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.
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) System – Due 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 January 2020.
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 firstname.lastname@example.org.
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.
For questions and/or to provide feedback about the Medical Assistance Electronic Health Records Incentive Program, please contact us through one of the following options:
ListServ: Join our ListServ to receive important updates about the incentive program.
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).