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Why an EHR Incentive Program?

The nation's health care system is undergoing a transformation in an effort to improve quality, safety and efficiency of care, from the upgrade to ICD-10 to information exchanges of EHR technology.

To help facilitate this vision, the Health Information Technology for Economic and Clinical Health Act, or the HITECH Act established programs under Medicare and Medicaid to provide incentive payments for the meaningful use of certified EHR technology. David Blumenthal, MD, MPP, explains this in more detail in his article The Meaningful Use Regulation for Electronic Health Records published in The New England Journal of Medicine.

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Kentucky Medicaid EHR Incentive Program Specifics

There are slight differences between the Medicare and Medicaid EHR Incentive Programs. Refer to the Medicaid Provisions of the EHR Incentive Program.

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Who are Eligible Professionals?

The final rule published to the Federal Register on July 28, 2010, defines eligible professionals as physicians, dentists, certified nurse-midwives, nurse practitioners and physician assistants who are practicing in federally qualified health centers or rural health clinics led by a physician assistant.

To be eligible for a Medicaid EHR incentive payment, a professional must meet certain Medicaid patient volume requirements. For more information, visit the Medicaid Eligible Professionals section of the CMS website.

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Who are Eligible Hospitals?

Eligible hospitals that may participate are acute care hospitals, critical access hospitals and children's hospitals whose CCN number falls into one of the following ranges: 0001-0879, 1300-1399 and 3300-3399.

To be eligible for a Medicaid EHR incentive payment, acute care hospitals and critical access hospitals must have at least 10 percent Medicaid (Title XIX) patient volume. Children's hospitals have no Medicaid patient volume requirements. For more information visit the Hospital section of the CMS website.

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Last Updated 8/11/2017