Medical Assistance Health Information Technology Initiative

Technology has the potential to transform our health care delivery system and improve the quality of care for the patients we serve.  Tools such as electronic health records and a health information exchange, will increase a provider's access to their patient's medical information and will also provide for more efficient information sharing, reducing error rates, and the overall cost of care. Health information technology is now an integral part of a long-term solution for improving the quality of life for all Pennsylvanians.

The Medicaid Electronic Health Records (EHR) Incentive Payment Program was created by the American Reinvestment and Recovery Act and administered by Centers for Medicare & Medicaid Services.  This program provides funding to states to develop and administer provider incentive programs. In 2018, CMS changed the name of the EHR Incentive Program to Promoting Interoperability Program.

UPDATES:

Modified Stage 2 to Stage 3 MU Measures and Objectives Comparison Tool

Beginning in Program Year 2019 and beyond, CMS is now requiring use of 2015 Edition CEHRT for all providers. In addition, all providers must attest to Stage 3 Meaningful Use, as providers may no longer attest to Modified Stage 2. Due to this change, we have created a stage comparison tool to support providers and their stakeholders in understanding these changes.

As always, if you have questions about the program you can email us at RA-MAHEALTHIT@pa.gov
 
Medical Assistance Provider Incentive Repository (MAPIR) SystemDue to required MAPIR system updates, providers attesting to Meaningful Use for the first time will be able to submit Program Year 2019 applications starting in July 2019.

Program Year 2019 Reporting Periods:

The Meaningful Use (MU) EHR Reporting Period will be a minimum of any continuous 90-days.

The Clinical Quality Measure (CQM) Reporting period will be a full calendar year for providers who have previously attested to Meaningful Use. First time MU attesters can use 90-day CQM reporting period.

Beginning in PY2019, MAPIR will have three different sections for Clinical Quality Measures. There will be an Outcome, High Priority and Other section. Per CMS guidelines, EPs must select at least one (1) Outcome CQM. If none of the Outcome CQMs pertain to your scope of practice, you must select at least one (1) High Priority CQM. If none of the High Priority CQMs pertain to your scope of practice, you will then select a minimum of six (6) CQMs from the “Other” category.

DOH Public Health Measure Declaration of Readiness - This Declaration of Readiness document outlines the five registries available for the HIT Incentive Program (Electronic Laboratory Reporting, Syndromic Surveillance, Immunization, Cancer Reporting and Prescription Drug Monitoring Program), from which they are accepting data, contact information and requirements. This document will provide the documentation providers and hospitals will need to support their participation or their exclusion from these measures. If you have any questions, please email us at ra-mahealthit@pa.gov.

IMPORTANT APPLICATION DATES

The Pennsylvania MA Promoting Interoperability Program will end in 2021. We will be communicating important details involved with our final program year soon.
 
Eligible Hospitals - Moving forward, hospitals can no longer skip years and remain eligible for the program. You must participate in each year. 2016 was the last year for hospitals to participate for the first time.
 
Audits - There is information in the Provider Manuals on the audit process (beginning on page 22 in the EP Provider Manual and on page 23 in the EH Provider Manual). The Department of Human Services is committed to administering a high-quality and efficient health information technology program and part of this process will include audits. If you are chosen for an audit, you will be notified, and more details will be provided. We request that you keep all supporting documentation for all submitted applications until 2023. While the Promoting Interoperability Program will end in 2021, audits will continue through 2023. Thank you for your cooperation.
 
To learn more about this program, select from the options below:

Background/Summary of the Medical Assistance Health Information Technology Electronic Health Records Program - This section includes supporting documents that provide more details about the program.

Frequently Asked Questions — This is a summary of the questions/answers pertaining to the Medical Assistance Health Information Technology program.

Medical Assistance Provider Incentive Repository Resources, or MAPIR. Resources include Patient Volume Calculator, Payment Calculator for Hospitals, MAPIR Screenshots and Manuals and a list of our required supporting documentation by program year.

Meaningful Use - This section provides links to documents that include details about Meaningful Use measures and requirements.

eHealth Pod Pilot Program - This pilot project was initiated to help support Behavior Health and Long Term Care providers ability to use their health IT to connect electronically with other providers.

Resources - This section provides links to websites and presentations that provide more information on the Medical Assistance Health Information Technology program.

Contact Us -  Located here is the contact information as well as ways to keep informed about the progress of the program.