Georgia Medicaid EHR Incentive Program Overview
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1 Georgia Medicaid EHR Incentive Program Overview Presented by: Takasha Hurley, MIP/MU Program Manager, CMUP Annette McMullen, Chief, Health Information Technology Division 2017 Series 1 Mission The Georgia Title Department or Chapter of Community Slide Health To provide (use as Georgians needed; with feel access free to to delete) affordable, quality health care through effective planning, purchasing and oversight. We are dedicated to A Healthy Georgia. 2 What is the Medicaid EHR Incentive Program? The Georgia Medicaid EHR Incentive Program (MIP) is a voluntary, multi-year, multi-stage program administered by DCH. The program is 100 percent federally funded through CMS and provides incentive payments to EPs and EHs as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. 3 1
2 What is the Medicaid EHR Incentive Program? The American Recovery and Reinvestment Act of 2009 (ARRA) established a program to provide incentive payments to eligible providers who adopt, implement, upgrade, or meaningfully use federally-certified EHR systems Program began in September 5, 2011 and will end with PY 2021 Eligible professionals can receive up to $63,750 in Medicaid incentive payments over a six year period AIU is now closed (Year 1) new providers are no longer allowed to enter into the Medicaid EHR Incentive Program Subsequent payments of $8,500 per year is available to providers demonstrating meaningful use of the technology (Years 2-6) Administered by the DCH Health IT Division 4 What are the goals of the Medicaid EHR Incentive Program? Improve quality of patient care Improve patient outcomes Reduce disparities in care/treatment Promote interoperability Encourage meaningful use of certified EHR technology not simply to dispense additional Medicaid funds 5 Who is eligible to participate? The Medicaid EHR Incentive Program is limited to Eligible Professionals (EPs) for six years of participation, and Eligible Hospitals (EHs) for three years. EPs Physicians (M.D. and D.O.) Dentists Nurse Practitioners Certified Nurse-Midwives Physician Assistants (who furnish services in a rural health clinic led by a physician assistant) Pediatricians 20% - 29% Medicaid patient volume and is a pediatrician EHs Acute care hospitals+ Critical access hospitals Children s hospitals 6 2
3 Department of Community Health Division of Health IT Works with public and private entities to facilitate various aspects of the Health IT infrastructure throughout Georgia, including: Strategic planning for health IT adoption by providers and patients Technology standards and policy development as it relates to the exchange and use of health information data in Georgia Promotion of the overall statewide health IT strategy in Georgia Our Mission is to advance healthcare quality while reducing costs Better Care, Smarter Spending, and Healthier People 7 Health IT Strategic Goals Strategy 1 Health IT Strategic Goal (FY17 FY20) Agency Goal: Increase effectiveness and efficiency in the delivery of health care programs. MEASUREABLE OBJECTIVE: Increase the number of eligible professional who transition from AIU (Adopt, Implement and Upgrade) Payment Year 1 to Meaningful Use (MU) Stage 3 from 3,571 to 4,749 by STRATEGY 1: Implement specifically targeted outreach and education events whose aim is to encourage transition from the initial AIU/MU Year 1 to MU Stage 3 through the life of the MIP program. Q1:S1 OUTCOME: During the first quarter of FY17, the DCH Outreach Team and Partners (GAHITEC, MSLC and DXC) attended and hosted a number of events for targeted eligible Medicaid provider groups across the state of Georgia. All outreach and education events encouraged participation into the MIP program before the Year 1 attestation participation deadline of March 31, Q2:S1 OUTCOME: As of September 2016 HIT reached 14.4% of the 15% goal for PY16. 8 HIT Strategic Goals Strategy 2 MEASUREABLE OBJECTIVE: Increase the number of eligible professional who transition from AIU (Adopt, Implement and Upgrade) Payment Year 1 to Meaningful Use (MU) Stage 3 from 3,571 to 4,749 by STRATEGY 2: Contact the providers identified for outreach and education opportunities in Strategy 1 for further follow up to ensure the provider has every opportunity to understand the MU stages to reach maturity in the life of the MIP. Q1:S2 OUTCOME: From July-September 2016 over 500 providers have attested to MU to continue in the program for PY 2015 and PY2016 combined. Please see next slide for results. Q2:S2 OUTCOME: From October December 2016, over 600 additional providers have attested to MU for Program Years combined. Please see next slide for results. Q = Quarter S = Strategy 9 3
