Nevada Medicaid EHR Incentive Program for Eligible Hospitals

Rural Hospitals

Critical Access Hospitals

Information & Handouts

• Accessing Handouts and Supporting Documents

• Asking Questions & Getting Answers

Agenda

• What Incentives are Available• Calculating Incentive Payments• When Incentives are Available• Qualifying for Incentives• Brief Q&A

What Incentives Are Available

• Medicare AND Medicaid Incentives Available to Eligible Hospitals

• Eligible Hospitals may participate in only BOTH of the two programs

• Medicaid incentive payments may begin as late as FY2016

• https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdf

Hospital Incentive Calculation

• The Overall EHR Amount is determined by the formula:

• The Medicaid Share is determined by the formula:

When are Incentives Available

• Nevada Medicaid EHR Incentive Program is currently scheduled to launch early August

• Expect Year 1 payment 4-6 weeks after attestation for Adoption Implementation or Upgrade

• Medicaid Incentive Payments will be made up to 2021

What is needed to Qualify for Incentives

• Have at least 10% of patient volume attributable to Medicaid

• Have a CCN that has the last four digits in the series 0001 – 0879 or 1300 – 1399

• Have an average length of patient stay of 25 days or fewer.

• Adopt, Implement or Upgrade to a Certified EHR Solution

Adopt, Implement & Upgrade

• Simple Definition: Sign an agreement to implement a Certified EHR (if not on an EHR) or upgrade to the Certified EHR Version (if already on an EHR)

• Verify your EHR is certified by visiting: http://oncchpl.force.com/ehrcert?q=CHPL

• Clinical Compliance is not required in Year 1

Patient Volume

• 10% Medicaid patient volume over 90-day period in the most recent prior fiscal year

• Patient volume can be aggregated from multiple locations or states

• Medicaid Patient volume = (Total Medicaid Patient encounters / total patient encounters) x 100

A, I, U Requirements

• EPs and EHs will need to be prepared to provide information and documentation about their EHR adoption efforts at the time of attestation including:– EHR Certification Number which can be found at

http://oncchpl.force.com/ehrcert?q=CHPL– Medicaid Patient Volume Information including Numerator and

Denominator– Signed letter on practice letterhead stating Adopt, Implement or Upgrade

methodology being used and how efforts support this methodology– Copy of Purchase Order, Contract, Service Agreement, etc. to prove the

purchase or acquisition of a Certified EHR.

Register for Incentive Programs

• Users must have an Identity and Access Management system (I&A) web user account

• Register using the Medicare and Medicaid EHR Incentive Program Site to indicate your intent to participate in Nevada Medicaid EHR Incentive Program

• https://ehrincentives.cms.gov/hitech/login.action

Contact Information

HealthInsight State of Nevada Medicaid

Erick Maddoxemaddox@healthinsight.org

Eileen Colenecolen@healthinsight.org

Catelyn Nguyencnguyen@healthinsight.org

1-800-483-0932

Nevada Medicaid Provider Supportdhcfp.web@dhcfp.nv.gov

1-775-684-37001-775-684-3701

Webinar SchedulePast Sessions • July 11th– General information including requirements for qualification and

computing Patient volume & registering with PECOS (access the recording at http://www.healthinsight.org/Internal/REC_Events.html

Upcoming Sessions• July 18th at 11am – Hospital Medicaid Information

http://tinyurl.com/NVMedicaidHospital

• July 18th at 1pm – Frequently Asked Questions http://tinyurl.com/NVMedicaidFAQ

• July 25th at 12 pm – Registration/Attestation Process http://tinyurl.com/NVMedicaidReg

• August 1st at 1pm – Repeat of Registration/Attestation Process http://tinyurl.com/NVMedicaidAttest

Links & Resources

HealthInsight: http://www.HealthInsight.org

Incentive Registration: https://ehrincentives.cms.gov/hitech/login.action

CMS Medicaid FAQ: https://questions.cms.gov/

Nevada Medicaid FAQ: https://dhcfp.nv.gov/EHRI/Final%20FAQ's.pdf

EHR Certification Information: http://oncchpl.force.com/ehrcert?q=CHPL

Hospital Attestation User Guide: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/HospAttestationUserGuide.pdf

CMS Medicaid Hospital Incentive Calculation Tip Sheet: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdf