CMS Extends the Hardship Exception Application Date!
CMS is announcing its intent to reopen the submission period for hardship exception applications for eligible professionals and eligible hospitals to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use of Certified Electronic Health Record Technology (CEHRT). The new deadline will be November 30, 2014.
This reopened hardship exception application submission period is for eligible professionals and eligible hospitals that:
Have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability; AND
Eligible professionals who were unable to attest by October 1, 2014 and eligible hospitals that were unable to attest by July 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.
These are the only circumstances that will be considered for this reopened hardship exception application submission period. Applications must be submitted by 11:59 PM EST on November 30, 2014.
CMS’ Final Rule
The Department of Health and Human Services (HHS) published a final rule on Friday, August 29, 2014, that allows health care providers more flexibility in how they use certified electronic health record (EHR) technology (CEHRT) to meet meaningful use (MU) for an EHR Incentive Program reporting period for 2014. The final rule will go into effect on October 1, 2014. Please refer to the informational paper for more information on the final rule.
IIMS Available for MU Attestation
Idaho Medicaid is pleased to announce that the Medicaid EHR Incentive Program began its third year of operation on July 1, 2014, by accepting registrations for Meaningful Use (MU) Stage Two. Providers interested in participating in the Idaho Medicaid EHR Incentive Program can now register and apply both on the national level through CMS and in Idaho through the Idaho Incentive Management System (IIMS). Eligible professionals and hospitals may apply for incentive payments as they adopt, implement, upgrade, and demonstrate meaningful use of certified EHR technology.
Before you apply with Idaho Medicaid's EHR Incentive Program, take a look at the other resources listed under "More Information" in the right hand column of this website. If you have questions, please contact the Idaho Medicaid EHR Incentive Program staff by email at EHRIncentives@dhw.idaho.gov or by calling (208) 332-7989.
CMS is allowing providers who have not attested to AIU or any other phase of the program, to attest to their first year of MU but receive a $21,250 payment instead of the $8,500 MU payment (this is only through Medicaid.) Essentially, the provider would skip over AIU and go straight to Meaningful Use without being finacially penalized for not participating in AIU, hus, allowing the provider to meet the deadline for participating in MU without a holdback penalty. You must call the Idaho Medicaid EHR Incentive Program at (208) 332-7989 to see if you would qualify to skip AIU.
CMS 1% Holdback
EPs attesting to Meaningful Use Stage 1 Year 1 in 2014 must do so by October 1, 2014, to avoid the 1% payment adjustment in 2015. The intent of the program is to encourage providers to meaningfully use electronic health records. To that end, CMS is allowing providers who have not attested to AIU or any other phase of the program, to attest to their first year of MU but receive a $21,250 payment instead of the $8,500 MU payment (this is only through Medicaid). Essentially, the provider would skip over AIU and go straight to Meaningful Use without being financially penalized for not participating in AIU, thus, allowing the provider to meet the deadline for participating in MU without a holdback penalty.
EHR Incentive Payments Meaningful Use Audit
The Idaho Medicaid Electronic Health Records (EHR) Incentive Program team has enlisted Myers and Stauffer, LLC to conduct pre-payment and post-payment audits for Meaningful Use to ensure that state and federal funds are expended appropriately and accounted for in a transparent manner. Providers chosen for audit will be contacted directly by Meyers and Stauffer, LLC by letter.
The Division of Public Health is requiring EPs and EHs to complete a survey to indicate their intent to submit data to meet the Meaningful Use (MU) public health objective. EPs and EHs must register intent no later than the 60th day from the start of their EHR reporting period.
Once the provider has submitted the required information, they will receive an acknowledgement from the Division of Public Health where they have been registered. It will also include additional instructions for transmitting. This survey must be complete before registering with the Idaho Immunization Reminder System (IRIS).
How to Access the Idaho Incentive Management System (IIMS)
Before you apply with Idaho Medicaid for an EHR incentive payment, you must first successfully register in the CMS EHR Incentive Registration & Attestation (R&A) System. The Idaho Medicaid EHR Incentive Program will then receive notification from CMS and conduct a preliminary review of eligibility. You will be contacted regarding any issues with your CMS registration affecting your Idaho eligibility. When the verification is complete, you will receive an email inviting you to complete your applicaiton/attestation with Idaho.
The following information will be required to sign on to IIMS to complete your Idaho application/attestation:
- The NPI you used to register at the CMS site
- The associated CMS Registration Identification Number
If you don't recall your CMS Registration Identification Number, you must return to the CMS EHR Incentive Program R&A System to reference it.
Once you have completed your application/attestation in IIMS, and attached required supporting documentation, the EHR program staff will complete the eligibility determination. Once a provider is determined eligible, the Idaho Medicaid EHR Program will notify CMS of your eligibility status.
If you have questions about the Idaho EHR process, please contact the Help Desk at (208) 332-7989, Monday through Friday from 8 a.m. to 5 p.m. (MDT).
Watch for Updates
We encourage you to watch for updates on the Idaho Medicaid EHR Incentive Program. Information and updates will be posted to this website, so consider using the subscribe function found below to receive email alerts when updates are made. Updates will be mentioned in this section or look for the words ‘New’ or ‘Update’ to find the most recent changes to this site. Also, information and updates will be shared in the MedicAide newsletter and through the Announcements found on the MMIS website at www.idmedicaid.com, so check those out often.