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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 program year 2015 AIU attestations.

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

Dec. 1, 2015 Deadline

(Nov. 17, 2015) The Centers for Medicare and Medicaid Services recently released a finalized rule for Modified Stage 2 Meaningful Use (MU) from 2015-2017. Providers who would like to become actively engaged and register their intent to submit data (option 1) per CMS, to KHIE as the public health authority for MU in Kentucky, must sign a participation agreement and addendum associated with the public health measure selected for attestation, by Dec. 1, 2015 for program year 2015. All agreements and addenda must be signed by this date, including providers that attest to public health measure exclusions. KHIE supports the following public health measures for MU: immunization, syndromic surveillance, electronic reportable laboratory results and cancer case reporting (specialized registry). To learn more about KHIE, or to contact your local outreach coordinator, please visit the KHIE website. We look forward to connecting with you.

Attention Providers

(Oct. 7, 2015) CMS released the Stage 3 and Modifications to Meaningful Use(MU) in 2015-2017 Final Rule late yesterday afternoon. The Kentucky Medicaid EHR team is reviewing the final rule and is in process of making system changes. However, we do not have a date the application will be available to attest for Program Year 2015 MU. More information will be coming as its available.

2016 Payment Adjustment Fact Sheet for Hospitals now available

(Sept. 23, 2015) CMS has posted a new Medicare EHR Incentive Program fact sheet on the 2016 payment adjustments for Medicare eligible hospitals. Visit the Payment Adjustments and Hardship Exceptions page on the CMS EHR Incentive Programs website to review the fact sheet and additional information about how Medicare eligible hospitals could be affected by payment adjustments and how to avoid them. For the EHs who received a Medicare payment adjustment letter for 2016, the application submission period for reconsiderations is Oct. 1, 2015 - Nov. 30, 2015. The application will be posted on Oct. 1, 2015.

Program Year 2014 Attestations

(Aug. 12, 2015) The Kentucky Medicaid EHR Incentive Program team is reviewing program year 2014 attestations as quickly as possible to identify errors requiring corrections from the provider. The review staff is reaching out to providers via the email address submitted with CMS registration without receiving a response. In the near future, CMS will require the program year 2014 attestation reviews be completed. To provide every opportunity to make the necessary corrections and avoid attestations being rejected, please verify your email address at the CMS Registration site. If your email address is not correct, please correct and re-submit your registration.

You also may log on to the attestation website and view the attestation status in the provider status flow section on the home screen. If you see your program year 2014 attestation has been put on hold, this may indicate that an issue has been identified or supporting documentation is needed. If you have not received an email notification requesting action please contact our office.

Electronic Laboratory Reporting

(July 29, 2015) Kentucky recently passed legislation that requires laboratory results to be reported electronically to the Kentucky Health Information Exchange (KHIE).To get into the queue and be onboarded to KHIE for electronic laboratory reporting, providers must meet the following prerequisites:

  1. Providers must have a signed participation agreement and a signed disease surveillance addendum with KHIE
  2. Laboratory feeds and reference lab orders and results must be fully mapped to logical observation identifiers names and codes and Systematized Nomenclature of Medicine, with the exception of HIV- and AIDS-associated laboratory reports
  3. The established all-inclusive laboratory data feed must contain HL7 2.5.1 ELR Standard Unsolicited Observation or Unsolicited Lab Observation messages from a 2014 certified electronic health record system
  4. An established all-inclusive admit, discharge and transfer feed

The aforementioned requirements aim to simplify hospital responsibilities, ensure ongoing compliance with state regulations on meaningful use, adhere to KHIE methodological framework and prevent inadvertent submission of conditions prohibited from being delivered to Kentucky's National Electronic Disease Surveillance System (NEDSS). KHIE will monitor the all-inclusive laboratory feed and automatically forward disease surveillance data to Kentucky NEDSS in accordance with state regulation.  

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 11/25/2015