Help Desk for 2018: Q&A

Q:   How many providers are being helped through the Indiana Medicaid Promoting Interoperability (PI) Program?

A:  In 2016, Purdue Healthcare Advisors assisted 150 organizations, representing approximately 1,200 providers in Indiana through the Medicaid PIP Help Desk formerly MU Help Desk). We are contracted with the Indiana Family and Social Services Administration (FSSA) to assist  up to 175 organizations in 2018, so there’s still room to enroll. If you are with an FQHC, RHC, CMHC, CHC or other small group practice, you could be missing an opportunity for no-cost assistance. Please reach out to us! 

We are contracted with the Indiana Family and Social Services Administration (FSSA) to assist up to 175 organizations in 2018, so there’s still room to enroll. If you are with an FQHC, RHC, CMHC, CHC or other small group practice, you could be missing an opportunity for no-cost assistance! Please reach out to us!

Contact us to determine eligibility if you are a pediatrician or nurse practitioner and have not yet participated. We'll also want time to verify eligibility if you are a provider who may be close to the 30% volume threshold.

If you don't quality for assistance, we may still be able to help. PHA provides help with MIPS, PCMH recognition, Indiana Medicaid Promoting Interoperability (PI) Program attestation support, hospital PIP assistance, etc., on a fee-for-service basis. Contact PHA's Natalie Stewart to discuss options.


Q:  Who is eligible to participate in the program in 2018?

A:  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

...participating in the Promoting Interoperability (PI) Program under Medicaid or Medicare* (must be actively billing Indiana Medicaid for services).  

*For Medicare providers, this is assistance for the MIPS program, which replaced the Indiana Medicaid Promoting Interoperability (PI) Program beginning in 2017. 


Q:  What basic services are provided by PHA to participants of the program?

A:  Through funding provided by the Indiana Family and Social Services Administration (FSSA) for the Indiana Medicaid PIP Help Desk program, PHA provides a dedicated Quality Services team advisor to directly assist each participating provider — both remotely and on-site, as needed — with:

  • metrics monitoring and planning/assistance in completing of yes/no objectives & help in mitigating specific barriers and challenges in meeting the measures
    • Includes an PIP-compliant security risk assessment by our Security Team.
  • audit documentation guidance
  • attestation preparation & attestation day support
  • subject matter expertise into the nuances of programmatic requirements 

Q:  If organizations need any other services, can PHA help?

A:  As part of the grant, PHA plans to provide the following additional services for select organizations based on need:

  • External Vulnerability Scan
  • Technology Wellness Check
  • Audit Documentation Review (of previous year MU submission)
  • EHR Optimization services
  • QPP/MIPS assistance  (for Medicare organizations) 

Q:   Can providers still submit to do Adopt-Implement-Upgrade (AIU) for PIP Program Year 2018?

A:  No. Program Year 2016 was the last year in which an eligible professional (EP) or hospital could begin participating in the Medicaid Promoting Interoperability Program (formerly MU).   


Q:  Will there be some providers who are still attesting to PIP at the same time they are reporting for MIPS? 

A:  Yes, a provider who is participating in the Medicaid PIP program, but also bills Medicare Part B and wants to avoid possible negative payment adjustments under MIPS, will need to report to both the Medicaid PIP and MIPS programs.  Both of these programs have distinct and different requirements that must be met to comply with each.


What time frames can be used to determine Medicaid Patient Encounter Volume for the Medicaid PIP’s 2018 program year?

  1. For program year 2018, EPs and hospitals can use any continuous 90-day time frame from the following:
  • Previous Calendar Year  (of the current program year)
    • e.g. CY2017 for program year 2018
  • 12 mos. preceding Attestation Date
    • What day are you completing the attestation?  Use rolling 12 mos. prior to that date
      • e.g. Completing attestation submission on January 26th, 2019?  Use time frame of January 27th, 2018 – December 31st, 2018*

*Volume report date ranges cannot cross calendar years!  e.g. the date range of December 1st, 2018 – February 28th, 2019, is not acceptable. 

 

 

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