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The Medicare Promoting Interoperability Program Hardship Exception Application for Eligible Hospitals and Critical Access Hospitals is Now Available

Eligible hospitals 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, eligible hospitals and CAHs must complete a hardship exception application and provide proof of hardship.

You now may submit hardship applications electronically. 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 eligible hospitals to submit an application is Sept. 1, 2020. The deadline for CAHs to submit an application is Nov. 30, 2020. This deadline has been extended from the original date of July 1, 2020 due to COVID-19.

More information about payment adjustments and hardship application

More information about promoting interoperability programs

2020 Public Health Guidance for MU Stage 3

The Kentucky Health Information Exchange (KHIE) is the public health authority for meaningful use (MU) reporting in Kentucky. In program year 2020, all EPs are required to successfully attest to 2 public health measures and all EHs/CAHs are required to successfully attest to 4 public health measures. Kentucky Medicaid EHR Incentive Program (Promoting Interoperability) participants that claim an exclusion for public health reporting are responsible for ensuring they meet the qualifications and retain any documentation that fully supports their attestation choice.

Guidance for Meaningful Use (Promoting Interoperability) Stage 3 public health reporting has been finalized for 2020 and is applicable only for the public health measures that are reported through KHIE. All EPs, EHs and CAHs who attest to any of the public health measures supported by KHIE must have a signed Participation Agreement and signed addendum(s) on file with KHIE for each public health measure selected for attestation. The agreements and their associated addenda must be signed within 60 days of the beginning of the EHR reporting period for the public health measures attested. The addenda include Immunization Registry Authorization, Bidirectional Immunization Registry Authorization, Syndromic Surveillance Authorization, Kentucky Cancer Registry Authorization, Disease Surveillance Authorization (electronic laboratory results reporting), KHIE Advance Directive Registry Authorization, and Exhibit B on the KHIE Participation Agreement.

Providers have the option to submit to additional registries outside of those supported by KHIE. If you choose this option, you are responsible for obtaining any documentation to support your attestation. Information is available at the Centers for Disease Control and Prevention Public Health and Promoting Interoperability Programs website

KHIE Declaration of Readiness: Program Year 2020

The Kentucky Health Information Exchange (KHIE) is the Public Health Authority for Meaningful Use (Promoting Interoperability) 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 (Promoting Interoperability), KHIE provides support for the following public health and clinical data registry 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 (Platinum Service) 
    Any EP or EH/CAH is eligible to utilize KHIE as a public health measure.
  • Electronic Case Reporting 
    In Kentucky, any EP or EH/CAH is eligible to submit case reporting of reportable conditions to the Electronic Case Reporting Registry.

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.

Save the date: Kentucky REC Annual Healthcare Conferences in August and Fall 2020

This year, our focus is on Navigating the Future. During the conference, we will explore a variety of useful topics to help your practice address the challenges of today's healthcare landscape. We want Kentucky providers and healthcare organizations across the commonwealth to be prepared despite the major changes to healthcare in the state and the nation. Connect and discuss change management, telehealth, HIPAA, the Quality Payment Program, promoting interoperability and more. This event welcomes clinicians, administrators, clinic staff and all healthcare professionals.

Breakout Sessions:

  • Medicaid and Hospital PI
  • MIPS
  • Chronic Care and Transitional Care Management
  • Alternative Payment Models
  • HIPAA
  • Patient-Centered Medical Home and Specialty Practice

Dates and Locations:

Owensboro —Aug. 13, 2020
Lexington —Aug. 18, 2020
Louisville —October-November, 2020
The Louisville event is held in conjunction with the KHIE eHealth Summit, currently planned for late October to early November.

Registration will begin soon. Contact the Kentucky REC with your questions. We are here to help and are available at (859) 323-3090.

Kentucky Health Information Exchange Grant Opportunity Announced

In collaboration with the Department for Medicaid Services and the Kentucky Health Information Exchange (KHIE), Anthem Blue Cross and Blue Shield Medicaid is offering participating Anthem providers the opportunity to apply for a grant to help offset the costs associated with connecting to KHIE.

If approved, providers may be awarded up to $2,000, per tax identification number and/or business entity, until all grant funds up to $100,000 are depleted. Approved providers will be notified using the email address provided on the application.

Applications will be accepted through June 30, 2020(maybe extended due to COVID-19 national emergency.)

Patient Education Tip Sheet

Do you have questions about objective 5 measure 2? Are you struggling to meet the patient education measure? For help with the patient education objective, suggested audit documentation guidance and submitting data during attestation, please visit our Resources page and view the Patient Education Tip Sheet.

Provider Assistance Program

The Kentucky Health Information Exchange (KHIE) is excited to announce the launch of our Provider Assistance Program mini-grant opportunity. The Provider Assistance Program was created to help rural pharmacies, EPs, EHs and CAHs mitigate the challenges associated with interoperability. Grants will be awarded on a first-come, first-served basis until all grant funds are depleted. Applications can be found on the KHIE website under Hot Topics.  

Applications will be accepted through June 30, 2020.

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 inactive 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

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 healthier. 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.

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 an 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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