Reporting Period for EPs Ends December 31, 2013; Prepare for Attestation
December 31, 2013, is an important deadline for eligible professionals (EPs) participating in the EHR Incentive Programs. It marks the end of the calendar year and the last day of the 2013 meaningful use program year.
If you are an EP participating in the Medicaid EHR Incentive Program, you have until February 28, 2014, to complete the attestation process for meaningful use of the data collected during the reporting period for the 2013 calendar year.
This means that all submitted Meaningful Use data has been submitted and accepted by the State of Maine. The signed attestation statement must be received before midnight on February 28, 2014.
Once you have demonstrated meaningful use you must attest every year to receive an incentive and avoid a payment adjustment.
Medicare Payment Adjustments
Payment adjustments will be applied beginning January 1, 2015, if you have not successfully demonstrated meaningful use. The adjustment is determined by the look back of two years. If a provider meets MU in 2013 they will not recieve an adjustment in 2015. For any provider that is meeting MU for the first time they can attest prior to October 1, 2014 and avoid the 2015 and the 2016 payment adjustments.. For more information please look a the payment adjustment tipsheet.
If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the payment adjustments. You may demonstrate meaningful use under either Medicare or Medicaid.
If you do not receive payment for treatment to Medicare patients you are not subject to these payment adjustments.
- Application for EP to avoid the 2015 Medicare payment adjustments.Hardship Exception_EP_Application (.pdf)
- Tipsheet for Hardship exception for Providers Hardship Exception tip sheet for EP (.pdf*)
- Application for EH to avoid the 2015 Medicare payment adjustments Hardship Exception Hospital Application (.pdf*)
- Tipsheet for Hardship exception for Hospitals HardshipException tip sheet for Hospitals (.pdf*)
EPs in 2014
January 1, 2014 marks many important milestones for EPs participating in the EHR Incentive Programs, including:
- The start of Stage 2 for EPs who have already completed at least two years of Stage 1.
- A 3-month reporting period in 2014, regardless of the stage of meaningful use, to allow time to upgrade to 2014 certified EHR technology.
- Medicaid EPs can select any 90-day reporting period that falls within the 2014 calendar year. If this is your first year demonstrating meaningful use you must submit and have everything approved prior to October 1, 2014 to avoid the Medicare payment adjustments.
- All EHR products must be certified to the 2014 criteria. You must contact your EHR vendor to find out when your 2014 version will be available and if there is any cost involved.
ATTENTION: PECOS/NPPES/I&A System Updates
- All providers must update their information in the PECOS/NPPES systems as soon as possible. You will also need to set up an I&A identity for any person that will submit data on your behalf for the EHR incentive program. You will also need to update your passwords with the system every 60 days.
- The PECOS/NPPES/I&A systems were changed on October 7, 2013. This started the clock ticking on the 60 day countdown for updating your passwords. That date would have been December 5, 2013 but CMS has now extended it by 150 days from the October 7th date.
- CMS has determined that each provider must have a unique email address for the system accounts and should not be linked (by email) to an organization. Please be sure that the email you list for your PECOS/NPPES account is one that you will be able to receive and respond to. For the EHR Incentive Program email this should still be a person that is responsible for submitting your application.
- We have put together a schematic guide that will help you to set up an I&A account for your PECOS/NPPES/EHR incentive program credentials.Please download this file for reference: I & A process (.pdf)
- Please visit the I&A website for more information-https://nppes.cms.hhs.gov/IAWeb/warning.do?fwdurl=/
- If the tools available on the I&A site do not provider what you need please contact the EUS: External User Services (EUS) Help Desk: 1-866-484-8049 or EUSSupport@cgi.com
- Maine EHR Incentive website: http://www.maine.gov/dhhs/oms/HIT/
- Maine EHR Incentive Program email: EhrHelpdesk.DHHS@maine.gov
- Meaningful Use Attestation Calculator
- 30% Medicaid Eligibility worksheet (.xls)
- Attestation Guide for Medicare EPs
- Stage 2 Payment Adjustment Tipsheet for EPs
Review all of the important dates for the EHR Incentive Programs on the HIT Timeline.
Latest News for the Medicaid EHR Incentive Program
From FAQ # 2903 (https://questions.cms.gov/faq.php?faqId=2903):
Starting in 2014 for both Stage 1 and Stage 2, meeting the exclusion criteria will no longer count as reporting a meaningful use objective from the menu set. An EP must meet the measure criteria for 5 objectives in Stage 1 (3 objectives in Stage 2) or report on all of the menu set objectives through a combination of meeting exclusion and meeting the measure.
Public Health Measure - Menu Measure #9
Clarification regarding the reporting period for 2014 Meaningful Use
For 2014 only, all providers regardless of their stage of meaningful use are only required to demonstrate meaningful use for a 3-month EHR reporting period. For Medicare providers, this 3-month reporting period is fixed to the quarter of either the fiscal (for eligible hospitals and CAHs) or calendar (for EPs) year in order to align with existing CMS quality measurement programs, such as the Physician Quality Reporting System (PQRS) and Hospital Inpatient Quality Reporting (IQR). The 3-month reporting period is not fixed for Medicaid EPs and hospitals that are only eligible to receive Medicaid EHR incentives, where providers do not have the same alignment needs. CMS is permitting this one-time 3-month reporting period in 2014 only so that all providers who must upgrade to 2014 Certified EHR Technology will have adequate time to implement their new Certified EHR systems.
What is the HIT Incentive/ Meaningful Use Program?
The Electronic Health Record (EHR) Incentive Program was created by the Health Information Technology for Economic and Clinical Health Act (HITECH). CMS will administer the Medicare EHR Incentive Program and State Medicaid agencies will administer the Medicaid EHR Incentive Program.
The program pays 100% federally funded incentives to eligible professionals (EPs) and hospitals (EHs) for adopting, implementing, upgrading and demonstrating meaningful use of certified EHR technology.EPs may be eligible to receive up to $63,750. Payments for EHs are hospital-specific. Maine hospitals are eligible to receive an average of $750,000.
How to get Incentive Payments
- I & A Process for PECOS/NPPES (.pdf)
- EHR Medicaid Incentive Program Guide (.pdf)
- EP- Meaningful Use Table of Contents -Updated for 2013(.pdf)
- Informational Guide on Skipping ProgramYears
- MU Wizard Guide July 2013 (.pdf*)
- Medicaid 30% Eligibility worksheet(.xls)
- Stage1_2013 changes (.pdf)
Additional HIT web pages
- MU Stage 2: Meaningful Use Stage 2 Tipsheet (CMS)
- Health Information Exchange
- Office of the State Coordinator (OSC) for HIT
Maine's Approved State Medicaid Health Plan and Implementation Plan
- Implementation Plan (April 2013 - September 2015) (.pdf*)
- SMHP Appendices (word*)
- SMHP Cover_Contents (word*)
- SMHP (word*)
E-mail the EHR Help Desk your questions!