Medicaid Promoting Interoperability (PI) Program

(formerly known as the Medicaid EHR Incentive Program)

2019 Program Year Applications

 

  • For any providers that bill Medicare Part B and are required to submit data to MIPS (now known as the Medicare Promoting Interoperability (PI) Program) you can continue to participate with the Medicaid PI Program until you have received the maximum six payments or until the final program year of 2021.
  • Submission of meaningful use data to the Medicaid PI Program does not fulfill the MIPS (Medicare PI Program) reporting requirements.
  • Providers that are returning MU attesters for program year 2019 must submit Stage 3 Meaningful Use data.
  • All CEHRT products must be 2015 edition to qualify for the 2019 program year. Be sure to check with your vendor on details of your CEHRT upgrade.
  • Submit the completed worksheet to: EhrHelpdesk.DHHS@maine.gov. You may submit the 2019 Medicaid Eligibility worksheet any time from now through the deadline date of March 31, 2020.

 

  • New for the 2019 Program Year
    • Please note: due to issues with failed audits we will ask for more documenation pre-payment rather than risk a failed audit down the road.
      • Items to include with the submission of the 2019 Medicaid Eligibility Worksheet
      • Documentation from your EHR vendor(s) stating the date you installed the 2015 edition CEHRT
      • Copy of the Security Risk Analysis for 2019 - See section below for the newly released SRA took kit from ONC
    • IMPORTANT NOTE for the 2019 MU Wizard Application:
      • We have completed the auto-update feature for the 2019 MU wizard application.
      • If you have the 2018 MU wizard application on your desktop that will update to the 2019 MU wizard when you launch it. You do not need to remove that version. If based on our previous notification you removed the 2018 version that is fine; you will install the 2019 version from the link in the MU wizard email.
      • If the MU wizard on your desktop is from 2017 or earlier then that MU wizard application must be completely remove and then install the 2019 version.
      • If you try to launch the wizard and get an exception error that may indicate that the previous version was not fully removed.
      • For some practice sites you may need the IT department assist you to remove and then re-load the 2019 wizard.

       

  • 2019 Program Year Documents
  • Once we receive the 2019 Medicaid Eligibility worksheet we will enter each provider into our system and mark them eligible for the 2019 program year.
  • Because the CQM reporting period is the full 2019 calendar year we will not open for submission of MU data until January 2, 2020.
  • For any providers that submits the 2019 Medicaid Eligibility worksheet prior to January of 2020 we will send out the 2019 MU wizard email to those providers on January 2, 2020.
  • All others will receive the 2019 wizard email after the 2019 Medicaid Eligibility worksheet has been submitted and accepted.

 

2019 Reporting Periods and Deadline Dates

 

EHR Reporting Period and requirements for Program Year 2019

  • The reporting period for the MU objectives is a 90-day period within CY 2019.
  • The reporting period for CQM data is 365 days of data from CY 2019.
  • Providers are required to submit a minimum of 6 CQMs. We encourage the submission of all CQM data you have available in your reports.

Updated Deadline dates for the 2019 program year: Due to the issues providers are facing with the COVID19 virus we are extending our deadlines.

  • The deadline date for the submission of the 2019 Medicaid Eligibility worksheet is April 30, 2020.
  • There is a potential that a provider may not be able to receive a payment for the 2019 program year if all requirements are not met by the deadline dates.
  • If there are any issues or errors on the worksheet or the MU data there may not be enough time for a re-submission.
  • The deadline date for the submission of MU wizard data is May 30, 2020. No new MU submissions will be accepted after May 30, 2020.

 

Update for the 2020 Program Year: CMS has recently released a final rule confirming the the 2020 program year will be a 90-day period for both objectives and CQMs.

We will post more information on the 2020 and 2021 program years at a later date.

 

ONC Releases a Security Risk Assessment Tool for Providers

 

The Office of the National Coordinator for Health Information Technology is offering its security risk assessment tool free to all industry stakeholders. A security risk assessment

must be completed each year.

 

 

2019 Program Year - Stage 3 is Required for All Applicants

 

2019 Program Year Requirements

 

2019 Reporting Period

  • Objectives will be a 90-day reporting period within the calendar year 2019
  • CQMs will be a 365-day reporting period within the calendar year 2019

 

Tip Sheets and other helpful documents

 

Tips for preparing for meeting Stage 3 objectives 

 

  • Providers/practice sites are encourage to work closely with the CEHRT vendor to ensure you have an understanding of the 2015 edition CEHRT functionality.
  • Many of the Stage 3 objectives require multiple actions and it is important to understand what actions must be taken on the part of the provider and staff.
  • It will be less stressful if you have a good understanding of how the system is capturing data to populate the meaningful use report.
  • We recommend that providers/practices routinely run the Stage 3 MU reports to determine each providers status in meeting the measures.
  • If measures are note being met, then the provider will have the opportunity to implement action prior to the end of the MU reporting period.

 

Clarification of the Secure Electronic Messaging Objective

 

There has been some confusion on the requirement for the Secure Electronic Messaging objective. We have summarized some of the requirements and given examples to help clarify the objective requirements. Click the documents below for details.

 

Stage 3 has objectives that allow action to occur before, during or after the reporting period of 90 days but within the calendar year of 2019.

