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Medicare and Medicaid Provider Program |
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What are the requirements to register for the Medicare and Medicaid Provider Incentives?
- Name of the EP, eligible hospital, or qualifying CAH
- National Provider Identifier (NPI)
- Business address and business phone
- Taypayer Identification Number (TIN) to which the provider would like their incentive payment made
- CMS Certification Number (CCN) for eligible hospitals
- Medicare or Medicaid program selection (may only switch once after receiving an incentive payment before 2015) for EPs
- State selection for Medicaid providers
What are the notable differences between the Medicare and Medicaid EHR programs?
| Medicare |
Medicaid |
| Federal Government will implement (will be an option nationally) |
Voluntary for States to implement (may not be an option in every State) |
| Payment reductions begin in 2015 for providers that do not demonstrate Meaningful Use |
No Medicaid payment reductions |
| Must demonstrate Meaningful Use in Year 1 |
A/I/U option for 1st participation year |
| Maximum incentive is $44,000 for EPs (bonus for EPs in HPSAs) |
Maximum incentive is $63,750 for EPs |
| Meaningful Use definition is common for Medicare |
States can adopt certain additional requirements for meaningful use |
| Last year a provider may initiate program is 2014; last year to register is 2016; payment adjustments begin in 2015 |
Last year a provider may initiate program is 2016; last year to register is 2016 |
| Only physicians, subsection (d) hospitals and CAHs |
5 types of EPs, acute care hospitals (including CAHs) and children's hospitals |
What is the EHR Incentive Program Timeline?
- January 2011 - Registration for the EHR Incentive Program begins
- January 2011 - For Medicaid providers, States may launch their programs if they so choose
- April 2011 - Attestation for the Medicare EHR Incentive Program begins
- May 2011 - EHR incentive payments begin
- November 30, 2011 - Last day for eligible hospitals and CAHs to register and attest to receive an incentive payment for FFY2011
- February 29, 2012 - Last day for EPs to register and attest to receive an incentive payment for CY 2011
- 2015 - Medicare payment adjustments begin for EPs and eligible hospitals that are not meaningful users of EHR technology
- 2016 - Last year to receive a Medicare EHR Incentive payment; last year to initiate participation in Medicaid EHR
- 2021 - Last year to receive Medicaid EHR incentive payment
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