Indiana Medicaid Promoting Interoperability Program
From 2016 to 2018, Purdue Healthcare Advisors has assisted more than 150 Indiana-based organizations (representing approx. 900 Indiana providers) to successfully participate in the Indiana Medicaid Promoting Interoperability (PI) Program. The PI Program provides a combination of remote and on-site services to guide up to 175 eligible providers in 2019 to successful compliance with:
- the Medicaid PI Program (formerly EHR Incentive Programs/Meaningful Use) and/or
- the Quality Payment Program Merit-based Incentive Payment Program (MIPS).
EPs and hospitals that directly participate in the PI Program will continue to attest to the objective/measure requirements as finalized in the 2019 IPPS Final Rule.
IMPIP services include:
- Direct technical assistance for PI Program and/or QPP/MIPS
- Security Risk Assessment (SRA)
- Additional services per organizations' needs:
- Documentation Review
- EHR Optimization
- External Vulnerability Scan
- Phishing Testing, and more
Providers eligible to benefit under this grant are Indiana-based, ambulatory organizations that are practicing in:
- small groups/independent practices;
- Federally Qualified Health Centers (FQHCs);
- Community Health Clinics (CHCs);
- Rural Health Clinics (RHCs);
- Community Mental Health Centers (CMHCs); or
- ambulatory practices employed by a Critical Access Hospital.
...and that are participating in the PI Program under MIPS and/or Medicaid PIP, actively billing Indiana Medicaid, and are using certified electronic health records (CEHRT).
Additional eligibility questions answered here.
By phone: 844-PHA-INMU (toll free)
By email: INMedicaidMUHelp@pha.purdue.edu
Hours: M-F 8:30 a.m.-5 p.m. (EST) except on Purdue University-designated holidays and closures.
Contact our help desk with the following information on hand to expedite your call:
- Name of your EHR vendor
- Medicaid eligibility status (% Medicaid encounters, if possible)
- Practice/clinic size, type and ownership
- Number of providers and locations
- Current efforts toward Medicaid PI and/or QPP
Funding: In October of 2014, PHA and the Indiana Family and Social Services Administration (FSSA) partnered to receive a 90/10 matching grant (for which Purdue pays the 10%) of $2.3M from the Centers for Medicare and Medicaid Services (CMS) to extend quality reporting services to Medicaid-eligible EPs until 2017. An additional $4.39M continued the program until September of 2020 as well as expanded the service offerings. In November of 2018, $12M from CMS allowed PHA and the FSSA to continue to provide direct, technical assistance to the state’s Medicaid providers for another two years as well as to address several clinical challenges impacting long-term care and the opioid crisis.
WHAT YOU NEED TO KNOW FOR PY2019
- PI Program Objectives/Measures: A minimum of any continuous 90-day period during calendar year 2019 (January 1 – December 31)
- Clinical Quality Measures (CQMs)
- Returning Participants: must report on a one year eCQM reporting period
- First-time Participants* (previously only attested to AIU): must report on a 90-day eCQM reporting period
*EPs and hospitals that have only previously attested to the first year of Medicaid PI, commonly known as “AIU” for adopt, implement, and upgrade.
PI Objectives & Measures
The 2019 Medicare Physician Fee Schedule (PFS) Final Rule made changes to the previously established Stage 3 Objectives and Measures. See the following Medicaid Specification Sheets for more information on the requirements:
Clinical Quality Measures (CQMs) for EPs
EPs are required to report on any six eCQMs related to their scope of practice. In addition, Medicaid EPs are required to report on at least one outcome measure. If no outcome measures are relevant to that EP, they must report on at least one high-priority measure. If there are no outcome or high priority measures relevant to an EP’s scope of practice, they must report on any six relevant measures.
Certified EHR Technology (CEHRT)
Beginning with the EHR reporting period in calendar year 2019, all participants in the Medicaid PI Program are required to use 2015 Edition CEHRT. The 2015 Edition CEHRT does not need to be implemented by January 1, 2019, but must be used for entirety of the self-selected 90-day EHR reporting period.
Are you a Greenway Health EHR software customer?
In the fall of 2018, Greenway Health, LLC alerted their customers regarding measure calculation errors affecting two Promoting Interoperability measures: View, Download, Transmit (VDT), and Patient-Specific Education. These measures are calculating numerators at higher values than they should. Should you attest with your current numbers? Find out
Recruiting Indiana communities
Under contract with the FSSA, Purdue will work closely with four, high-need Indiana communities in 2019 and 2020 to design and implement new care models, process improvements, and technology systems that advance EHR interoperability, patient education, medication management, care transitions, clinical decision support, and population health. To inquire about participation in the either the long term care initiative or the opioids initiative, contact Randy Hountz, PHA Director, at (765) 494-0766 or firstname.lastname@example.org.
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