PY 2018 Updates

What You Need to Know for Program Year 2018 (PY2018)

MEDICAID EPs & HOSPITALS

EPs, EHs, and CAHs that directly participate in the Indiana Medicaid PI Program will continue to attest to the objective/measure requirements as finalized in the Modified Stage 2 final rule:

  • PI Reporting Period: The PI reporting period must be completed within January 1-December 31 of calendar year 2018. All participants will attest to a continuous 90-day reporting period within the calendar year.
  • CQM Reporting Period: The clinical quality measures (CQMs) reporting period is a continuous 90-day reporting period within the calendar year for EPs or hospitals attesting to their first year of MU in 2018.  For all returning participating EPs/EHs/CAHs, the CQM reporting period is the full calendar year.
  • Objectives and Measures: All participants are required to use 2014 Edition certified EHR technology (CEHRT)*. If available, providers may also attest using EHR technology certified to the 2015 Edition, or a combination of the two editions. All providers are required to attest to a single set of objectives and measures, which replaces the core/menu structure from previous program years.

*In 2018, participants may potentially attest to Stage 3 requirements if they use EHR technology certified to 2015 Edition standards, or a combination of EHR technology certified to 2015 Edition and 2014 Edition (if the combination of certified technologies would not prohibit them from meeting Stage 3 requirements). In 2019, all providers will be required to participate in Stage 3 through the use of 2015 Edition CEHRT.

For more information and additional resources, visit the CMS 2018 Medicaid Promoting Interoperability (PI) Program Requirements for EPs and Hospitals.

 

MEDICARE PROMOTING INTEROPERABILITY (PI) PROGRAM FOR HOSPITALS*

Note:  Medicare EPs will attest to the PI performance category under MIPS.  For more information, visit https://qpp.cms.gov/

Medicare eligible hospitals (EHs), critical access hospitals (CAHs), and dual-eligible hospital will still report on Promoting Interoperability (PI) Program requirements in 2018.

Note: Medicare eligible hospitals, CAHs, and dual-eligible hospitals who attest to the Centers for Medicare & Medicaid Services (CMS) may attest to Modified Stage 2 or Stage 3 objectives and measures utilizing the thresholds finalized in the 2017 Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Centers (ASC) final rule.

To access the 2018 Modified Stage 2 program requirements and information specific to eligible hospitals, CAHs, and dual-eligible hospitals, go here.

To access the 2018 Stage 3 program requirements and information specific to eligible hospitals, CAHs, and dual-eligible hospitals, go here.

 

CONTACT

Natalie Stewart
Natalie Stewart
MBA
Senior Advisor-Quality Services; Indiana Program Manager and QPP-RC Advisor Lead
765-496-1265
nmstewart@purdue.edu

 

Purdue University, West Lafayette, IN 47907 (765) 496-1911

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