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​​The latest news, information and announcements from the KY Medicaid EHR Incentive Program (Promoting Interoperability) .

Announcements

Quality Payment Program Technical Assistance Transition

For more than two years, the Centers for Medicare and Medicaid Services (CMS) successfully has implemented the Quality Payment Program (QPP) technical assistance initiative. As a part of overall burden-reduction efforts, and because CMS plans to streamline and simplify the merit-based incentive payment system (MIPS), CMS now is shifting focus to clinicians most in need of support.

CMS will continue to provide free technical assistance to MIPS-eligible clinicians in small practices via the Small, Underserved and Rural Support initiative and support their transition to alternative payment models to the extent possible through the Transforming Clinical Practice Initiative, until the end of the model test. With the wide ranging goals covered under the pending Network of Quality Improvement and Innovation Contractors: Quality Innovation Networks-Quality Improvement Organizations (QIN-QIOs) Focused Task Order Statement of Work, the free technical assistance provided by the current QIN-QIOs for MIPS-eligible clinicians in large practices will end on July 17, 2019.

The QPP Service Center is a primary point of contact for help addressing your questions and concerns. Connect with the Service Center by phoning toll-free (866) 288-8292, for TTY service at (877) 715-6222) or by email. Please visit the Quality Payment Program website for more resources and information.
View the entire announcement.

2019 eHealth Summit Registration

The Kentucky Health Information Exchange invites you to attend the 2019 eHealth Summit Aug. 16 at 5:30 p.m. For more information and to register see the eHealth Summit invitation.

Immunization Registry Reporting for Stage 3 Meaningful Use

All providers currently in any level of active engagement with the Kentucky Immunization Registry will receive an email with a new bidirectional immunization registry authorization from their Kentucky Health Information Exchange (KHIE) outreach coordinator. This email will provide information regarding bidirectional immunization reporting attestation requirements for Objective 8, Measure 1: Immunization Registry Reporting for Stage 3 of Meaningful Use (Promoting Interoperability). 

CMS now permits eligible providers (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs) to revert to Option 1 (complete registration to submit data) of active engagement. However, a new bidirectional immunization registry authorization must be signed and submitted to KHIE within 60 days of the beginning of the EHR reporting period. If the EP, EH or CAH fails to sign and return the new bidirectional immunization registry authorization, it no longer will be considered in active engagement and, therefore, unable to attest to Objective 8, Measure 1: Immunization Registry Reporting.

Please contact your KHIE outreach Coordinator with any questions or concerns.

KHIE Outreach Coordinators:

Region 1  (West)
Laura A. Shonk
Phone: (502) 229-2533

Region 2  (Central/West/Passport)
Teresa A. Poff
Phone: (502) 229-8591

Region 3 (Northern and Northeastern)
Ann M. O'Hara
Phone: (502) 229-3123

Region 4 (South Eastern)
Tiffany Pierson
Phone: (502) 229-3406

Harship exception applicationi for EHS and CAHS available

CMS mandates downward payment adjustments be applied to EHs and CAHs that are not meaningful users of CEHRT. EHs and CAHs may be exempt from Medicare penalties if they can show that compliance with the requirement for being a meaningful EHR user would result in a significant hardship. To be considered for an exemption, EHs and CAHs must complete a hardship exception application and provide proof of hardship.

Online application

Hardship exception application details:
  • You may now submit hardship applications electronically here.
  • If an electronic submission is not possible, you may verbally submit your application over the phone by calling the QualityNet Help Desk at (866) 288-8912.
  • The deadline for EHs to submit an application is July 1, 2019.
  • The deadline for CAHs to submit an application is Nov. 30, 2019. 

Allscripts Notice on KHIE Migration

If Allscripts is your EHR vendor you likely have received this notification. While our transition to a new health information exchange will result in minor changes to your public health feed, your meaningful use program year 2018 attestation will not be impacted for Objective 10 (Public Health and Clinical Data Registry Reporting). 

The Centers for Medicare and Medicaid Services provided guidance stating once you have received an active engagement status for public health reporting, that status does not change. For example, once you are live (active engagement option 3) you do not revert back to testing status (active engagement option 2). For guidance on public health reporting you may reach out to the EHR program.

Greenway Health LLC – Data Accuracy Issues and Attesting for PY 2018

Providers using a Greenway CEHRT should not attest for program year 2018 at this time. Greenway has advised that data accuracy fixes should be deployed via a patch or software update in 2019.

All providers utilizing a Greenway CEHRT who want to attest to the Kentucky Medicaid EHR Incentive Program (also known as Promoting Interoperability) Program Year 2018 should contact us via email or call (502) 564-0105, ext. 2463 for further direction.

Are you ready to attest for program year 2018?

Providers will not be able to attest to program year 2018 until 2017 attestations are paid. Providers who attested to the Kentucky Medicaid EHR Incentive Program for program year 2017 and have not received a payment, please email the program or call (502) 564-0105, ext. 2463.

Before attesting to program year 2018 be sure your registration information is up to date at the CMS registration site. When updating your listing, be sure to click Submit to send the updated information to the state.

If your EHR vendor is Greenway Health, LLC, please contact our office for guidance.

The user manual for program year 2018 modified stage 2 and stage 3 is available on the website on the Resources page.

Medicare Physician Fee Schedule Rule Finalized 

On Nov. 1, 2018, the Centers for Medicare and Medicaid Services released the Medicare Physician Fee Schedule final rule. This rule includes changes to the Kentucky Medicaid EHR Incentive Program. To view the final rule, please visit the Federal Register website.

eCQM Policies for PY 2019

The list of available eCQMs for Eligible Professionals (EPs) is aligned with the list of eCQMs available for Eligible Clinicians under MIPS. 

EPs who are returning meaningful users must report each year and first-time meaningful users must report every 90 days.

EPs are required to report on any six eCQMs related to their scope of practice.

EPs are required to report on at least one outcome or high-priority measure. If there are no outcomes or high priority measures relevant to an EP scope of practice, they may report on any six relevant measures.

Program Year 2021 Policies 

All EPs will have 90-day reporting periods for meaningful use and eCQMs.

Meaningful Use Policies 

The threshold for stage 3 objective 6, measure 1 (view, download, transmit) and measure 2 (secure messaging) is set at five percent for the remainder of the program.

Greenway Health EHR

CEHRT vendor Greenway Health has contacted its clients who participated in the program year 2017 Kentucky Medicaid EHR Incentive Program (also known as Promoting Interoperability) and instructed providers to initiate a review with the state Medicaid agency due to problems with reporting functionality around two meaningful use measures: patient-specific education - objective 6 and patient electronic access - objective 8. See Greenway provider notification.

KHIE Declaration of Readiness: Program Year 2019

(July 2, 2018) 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) wishing to submit to any of the following registries must do so through KHIE.

For MU, 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 use KHIE as a public health measure. KHIE supports public health reporting data submission from ONC 2014 certified electronic health record technology and ONC 2015 CEHRT.

To register your intent to submit to any of these registries, contact the KHIE outreach coordinator for your region.

Have you completed participation in the Kentucky Medicaid EHR Incentive Program?

(Feb. 1, 2018) Are you wondering what to do next? 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.

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
  • CDC BioSense Syndromic Surveillance
  • Kentucky Cancer Registry
  • KHIE Advance Directive Registry 
  • Kentucky National Electronic Disease Surveillance System 
  • Kentucky Health Information Exchange

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.

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