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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 the Promoting Interoperability Program.

Updates

Recently, the Pennsylvania Department of Human Services in conjunction with the Centers for Medicare and Medicaid Services (CMS) conducted a Health Information Technology Survey. This survey is now closed. We would like to take this time to thank all healthcare providers who participated in this survey. We expect the results and analysis of the survey to be publicly available in the Spring of 2021. This information will be posted to this website- and in future Listservs. 

If you have questions you can email us at RA-MAHEALTHIT@pa.gov

Promoting Interoperability Program Timeline

The Medicaid Promoting Interoperability Program Team has created a timeline for everyone to use to better understand the upcoming deadlines associated with the program. If you have any questions about the deadlines or the program please email us at RA-MAHEALTHIT@pa.gov

PIP timeline 3 (2).jpg

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 for federal holidays, at 1-888-734-6433 (primary number) or 888-734-6563 (TTY number).