The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 authorized implementation of the Minnesota Medicaid Electronic Health Record (EHR) Incentive Program (MEIP). DHS began making incentive payments to eligible professionals (EP), eligible hospitals (EH), and eligible critical access hospitals (CAH) in November 2012 for the adoption, implementation, or upgrade (AIU) of certified electronic health record technology (CEHRT). In 2013, DHS began making incentive payments for those who attested to AIU and meaningful use (MU). To be eligible for MEIP, health care professionals, hospitals, and critical access hospitals must be within defined classifications and meet the criteria as described on the eligible professionals and eligible hospitals pages.
Final Rule Overview: We posted a summary of the modified stage 2 rule. See Final Rule Overview: What You Need to Know for 2015–2017 (PDF) for an educational document based on our most recent webinar.
Program year 2016 attestation: Program year 2016 is the final year to attest and receive your first payment for the Medicaid incentive program. You will not be eligible for additional program year MEIP payments if you do not attest for the first year by the end of the 2016 grace period on March 31, 2017.
Refer to the following for history and reference information for post payment audit questions:
• 2015 Modified Stage 2 Rule – The Modified Stage 2 final rule is effective as of Dec. 15, 2015. This rule with comment period specifies the requirements that EPs, EHs and CAHs must meet to qualify for Medicare and Medicaid EHR incentive payments and avoid downward payment adjustments from Medicare under the Medicare EHR incentive program. In addition, it changes the Medicare and Medicaid EHR incentive programs reporting period in 2015 to a 90-day period aligned with the calendar year. This final rule also removes reporting requirements on measures that have become redundant, duplicative, or in use by most providers from the Medicare and Medicaid EHR incentive programs. In addition, this final rule continues to encourage electronic submission of clinical quality measure (CQM) data, establishes requirements to transition the program to a single stage, and aligns reporting for all eligible providers in the Medicare and Medicaid EHR incentive programs.• 2014 Flexibility Final Rule (PDF) – The 2014 flexibility final rule is effective as of Oct. 1, 2014. This final rule changes the MU stage timeline and the definition of CEHRT to allow options in the use of CEHRT for the EHR reporting period in 2014. It also sets the requirements for reporting on MU objectives and measures as well as CQM reporting in 2014 for providers who use one of the CEHRT options finalized in this rule for their EHR reporting period in 2014.• 2012 Stage 2 Final Rule (PDF) – The Stage 2 Final Rule is effective as of Nov. 5, 2012. This final rule specifies the Stage 2 criteria that EPs, EHs, and CAHs must meet to qualify for Medicare and Medicaid EHR incentive payments. In addition, it specifies payment adjustments under Medicare for covered professional services and hospital services provided by EPs, EHs and CAHs failing to demonstrate meaningful use of CEHRT and other program requirements. This final rule revises certain Stage 1 criteria, as finalized in the July 28, 2010, final rule, as well as criteria that apply regardless of stage.• 2010 Stage 1 Final Rule (PDF) – The Stage 1 Final Rule is effective as of Sept. 27, 2010. The initial final rule implements the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to EPs, EHs and CAHs participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of CEHRT.
Minnesota’s State Medicaid HIT Plan (SMHP) provides the state Medicaid agency (SMA) and the Centers for Medicare and Medicaid Services (CMS) with a common understanding of the activities the SMA will be engaged in over the next five years in implementing the MEIP. The SMHP also identifies state-level actions to expedite health information exchange (HIE) deployment and assure that health care providers and organizations have one option for achieving CMS’ Stage 1 meaningful use.
Refer to the following SMHP documents for more information:
• November 2011 – DHS received CMS approval of the Minnesota State Medicaid HIT Plan (SMHP) (PDF) required for administration of MEIP. The SMHP was developed with input from Minnesota stakeholders through the Minnesota e-Health Initiative. • June 2012 – DHS contracted with CGI Technologies and Solutions Inc. (CGI) as the MEIP vendor. CGI developed and hosts the application used for attestation and provides 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.• August 2012 – CMS instituted a policy change effective August 2012 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. For more information, see CMS document How Your Agency Can Receive Financial Incentives For Using Electronic Health Records (PDF) and the CMS EHR Incentive Programs web page.• 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.
Refer to the Centers for Medicare & Medicaid Services website for eHealth Events for more information.
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