Minnesota EHR Incentive Program (MEIP)


State Medicaid programs are establishing Electronic Health Records (EHR) Incentive Programs under the provisions of the HITECH Act. These programs provide incentive payments to certain health care professionals and hospitals that meet specific eligibility requirements when they adopt, implement, upgrade and meaningfully use certified EHR technology (CEHRT). In Minnesota, DHS will administer the Minnesota EHR Incentive Program (MEIP). To be eligible for MEIP, health care professionals and hospitals must fall within the defined classifications and meet minimum Medicaid Patient Volume (MPV) thresholds.

Since Jan. 1, 2013, the Minnesota Electronic Health Record (EHR) Incentive Program (MEIP) accepts Optometrists as eligible professionals.

The Centers for Medicaid & Medicare Services (CMS) instituted a policy change in the Stage 2 Meaningful Use regulations. The change allows providers who practice in prisons and jails to receive incentive payments through the Meaningful Use Electronic Health Record (EHR) Incentive Program. In the new rule providers are eligible for incentives when 30 percent of the provider encounters are with Medicaid enrolled patients (as opposed to encounters paid by Medicaid, as was the previous requirement).To meet this current requirement the prison’s or jail’s host state must suspend, rather than terminate, inmate Medicaid eligibility upon incarceration.

For more information, see CMS document, ‘How Your Agency Can Receive Financial Incentives For Using Electronic Health Records’ and the CMS EHR Incentive Programs web page.

Eligible professionals and hospitals must also meet meaningful useobjectives and measures, some of which have exclusions based on number of encounters or a provider’s scope of practice. Minimally, a meaningful user of certified EHR technology must meet these three requirements:

  • • Demonstrate use of certified EHR technology in a meaningful manner, including Computerized Provider Order Entry (CPOE) and e-prescribing
  • • Demonstrate connectivity to other providers to improve access to the full view of a patient’s health history (Stage 2 Transitions of Care objective)
  • • Use certified EHR technology to submit information on clinical quality measures (CQMs) and other measures, as specified by the federal Secretary of Health and Human Services (HHS)

  • The final rule on Stage 1 meaningful use criteria was released on July 28, 2010. It outlines in greater detail what participating providers will need to do to qualify for the Medicaid EHR incentive payments. On Feb. 23, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the Stage 2 Final Rule requirements for the Medicare and Medicaid EHR Incentive Programs. In Stage 2, CMS expands the requirements of certified EHR technology and includes some changes to Stage 1, such as a patient portal which is also required for Stage 2.

    The CMS EHR Incentive Program site provides more information on Meaningful Use.

    Key Milestones to Date

  • • November 2011 – DHS received CMS approval of the Minnesota State Medicaid HIT Plan (SMHP) required for administration of MEIP. The SMHP was developed with input from Minnesota stakeholders through the Minnesota e-Health Initiative. The content of the SMHP does not reflect final requirements for the program and will be updated in the fall of 2012
  • • June 2012 – DHS contracted with CGI Technologies and Solutions Inc. (CGI) as the MEIP vendor. CGI will be developing and hosting the application used for attestation. CGI will be providing ongoing support and related business services for MEIP.
  • • July 2012 – DHS received CMS approval of funding necessary to proceed with implementing MEIP
  • • August 2012 – Minnesota was added to the CMS Registration process. Eligible Professionals (EP) and Eligible Hospitals (EH) began to register at the federal level, indicating their plans to participate in the MEIP program
  • • October 2012 – EPs and EHs began to enroll in the Minnesota EHR Incentive Program and began the attestation process
  • • November 2012 – DHS distributed the first MEIP payments
  • • November 2012 – CMS published new Stage 2 Meaningful Use requirements that providers need to have 30 percent of their encounters be with Medicaid enrolled patients, as opposed to paid encounters
  • • January 2013 – MEIP accepted Program Year 2013 attestations and implemented Stage 1 changes
  • • February 2014 – MEIP incentive payments exceeded $100 million
  • • July 2014 – MEIP began accepting Stage 2 meaningful use attestations
  • • October 2014 – MEIP began accepting attestations from providers affected by the Flexibility Rule
  • Additional resources

    Refer to the Centers for Medicare & Medicaid Services website for eHealth Events for more information.

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