  • Objective 5 - Patient Electronic Access - (measure 2 only)
  • Objective 6 - Coordination of Care through Patient Engagement - (measures 1 & 2)
  • Objective 7 - Health Information Exchange (measure 1 only)

 

CEHRT Technology

 

Public Health Reporting Requirements

 

Please see the Public Health Registration page for more information on the Public Health reporting requirements.

 

Important Note:

If you did not update the Public Health Wizard for the 2018 program year, you must remove any previous version of the Public Health Wizard application (lobster icon) on your computer and re-install it by going to the site linked above.

We changed the server the wizard was stored on and you need to download it from the new server.

 

Public Health Contacts:

 

Public Health Registries available in Maine:

Registry Name Applicable For: Provider-Stage 3 Exclusion Notes

Immunization Registry

Providers and Hospitals Objective 8, measure 1 Does not administer immunizations

Link to Maine CDC ImmPact page

Syndromic Surveillance Providers and Hospitals Objective 8, measure 2 Does not collect Syndromic data Maine CDC is not currently onboarding provider practices for SS but providers can meet the PI requirement by declaring intent by registering using the Public Health wizard application.

Electronic Case Reporting (ECR)-available for the 2019 program year. Contact: NEDSS@maine.gov to be added to the list. The PH wizard will be updated at a later date.

Providers and Hospitals Objective 8, measure 3 Does not diagnose or treat any condition or collect relevant data For the 2019 program year ECR is not listed in the PH wizard. To sign up for the registry contact: NEDSS@maine.go. Signing up for the registry will count for MU for PY 2019.
Public Health Registry Reporting (Cancer and Specialty Registries will move here for Stage 3) Providers and Hospitals Objective 8, measure 4 Does not diagnose or treat any condition or collect relevant data  
Electronic Lab Reporting (ELR) Hospitals Only      
Clinical Data Registry (CDR) Providers and Hospitals Objective 8, measure 5 Exclusion eligible Not available in Maine, eligible for the exclusion

 

*** Maine CDC is accepting registrations for the Electronic Case Reporting registry. For the 2019 program year you will contact the ECR registry at: nedss@maine.gov and they will take your information for the ECR registry. You can answer "yes" for MU purposes by registering through this process. Maine CDC will relay to us any provider that has requested to be included in the ECR registry and we will credit that for MU purposes.

The Public Health Wizard will have the ECR registry added for program year 2020. Anyone that has registered through Maine CDC will have their information updated in the wizard once the wizard has the ECR added. ***

 

Sign up for the CMS Interoperability Program Listserve

Go to the CMS Email Updates subscription page to sign up for program updates.

The Medicare and Medicaid EHR Incentive Programs listserv provides timely, authoritative information about the programs, including registration and attestation updates and details about the payment process.The listserv messages are another CMS resource to provide you with the latest news about the Incentive Programs. On average, two messages are sent per week. This is the most reliable way to receive information directly from CMS into your inbox.

CMS News Alerts

Contact: CMS Media Relations

(202) 690-6145

Two proposed rules have been released that have an impact on the Medicaid EHR Incentive Program

  • Program name change to "Medicaid Promoting Interoperability Program" - (Medicaid PI Program).
  • Beginning with the EHR reporting period in CY 2019, all providers and hospitals will be required to use the 2015 Edition of CEHRT.
  • Submission of Stage 3 is required starting with program year 2019.
  • Objective reporting period for program years 2019 and 2020 will be a 90-day reporting period.
  • CQM reporting period for program years 2019 and 2020 will be a 365-day reporting period.

 

2021 Program Year - final year of the Medicaid IP Program

  • Reporting period will be a 90-day period for both objectives and CQMs.
  • The 90-day period can be selected from January 2021 - September 30, 2021.
  • Deadline for submission for the 2021 program year is September 30, 2021.
  • Per CMS regulations all provider payments for the 2021 program year must be completed before December 31, 2021.

Quality Payment Program Resources Available

 

We are presenting this information on the Medicare Quality Payment Program (QPP) for your information only. The Maine Medicaid Interoperability Program is not a part of the QPP.

 

The Quality Payment Program is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and includes two tracks - Advanced Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS) - Now called the Medicare Interoperabilty Program

 

The Medicare Interoperability Programwill replace three Medicare reporting programs:

  • EHR Incentive Program (Meaningful Use) (Medicare MU program only, the Medicaid MU program will continue through 2021)
  • Physician Quality Reporting System
  • Value-Based Payment Modifier

The Quality Payment Program listserv will provide news and updates on:

  • New resources and website updates
  • Upcoming milestones and deadlines
  • CMS trainings and webinars

More Information:

  • The Quality Payment Program Service Center can also be reached at 1-866-288-8292 (TTY 1-877-715- 6222), available Monday through Friday, 8:00 AM-8:00 PM ET or via e-mail at QPP@cms.hhs.gov
  • Quality Payment Program website - resources are available to help clinicians successfully participate in the Quality Payment Program.
  • CMS encourages clinicians to visit the website to review the following new resources:
  • Quality Payment Program Resource Library - This website is a good place for in-depth information on the QPP reporting requirements.
  • Go to this site to check your participation status requirements: QPP Participation Status website- QPP Participation Status includes APM participation as well as MIPS participation.
  • Individual or Group Participation website - If you are Merit-based Incentive Payment System (MIPS)-eligible, you can choose to participate as an individual, a group, or both.

 

Resources

Maine's Approved State Medicaid Health Plan and Implementation Plan

2015 Maine SMHP.PDF

Questions?

E-mail: EhrHelpdesk.DHHS@maine.gov