UTAH PROMOTING INTEROPERABILITY (PI) PROGRAM (FORMERLY KNOWN AS EHR INCENTIVE PROGRAM)
Electronic Health Record (EHR) Meaningful Use Incentive Payments
Utah Medicaid is participating in the Medicaid Promoting Interoperability Payment Program (formerly known as the EHR Incentive Program). This program is supported through the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology, as part of the American Recovery and Reinvestment Act of 2009.
Details regarding the program are available in the State Medicaid Health Information Technology Plan (SMHP). This document explains how Utah makes EHR incentive payments to eligible Medicaid providers and hospitals as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology.
CMS goals for this program include:
- Enhancing care coordination and patient safety
- Reducing paperwork and improving efficiencies
- Facilitating electronic information sharing across providers, payers, and state lines, and
- Enabling data sharing using state Health Information Exchanges (HIEs) and the National Health Information Network (NHIN).
Achieving these goals will improve health outcomes, facilitate access, simplify care, and reduce the costs of healthcare nationwide.
As of October 1, 2020, Utah has approved 3227 payments to eligible professionals and hospitals totaling $98,164,495.
All participating providers must have Certified Electronic Health Record Technology (CEHRT) which is specifically certified for this incentive program. To view and search a list of certified EHR products, please consult the Certified Health IT Product List.
Program Requirements for Eligible Professionals:
|EHR Reporting Period||Minimum of any continuous 90 days between January 1 and December 31, 2020||Minimum of any continuous 90 days between January 1 and September 30, 2021|
|Certified EHR Technology||2015 Edition||2015 Edition|
|Meaningful Use Stage||Stage 3||Stage 3|
|eCQM Reporting Period||90 Days||90 Days|
|Total eCQMs Required for Reporting||6 – if reporting manually
4 – if reporting electronically
|6 – if reporting manually
4 – if reporting electronically
|Total Number of CQMs Available||47||47|
How to Participate:
To get started, you must first register with CMS. More information and resources to assist you in eligibility determination and patient volumes is available on the Medicare and Medicaid EHR Incentive Programs Website.
UPCOMING DATES AND UPDATES FROM CMS:
2016 was the last year new providers were able to join the program as a first-year adopter of EHR. Program year 2020 is open now. The deadline to submit a 2020 attestation is March 31, 2021.
The final rule requires that all PI incentive payments be made by December 31, 2021. In order to accommodate this firm deadline for the final program year, the deadline to submit a 2021 attestation is September 30, 2021. Due to this earlier deadline, providers are allowed to submit their 2021 attestations prior to the completion of the Security Risk Assessment. Payments will not be issued without proof of completion of the SRA.
Participating providers can access the 2020 and 2021 meaningful use requirements and other CMS guidance here.
Providers that also treat a large volume of Medicare beneficiaries will also need to participate in QPP (Quality Payment Program). There is some overlap between the Medicare QPP Program and the Medicaid Promoting Interoperability Program, but it is not a complete crossover. For additional information, including checking your participation status with QPP, go to https://qpp.cms.gov/.
POST PAYMENT AUDITS
Payments from this program are subject to audit according to federal regulations. Post-payment audits will be conducted in order to ensure that state and federal funds are expended appropriately and accounted for in a transparent manner. Please retain all supporting documentation for your attestation for six years, and refer to this audit documentation guide for recommended documentation sources. Utah Medicaid has contracted with Myers & Stauffer LC to perform the post-payment audits. Providers who are selected for audit will be notified directly. Any questions about the audit documentation requests should be directed to Myers & Stauffer at (800) 336-7721 or by email to UtahEHR@mslc.com.
For questions or concerns, please call (801) 538-6929 or send an e-mail to: EHRIncentive@utah.gov.
Business hours: Monday – Friday, 8:00 a.m. – 5:00 p.m., closed on all state and federal holidays.