2021 Medicaid Promoting Interoperability Program Requirements
- All eligible professionals are required to use the 2015 Edition CEHRT
- PY2021 Clinical Quality Measure Requirements
- In 2021, ALL EPs must report on any continuous 90-day CQM reporting period
- The list of available eCQMs for EPs can be found here.
- EPs are required to report on any six CQMs related to their scope of practice
- Medicaid EPs are required to report on at least one outcome measure. If no outcome measures are relevant, EPs must report on at least one high-priority measure. If there are no outcome or high priority measures relevant to an EP's scope of practice, they may report on any six relevant measures
PA Dept. of Health Registry Information: This document provides details about the PA Dept. of Health public health reporting registries, including the immunizations, syndromic surveillance, cancer, electronic lab reporting, and prescription drug monitoring programs.
Modified Stage 2 to Stage 3 MU Measures and Objectives Comparison Tool
For PY 2019 and beyond, CMS is now requiring the use of 2015 Edition CEHRT for all providers. Also, 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.
All information found below is taken from the CMS Promoting Interoperability Program overview page.
Meaningful Use Specification Sheets
The Meaningful Use Objectives specification sheets for the Medical Assistance Promoting Interoperability Program brings together critical information on each objective to help eligible professionals understand what they need to do to demonstrate meaningful use successfully. For eligible professionals, Stage 3 Meaningful Use in PY 2020 has a total of eight meaningful use objectives.
We can now receive Clinical Quality Measures Electronically (eCQMs)
Submitting your Electronic Clinical Quality Measures (eCQMs) is a simple process where you or your Electronic Health System (EHR) generates a Quality Reporting Document Architecture (QRDA3) formatted data file for each provider that is attesting to the Promoting Interoperability Program. Files are transmitted to the Commonwealth either through your Health Information Organization (HIO) or using Direct Messaging (DM). Sending eCQMs via your HIO requires you to drop the files into a secure folder, your HIO will then encrypt and transfer them securely to the Department.
If you are not working with an HIO, you may send them to us using an email-like interface called Direct Messaging(DM), which will securely encrypt and deliver the eCQM data as an attachment using secure email through Direct Messaging.
Whether using an HIO or DM, there is a ONE TIME set up that needs to occur, which will make submitting your eCQMs to the Department for future attestations a timesaver. DM is the quickest set up that has little to no prerequisites, and typically requires less than 30 minutes to set up and test. Using an HIO requires coordination of effort and generally is set up in August or September. HIOs need this period to set up and test the secure file transfer protocol (SFTP) infrastructure, in addition to the set of encryption and delivery infrastructure.
The Commonwealth receives your eCQM data instantly if you use either submission method. MAPIR is now equipped to allow you to bypass the manual entry of your Clinical Quality Measures if you select "Submit CQMs Electronically." Keep in mind if you chose electronic submission of your CQM data, your QRDA3 files must be received within two weeks of your MAPIR application submission to ensure your attestation is complete.
NOTE: Submitting QRDA3 Files directly to our program email RAfirstname.lastname@example.org does NOT meet our requirements for eCQM submission. You must select one of the submission methods, as described above.
Please contact us at RAemail@example.com with any questions you may have with the Electronic Clinical Quality Data submission as it relates to the Promoting Interoperability Program.