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Medicaid Promoting Interoperability Program
(formerly known as the Medicaid EHR Incentive Payment Program)

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 increase a provider's access to patient's medical information and also provide for more efficient information sharing by 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 the 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

Important Health Information Technology Survey
Pennsylvania's DHS is conducting an important survey of the state's outpatient healthcare provider practices, and we encourage you to participate so that your organization will be represented in the results.

DHS is conducting the survey because the Centers for Medicare & Medicaid Services (CMS), a federal agency within the United States Department of Health and Human Services (HHS) has requested each state to assess the current degree of Health Information Technology ("Health IT") adoption, usage, and challenges experienced by its healthcare providers.  This evaluation is required as part of the close of the Medical Assistance Promoting Interoperability Program but is not limited to participants of that program. 

Survey results will be reported to CMS as part of Pennsylvania's State Medicaid Health IT Plan, and will be used to inform policy decisions as part of the Commonwealth's efforts to encourage meaningful use of health IT. 

Please note:

  • This survey is intended for all outpatient (ambulatory) healthcare provider practices offering direct patient care in Pennsylvania and for Long Term Post-Acute Care providers, including nursing facilities, home health, personal care, and assisted living.
    • Inpatient hospitals should not complete the survey, but ambulatory practices owned by a hospital or health system are encouraged to participate.
  • This survey should be completed by one individual on behalf of the entire practice/organization.  The individual may be a provider, practice manager, CIO, or any individual who is familiar with the practices' health IT adoption and is authorized to answer the survey on behalf of the practice. 
  • Your answers will be kept anonymous and reported only in the aggregate. 

The survey, which will be conducted from Tuesday, October 20th through November 24th (five weeks), will be offered online-only, and will be accessible via this link:  https://www.surveymonkey.com/r/DHS_Health_IT_Survey

For your convenience, DHS will post a downloadable copy of the survey here so that you can preview it and use it to gather answers prior to completing the actual survey.  

The number of questions vary, depending on a practice's answers to certain questions, so it is difficult to estimate how long it will take to complete the survey.  We estimate most survey-takers will finish in 15 to 20 minutes. 

If you have questions regarding this survey, please send an email to c-amckenna@pa.gov with the subject "Health IT Survey Questions".

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

Reminder: CMS is requiring the 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.

Please refer to the 2019-2020 MAPIR Screenshots for any additional questions.

As always, if you have questions about the program you can email us at RA-MAHEALTHIT@pa.gov

Medical Assistance Provider Incentive Repository (MAPIR) System :

We are now accepting Program Year( PY) 2020 applications! The application deadline for PY 2020 applications is March 31, 2021.

We are currently working on a system enhancement that will allow providers to submit PY 2021 applications prior to the finalization of PY 2020 applications. The enhancement will help providers with the quick turnaround between both program years.

Program Year 2020 Reporting Periods:

The Meaningful Use (MU) EHR Reporting Period and the Clinical Quality Measure (CQM) will be a minimum of any continuous 90-day period.

The last reporting period for Program Year 2020 is October 3 - December 31, 2020. Eligible Professionals may attest for Program Year 2020 anytime between April 1, 2020 - March 31, 2021.

 MAPIR has three different sections for Clinical Quality Measures. There are three sections: Outcome CQMs, High Priority CQMs, and Other CQMs.. 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 Medicaid EHR Payment 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 Medicaid Promoting Interoperability Program will end in 2021. We will be communicating important details involved with our final program year soon.

  • Eligible Hospitals (EH) — EHs are no longer eligible to apply for this program.
  • Audits — There is information in the Provider Manuals on the audit process (beginning on page 22 in the Eligible Provider (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 the 2023 calendar year. Thank you for your cooperation.

Contact Us

For questions and/or to provide feedback about the Medicaid  Promoting Interoperability Program, please contact us through one of the following options:

CMS EHR Information Center: An information center is now available to answer Electronic Health Records Incentive questions. The center is open from 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays, at 1-888-734-6433 (primary number) or 888-734-6563 (TTY number).