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Kentucky Medicaid EHR Incentive Program

Register Now for the Kentucky Medicaid EHR Incentive Program

Attention Providers: The Kentucky Medicaid EHR Incentive Program is accepting attestations using the CEHRT Flexibility Rule. At the bottom of the attestation home screen, you will respond to questions to assist in determining the path you will attest for program year 2014.

It is very important to use caution in your selections. Once chosen and attestation begins, the path cannot be changed.

Your patience and understanding is greatly appreciated while the CEHRT Flexibility Rule changes were implemented. Please contact the EHR Incentive Program team if you have questions.

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

Hardship Exception Applications - Important for any provider participating in the EHR Incentive Program that bills Medicare

(Oct. 7, 2014) - CMS has announcing its intent to reopen the submission period for hardship exception applications for eligible professionals and eligible hospitals to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use of certified electronic health record technology (CEHRT). The new deadline is Nov. 30, 2014. Previously, the hardship exception application deadline was April 1, 2014 for eligible hospitals and July 1, 2014 for eligible professionals.

This reopened the hardship exception application submission period for eligible professionals and eligible hospitals that:

  • Have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability; and
  • Eligible professionals who were unable to attest by Oct. 1, 2014 and eligible hospitals that were unable to attest by July 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.

These are the only circumstances that will be considered for this reopened hardship exception application submission period. Applications must be submitted by 11:59 p.m. Eastern time, Nov. 30, 2014. Visit the Payment Adjustments and Hardship Exceptions webpage for more information about Medicare EHR Incentive Program payment adjustments.

Meaningful Use Application and Instructions

Oct. 2, 2014 - Medicaid providers who cannot switch back to Medicare (in the event they do not meet patient volume for Medicaid) may complete a meaningful use (MU) application to attest for MU to avoid payment adjustments. Instructions are provided.

Oct. 1, 2014 - Dear EHR Providers,

On Sept. 4, 2014, CMS published a final rule giving 2014 EHR Incentive Program participants more options in the use of certified EHR technology (CEHRT) for the 2014 EHR reporting period. The CEHRT Flexibility Rule was  effective Oct. 1, 2014 and the Kentucky Medicaid Program has revised its policies to comply.

The CEHRT Flexibility Rule gives program participants who have not fully implemented 2014 CEHRT the option to attest to Program Year 2014 using 2013 or 2014 EHR Incentive Program objectives and measures.

In conjunction with the CMS CEHRT Flexibility Rule, Kentucky Medicaid has modified its EHR Incentive Program Rules to allow program participants to attest in Program Year 2014 and gives EHR vendors additional time to develop the needed interfaces for public health reporting. The attestation guidance for Stages 1 and 2 supersedes all previous guidance issued by Kentucky. 

Please note that this flexibility is short-term. EHR Incentive Program Year 2015 participants who administer immunizations and attest to Stage 2 will need to be sure their EHR vendors have established connectivity with KHIE prior to their attestation.

Thank you for your concerted effort to achieve meaningful use, enable EHR adoption and improve HIT initiatives across the state.

Attention Providers

Sept. 11, 2014 - Do you need assistance with meeting measure #3 of the Transitions of Care core objective? There is a new tool available to providers that can assist on how to use the NIST EHR Randomizer. The Randomizer tool enables providers to exchange data with a test EHR in order to meet measure #3 of the stage 2 transition of care objective.

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 10/20/2014
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