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Kentucky Medicaid EHR Incentive Program

Status of the Kentucky Medicaid EHR Incentive Program

ATTENTION PROVIDERS: Program Year 2017 has closed, we are in the process of gathering requirements and developing our system for the Program Year 2018 changes. Please be on the lookout for updates.

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

REC Hosted Webinar

Please join the Regional Extension Center (REC) on April 19th, 2018 to discuss “2018 Medicaid Meaningful Use and How To Reach Hard To Hit Objectives”. This webinar will also include a panel discussion on frequently asked questions. REGISTER NOW to learn more!

2018 Healthcare Transformation Survival Seminar Series

Great news! Registration is now open for the 2018 Healthcare Transformation Survival Seminar Series hosted by the Kentucky Regional Extension Center (REC). This event will explore MACRA Year 2, the Care Transitions Quality Measure, Considerations for Moving to Advanced Payment Models, Practice Transformation and Quality Improvement, 2018 Meaningful Use Changes and Hard to Hit Measures and much more!

Please follow the links below to sign up for the location of your interest.
 
Cadiz: https://kyrec2018cadiz.eventbrite.com
Lexington: https://kyrec2018lexington.eventbrite.com
Pikeville: https://kyrec2018pikeville.eventbrite.com
Louisville: https://kyrec2018louisville.eventbrite.com

MIPS - Clinician Advisory

You can now use the updated CMS MIPS Participation Lookup Tool to check on your 2018 eligibility for the Merit-based Incentive Payment System (MIPS). To reduce the burden on small practices, we've changed the eligibility threshold for 2018. Clinicians and groups are now excluded from MIPS if they 1) Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS) or 2) Furnished covered professional services under the PFS to 200 or fewer Medicare Part B -enrolled beneficiaries.

Attention Clinicians MIPS Countdown

Syndromic Surveillance Reporting- Stage 3

(March 1, 2018) - The Kentucky Medicaid EHR Incentive Program has received approval from CMS to allow ALL Eligible Providers (EPs) attesting to Meaningful Use Stage 3, regardless of practice setting, to count Syndromic Surveillance Reporting towards Objective 8 Public Health and Clinical Data Registry Reporting. EPs in an urgent care setting will continue to attest to Measure 2 Syndromic Surveillance Reporting, while EPs in a non-urgent care setting will attest to Measure 4 Public Health Registry Reporting.

Stage 3 Attestations

The Kentucky Medicaid EHR Incentive Program will begin accepting Stage 3 attestations for Program Year 2017 Meaningful Use on March 7th, 2018. The EP User manual for Stage 3 Program Year 2017 is located on the EHR website, under the Manuals section. The deadline to submit an attestation for Stage 3 Program Year 2017 is 11:59 pm, March 31, 2018. Any attestation that is in process after that time will be closed out and not eligible for participation. In the event of any questions or concerns, you may contact the EHR team by calling (502) 564-0105 extension 2463.

Due to the implementation of the Stage 3 screens, the attestation application will not be available Wednesday, March 7, 2018 from 10:00 am until approximately 1:00 pm. Your patience is appreciated!

Program Year 2017 Submission Deadline

The end date to attest for program year 2017 for the Kentucky Medicaid EHR Incentive program is quickly approaching. If you intend to attest for the 2017 program year, please ensure that your attestation is submitted before March 31, 2018 11:59 pm.

Complete your attestation submission.

For questions, Email, or check out the KY Medicaid EHR website and Eligible Provider Meaningful Use Manual.

MIPS - Clinician Advisory

To Avoid the Penalty, You Must Submit MIPS Data Before March 31, 2018. Just SIX weeks left to avoid the penalty. Please submit your data today.

(February 19, 2018)  The deadline is fast approaching if you plan to submit data for the 2017 Merit-based Incentive Payment System (MIPS) performance period to CMS. Eligible clinicians must submit before March 31, 2018 to avoid the negative payment adjustment for each claim beginning January 1, 2019.

You are strongly encourage to submit your data prior to the deadline. There is no reason to accept a 4% decrease in Medicare reimbursement in 2019. Now is the time to act. MIPS Test Data Submission is easy, free and you have access to free assistance from the atom Alliance Quality Improvement Organization (QIO) and Qsource.

Not sure if you are required to participate in the MIPS?
Click here to link to the MIPS Eligibility Tool and enter your NPI. It is that easy.

MIPS Eligible Clinicians Can Now View Performance Scores for 2017 Claims Data on qpp.cms.gov.
If you're an eligible clinician who submitted 2017 Quality performance data for MIPS via claims, you'll now be able to view your performance scores through the MIPS data submission feature. Reminder: claims data submission is only an option if you're participating in MIPS as an individual (not as part of a group).

If you've already submitted quality data via claims, you don't have to take any additional action. Claims-based quality measures are calculated automatically by CMS based on the Quality Data Codes (G-codes) submitted on your 2017 claims. You can simply login at qpp.cms.gov and view your calculated individual measures' scores and category score for Program Year 2017. Please note, scoring of claims data is subject to change monthly based on the processing of any additional 2017 claims and adjustments up to 90 days after the end of 2017.