4 Quarter 1/Strategies 1&2 Outcome Results July - September Q1:S1 Boot Camps & Events July: 2 events, 40 August: 4 events, 16 September: 6 events, 35 Q1:S1 AIU/MU Webinars July: 3 webinars, 96 August: 2 webinars, 26 September: 3 webinars, 36 Q1:S2 Provider Onboarding & Application Asst. GA-HITECH July: 56 contacted August: 48 contacted September: 20 contacted HPE July: 271 contacted August: 261 contacted September: 158 contacted 10 Quarter 2/Strategies 1&2 Outcome Results October December Q2:S1 Boot Camps & Events Q2:S1 Educational Activities & Events Q2:S1 AIU/MU/SRA/Audit Webinars Q2:S2 Onboarding & App Asst. October: 2 events, 40 October: Annual Hometown Health Conference October: 3 webinars, 193 Outreach and education events used interactive resources for Medicaid Providers and staff to understand the MU stages to reach maturity in the life of the program. November: 1 event, 9, November: HPE Medicaid Fair Georgia Obstetrics and Gynecological Quarterly Conference November: 4 webinars, 185 Individual assistance was used to meet AIU and MU attestation requirements continuing on through the life of the program. December: 0 events December: Health IT Leadership Summit, iht2 Health IT Summit, Georgia OBGYN Coding Seminar December: 4 webinars, 49 From October December 2016, over 600 additional providers have attested to MU for Program Years combined. 11 Transitioning from AIU to MU All providers are required to attest to a single set of objectives and measures For eligible professionals (EPs), there are 10 objectives, and for eligible hospitals there are 9 objectives. MUST complete a valid Security Risk Analysis (SRA) of the certified EHR technology (Objective 1) Facilitate statewide workshops to assist providers with continuous participation in the Medicaid EHR Incentive Program Provide partner assistance from our vendors 12 4
5 MIP Payments Disbursed - Life of the Program Life of the Program (September March 31, 2017) Adopt / Implement / Upgrade Meaningful Use Totals (AIU/MU YR1) (MU YR 2-6) Number Of Payments Amount Payments Amount Paid Number Of Paid Number Of Payments Amount Paid EH 130 $ 61,981, $ 106,019, $ 168,001, EP 4026 $ 84,872, $ 25,143, $ 110,015, Nurse 148 $ 3,145, $ 977, $ 4,122, Midwives Dentists 382 $ 8,117, $ 93, $ 8,211, Nurse Practitioners 791 $ 16,808, ,046, $ 20,854, $ Physicians 2678 $ 56,227, $ 19,856, $ 76,083, Physician Assistants 27 $ 573, $ 170, $ 743, Grand Total 4156 $ 146,854, $ 131,162, $ 278,016, Attestation Deadline PY17 GA EHR Incentive Program Program Year2017 Timeline March 31, 2017 April 1, 2017 February 28, 2018 PY 2017: EP MU PY17: MU 4/1/2017-4/28/ MIP Program Updates Visit for the latest MIP program updates such as: Public Health Reporting Measures Program Year 2017 Application Information 2017 Program Deadline MIP Quick Start Guide Eligible Professionals Application Deadline All current Patient Volume Calculators Modified Stage 2 Rule Change Required MAPIR Documents EP Tips and FAQs for Post Payment Audits SRA Tips and FAQs Outreach and Education Events 15 5
6 Our Partners Your Resources 16 Resources Contact Information Toll Free: Toll Free: Upcoming Events Meaningful Use Workshops Thursday April 20, 2018 : Waycross GA Location: Georgia Public Health laboratory (training room) 1751 Gus Karle Pkwy Waycross, GA Thursday May 18, 2018 Thomasville, GA Location Southwestern State Campus 417 S. Pinetree Blvd Thomasville, GA Webinars Meaningful Use: Thursday, May 18, pm 3 pm Audit Preparedness: Tuesday, May 9, am 10 am Security Risk Analysis: Wednesday. May 17, am 12pm 18 6
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