The latest news, information and announcements from the KY Medicaid EHR Incentive Program (Promoting Interoperability) .
Applications for the 2019 Promoting Interoperability Hardship and Extreme and Uncontrollable Circumstances Exceptions are Due Dec. 31
To apply for a Promoting Interoperability Hardship Exception or Extreme and Uncontrollable Circumstances Exception for the 2019 MIPS performance year, submit your application to CMS by Tuesday, Dec. 31, 2019.
Virtual Groups Election Period for MIPS 2020 Performance Period Ends Dec 31
To form a virtual group for the 2020 merit-based Incentive Payment System (MIPS) performance year, follow the election process and submit your election to CMS via e-mail by Tuesday, Dec. 31, 2019. Details about virtual groups and the election process are available in this toolkit.
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222). To receive assistance more quickly, consider calling during non-peak hours—before 10 AM and after 2 PM ET.
Program Year 2019 attestations
The Kentucky Medicaid EHR Incentive Program (Promoting Interoperability) is accepting program year 2019 attestations until 11:59 p.m. March 31, 2020. Any attestation not submitted will be closed out and ineligible for participation for the program year. To assist with your attestation, please see the EP User Manual on the EHR website. For questions or concerns, please contact the EHR team by email or calling (502) 564-0105, ext. 2463.
New Resources Available in QPP Resource Library
- 2019 MIPS User Guides – Highlights information on MIPS participation, data submission and scoring for the following topics: MIPS 101, MIPS Scoring, MIPS APMs, Promoting Interoperability and Improvement Activities.
- 2019 MIPS Specialty Guides – Highlights specific MIPS measures and activities that may apply to the following specialists: cardiologists, chiropractors, dentists, emergency medicine clinicians, nurse practitioners, ophthalmologists, optometrists, orthopedists, pathologists, physician assistants, podiatrists and radiologists.
- 2019 CMS Web Interface Sampling Methodology – Describes the sampling methodology for the 10 clinical quality measures reported via the CMS Web Interface, as well as quality measure reporting and sample size requirements.
- 2019 Scores for Improvement Activities in MIPS APMs Fact Sheet – Details the improvement activities required by each MIPS APM and the scores that each will receive for the Improvement Activities performance category for the 2019 performance period.
- 2019 MIPS Exceptions FAQs – Lists questions and answers on the 2019 extreme and uncontrollable circumstances, as well as hardship exceptions for the Promoting Interoperability performance category.
- 2019 Patient Facing Encounter Codes -- Lists the determinants used to assess the non-patient facing status of 2019 MIPS eligible clinicians.
Questions? Email your local technical assistance organization or the Quality Payment Program or call toll free (866) 288-8292, TTY (877) 715-6222.
Greenway Health Customers
Greenway Health has made corrections to the 2018 Promoting Interoperability, Automated Measures. If you wish to attest to the Kentucky Medicaid EHR Incentive Program (Promoting Interoperability) program year 2018, please contact us at (502)564-0105, ext. 2463 or send an email. Unfortunately, system corrections do not permit EPs using Greenway Prime Suites or Success EHS to attest for program year 2018.
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)
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 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.
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.
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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