Still Time to Submit Claims for 2017
If you still have 2017 claims you'd like to submit for the Quality performance category, make sure to submit them now. Claims, which are processed by Medicare Administrative Contractors (MACs) (including claims adjustments, re-openings, or appeals), must get to the national Medicare claims system data warehouse (National Claims History file) by March 1, 2018 to be analyzed. The MACs can provide you with specific instructions on how to bill.

Submission Resources
To prepare for 2017 submission, review the following resources on the Quality Payment Program website:

If you still have questions or want to learn how you can report your MIPS data free of charge, don't delay. Call 1-844-205-5540 or email us at techassist@qsource.org.

Don't wait until the last minute to submit your data. Call for assistance today.

Merit-based Incentive Payment System (MIPS) deadlines are approaching!

(February 14, 2018) The 2017 MIPS submission period runs through March 31, 2018. There are two exceptions to this deadline: 1) Groups using the CMS Web Interface have until March 16, 2018 at 8:00 pm to submit data. 2) Individual eligible clinicians submitting quality data via claims must submit claims by March 1, 2018.

For more information contact the Quality Payment Program Service Center at 1-866-288-8292.

Have you completed participation in the Kentucky Medicaid EHR Incentive Program? Are you wondering what to do next?

(February 1, 2018) Eligible hospitals (EHs) and critical access hospitals (CAHs) are eligible to participate in the Kentucky Medicaid EHR Incentive Program a maximum of three years. While eligible professionals (EPs) are eligible to participate a maximum of six years. Once a provider has completed all eligible years of participation, you are no longer required to submit an attestation to the Kentucky Medicaid EHR Incentive Program. However, providers are encouraged to participate in other programs available.

The Quality Payment Program (QPP) helps providers focus on care quality and making patients heathier. QPP also ends the Sustainable Growth Rate formula and gives the provider new tools, models, and resources to help give their patients the best possible care. Providers may select to participate in the Advanced Alternative Payment models (APMs) or the Merit-based Incentive Payment System (MIPS). If you participate in an Advanced APM, through Medicare Part B you may earn an incentive payment for participating in an innovative payment model. If you participate in MIPS, you will earn a performance-based payment adjustment. To check your participation status and for more information, providers can visit the website.

EHs and CAHs: How to View Your MU Data

(November 8, 2017) CMS is streamlining the Medicare attestation process by migrating the MU attestation system from the Medicare and Medicaid EHR Incentive Program Registration and Attestation System to the QualityNet Secure Portal (QNet). As part of this transition, MU data is now in view-only mode on the EHR Incentive Program Registration and Attestation System. EHs and CAHs will be able to access this MU data on QNet beginning January 2, 2018.

Starting in January, Medicare eligible hospitals and CAHs must attest to CMS for MU through QNet. The change applies to 2017 meaningful use data, as well as future reporting periods. QNet is the same system Medicare eligible hospitals and CAHs currently use for CQM reporting. Medicaid eligible hospitals should contact their state Medicaid agencies for specific information on how to attest. The Registration and Attestation System will still be available to these hospitals. Dually eligible hospitals and CAHs will register and attest for Medicare on the QNet portal and update and submit registration information in the Registration and Attestation System.

Don't forget to review the 2017 Modified Stage 2 and Stage 3 EHR Incentive Program requirements to ensure you are ready to attest in 2018.

Attention Providers

Please read the Program Reminders

The Kentucky Medicaid Electronic Health Record (EHR) Incentive Program encourages eligible professionals , eligible hospitals, and critical access hospitals to review program requirements each program year as they demonstrate meaningful use (MU) of certified EHR technology (CEHRT). Since the Modified Stage 2 Rule was released, CMS has published new rules, MACRA and IPPS to name a couple, that impact the EHR Incentive Program. Unfortunately, the release of the multiple rules has created some confusion regarding the requirements of attesting to the Kentucky Medicaid EHR Incentive Program. Please keep in mind the following:

  • Reports - It is very important to discuss the need for MU reports with your EHR vendor. Note , you will need more than the ACI reports needed for MIPS participation.
  • Attesting - All providers attesting to the state Medicaid program will manually enter attestation information. EHR vendors cannot electronically submit your attestation.
  • CEHRT - In order to attest to Stage 3 measures you must have a fully implemented 2015 edition or a combination of 2014 and 2015 editions CEHRT.

MIPS does not replace the Medicaid EHR Incentive Program. If a provider plans to participate in the Medicaid EHR Incentive Program and they are also a Medicare Part B clinician who is eligible for MIPS, they will also need to participate in the MIPS program to avoid a negative MIPS payment adjustment. Even though the Medicare MU program has sunset, the Medicaid EHR Incentive Program is available for provider participation through 2021.

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.

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 4/23/2018