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Medicaid Meaningful Use

State EHR incentive program

Yes, Meaningful Use is still very much alive. If you have started participation with your state’s Meaningful Use, or the Medicaid EHR incentive program by or before 2016, you are eligible to receive $8,500 through the state, for the remaining incentive years, per year, until the final year of the program in CY 2021.

As of mid-2017, the state of Nevada and Colorado, and in some cases New York, are still accepting 2016 cases. This can be vital for providers in these states who have never applied for the incentive before. As missing 2016 means missing up to $63,750 in total incentives!

Adoption, Implementation and or Upgrade of the EHR

AIU means you are submitting an application that has the state test your degree of involvement with an EHR system in the practice. AIU cases are applicable only for the first year of Medicaid MU, therefore 2016 is the last year these cases can be sent. Each approved case has an incentive of $21,250.

Meaningful Use demonstrations

Providers always have the option of submitting MU measures as their first year applications for the program, instead of AIU. Of course the first year incentive is the same, $21,250. From the second year up, providers must demonstrate Meaningful Use measures for each of the remaining years to obtain the remaining incentive in $8,500 installments.

Call us now to assess your current position within the program and what you could expect in the coming years!

Eligible provider types for the Medicaid EHR Incentive Program include:

  • Physicians (primarily Doctors of Medicine and Doctors of Osteopathy)
  • Nurse Practitioner
  • Certified Nurse-Midwives
  • Dentists
  • Physician Assistant who provide services in a Federally Qualified Health Center or Rural Health Clinic led by a Physician Assistant.
  • In certain states, Optometrists are eligible for the Medicaid EHR Incentive Program. Please call us now to confirm this with your state agency

To qualify for a Medicaid Incentive Payment, an EP must also meet one of the following criteria:

  • Have a minimum 30% Medicaid patient volume
  • OR
  • Be a Pediatrician and have a minimum 20% Medicaid patient volume
  • Practice predominantly in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) and have a minimum 30% patient volume attributable to needy individuals

MACRA 2015 (2017) – For Medicare Providers

2017 sees Quality Reporting streamlined for Medicare Part B providers. To avoid a payment adjustment in 2019, Medicare eligible providers will demonstrate the QPP or MIPS, instead of the EHR incentive program, which has been merged into MIPS as “ACI.”

Important Note: If you are a Medicare provider who has never demonstrated MU before, you may apply for a hardship exemption before 10-01-2017 if you intend to demonstrate MIPS for 2017. This will be to avoid a payment adjustment in 2018 (based on Medicare Meaningful Use 2016).

For more information please click here

Additional Information

Each incentive is based on a state level eligibility check

For all eligible professionals moving through 2017 (Modified Stage 2), there are 10 MU objectives.

Medicaid EHR Incentive Payment Schedule for Eligible Professionals

1st Payment in 2011 1st Payment in 2012 1st Payment in 2013 1st Payment in 2014 1st Payment in 2015 1st Payment in 2016
*Last year to enter the Medicaid EHR Incentive Program
2011 Payment Amount$21,250.00$0.00$0.00$0.00$0.00$0.00
2012 Payment Amount$8,500.00$21,250.00$0.00$0.00$0.00$0.00
2013 Payment Amount$8,500.00$8,500.00$21,250.00$0.00$0.00$0.00
2014 Payment Amount$8,500.00$8,500.00$8,500.00$21,250.00$0.00$0.00
2015 Payment Amount$8,500.00$8,500.00$8,500.00$8,500.00$21,250.00$0.00
2016 Payment Amount$8,500.00$8,500.00$8,500.00$8,500.00$8,500.00$21,250.00
2017 Payment Amount$0.00$8,500.00$8,500.00$8,500.00$8,500.00$8,500.00
2018 Payment Amount$0.00$0.00$8,500.00$8,500.00$8,500.00$8,500.00
2019 Payment Amount$0.00$0.00$0.00$8,500.00$8,500.00$8,500.00
2020 Payment Amount$0.00$0.00$0.00$0.00$8,500.00$8,500.00
2021 Payment Amount$0.00$0.00$0.00$0.00$0.00$8,500.00
TOTAL Incentive Payments$63,750.00$63,750.00$63,750.00$63,750.00$63,750.00$63,7

P3’s role

We understand your practice’s first priority – patient care. P3 dynamically takes charge of your Medicaid MU from eligibility to EFT disbursement / check disbursement from the state. The P3 guarantee ends when you have the incentive in your bank account. While we stand by with documentation in case of an audit for at least 6 years!

Call now for a free eligibility check, or in depth advice from one of our analysts

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