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Welcome to the new DMAP Provider Incentive Program for Electronic Health Records Page. We hope that you will find interesting and useful information here. The Provider Incentive Program was enacted as part of The American Recovery and Reinvestment Act of 2009. Section 4210 establishes an incentive payment program for Medicare and Medicaid providers to encourage the adoption and use of electronic health records.






EHR Incentive Payment Program Information
Frequently Asked Questions
DE SMHP
Provider Meet and Greet Presentation
E H R Presentation June 2014
E H R Presentation March 2015
E H R Presentation February 2016
Whats New Archive
 

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What is Provider Incentive Program for Electronic Health Records?

The Health Information Technology for Economic and Clinical Health Care Act, more commonly referred to as the HITECH Act, was enacted as part of The American Recovery and Reinvestment Act of 2009. Section 4210 establishes an incentive payment program for Medicare and Medicaid providers to encourage the adoption and use of electronic health records. The program provides incentive payments to eligible professionals (EPs) and eligible hospitals (EHs) as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology. Eligible professionals can receive up to $63,750 over a maximum of 6 years of participation in the program. Eligible Hospital payments are based on a number of factors and can be distributed over at least three years. The Medicaid EHR incentive program is voluntarily offered by individual states and territories and began in Delaware in November 2011. The program will continue until 2021. 2016 is the last year a Medicaid provider may begin participation in the program.

DMAP launched the EHR Provider Incentive Payment program in November 2011 and has paid incentive payments to over 700 Eligible Professionals including Eligible Hospitals. In April 2012, DMAP began accepting Stage 1 Meaningful Use attestations from Eligible Hospitals. Implementation of Stage 1 for Eligible Professionals started July 2012. Over 250 Eligible Hospitals and Eligible Professionals have successfully attested to Stage 1 Meaningful Use. DMAP accepted Stage 1 Meaningful Use attestations for Program Year 2013 and is ready to accept Stage 2 Meaningful Use attestations for Program Year 2014. The following are links for information about the required Core and Menu set objectives for Stage 1 and Stage 2. These measures must be reported to meet Meaningful Use for the first or second year of Stage 1 or Stage 2 of the EHR Incentive Program.

What's new?


2015-2017 Modification Rules and Key Changes


  • Providers Eligible for Stage 1 in 2015 will have Alternate Measures and Alternate Exclusions available to them. But you are not required to attest to the Alternates and may choose to attest to the Modified Stage 2 measures.
  • Objective 3 - CPOE
  • The Alternate Measure 1 is no longer available after 2015.
  • Alternate Exclusion for Measure 2 in 2016, EP may claim an exclusion for measure 2 (lab orders) of the Stage 2 CPOE objective.
  • Alternate Exclusion for Measure 3 in 2016, EP may claim an exclusion for measure 3 (radiology orders) of the Stage 2 CPOE objective.
  • Objective 8 - Patient Electronic Access (VDT)
  • The EP Measure 2 is different for program year 2017.
  • For an EHR reporting period in 2015 and 2016, at least one patient seen by the EP during the EHR reporting period (or patient-authorized representative) views, downloads or transmits to a third party his or her health information during the EHR reporting period.
  • For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period.
  • Objective 9 - Secure Messaging
  • This measure changes in 2016 and then again in 2017.
  • In 2016, for at least 1 patient seen by the EP during the reporting period, a secure message was sent using CEHRT (in 2015, the functionality has to be enabled).
  • Objective 10- Public Health Reporting- Specialized Registry Reporting
  • The State of Delaware does not currently endorse or sponsor a registry for electronic submission other than the Cancer Registry. For Program Year 2015, EP's who were previously planning to attest to the cancer case reporting objective, may count that action toward the specialized registry reporting measure but are not required to engage in or exclude from cancer case reporting in order to meet the specialized registry reporting measure. If the provider determines no registries are available, they may exclude from the specialized registry reporting measure.

    2015 EP Public Health Objective

For Program Year 2016 there will also be two exclusions for the Public Health Specialized Reporting:
https://questions.cms.gov/faq.php?id=5005&faqId=14401



AVOIDING MEDICARE PAYMENT ADJUSTMENTS

If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you must demonstrate meaningful use by January 1, 2015 for EPs and October 1, 2014 for EHs to avoid the payment adjustments. You may demonstrate meaningful use under either Medicare or Medicaid.

Additional information can be located under our EHR Incentive Payment Program Information (see sidebar) then select Meaningful Use. CMS has also provided tip sheets for EPs and EHs:

EPs:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Pa ymentAdj_HardshipExcepTipSheetforEP.pdf

EHs:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downl oads/PaymentAdj_HardshipExcepTipsheetforHospitals.pdf

Audits

In accordance with CFR 42, Chapter 4, Subchapter G, Part 495, Subpart 495.332, we must audit the EHR provider incentive payment program to ensure that funds have been correctly paid to providers. We are preparing to audit Program Year 2014. If you have been chosen for an audit, you will receive a letter and email requesting information. We appreciate your cooperation in assisting in ensuring that we have a high-quality program and efficient EHR Provider Incentive Payment program.

We are working closely with CMS, partnering with other states to develop technical solutions, and coordinating our efforts with the Delaware Regional Extension Center and the Delaware Health Information Network.

The following is an outline of the three stages of Meaningful Use attestation:

  • Stage 1 (which began in 2011 and remains the starting point for all providers): \223meaningful use\224 co nsists of transferring data to EHRs and being able to share information, including electronic copies and visit summa ries for patients.


  • Stage 2 "meaningful use" includes standards such as online access for patients to their health informatio n and electronic health information exchange between providers.


  • Stage 3 (expected to be implemented in 2016): \223meaningful use\224 includes demonstrating that the qual ity of health care has been improved.


  • Here is the link for CMS Provider Incentive Program Final Rule.

    Here is the link to the stage 2 final rule< /a>.

    Here is the link to the 2014 NPRM
    Final Rule

    CMS MU Measures

    Stage 2 MU Measures:

    http://www.cms.g ov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html

    http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2014_ClinicalQualityMeasures.html

    Assistance is available through the Delaware Regional Extension Center (REC). RECs have been established to help pro viders successfully establish EHRs and meet the requirements of meaningful use.

    Implementation steps for Providers and Professionals Below is a link to get started.
    http://www.healthit.gov/providers -professionals/ehr-implementation-steps


    If you need assistance selecting and using an EHR system, contact the Delaware Regional Extension Center

    If you would like more information on the DMAP Provider Incentive Program for Electronic Health Records please direct your inquiries to Delaware Provider Incentive Payment Team