Indiana Medicaid Promoting Interoperability Program
Enrollment Status: Accepting applications/Open. Enrollment Form
About the Program
From 2016 to 2021, Purdue Healthcare Advisors is assisting more than 150 Indiana-based organizations (900 providers) to successfully participate in the Indiana Medicaid Promoting Interoperability (PI) Program. The program provides a combination of remote and on-site services to guide eligible organizations no cost to ensure successful participation in the Medicaid PI Program (formerly EHR Incentive Programs/Meaningful Use) and/or the Quality Payment Program Merit-based Incentive Payment Program (MIPS). Services include direct technical assistance; a security risk assessment required by HIPAA; a documentation review, EHR optimization, external vulnerability scan, and phishing testing; and guidance on how to prepare for an audit.
Providers eligible to benefit under this grant are Indiana-based, ambulatory organizations that are practicing in small groups/independent practices; FQHCs; CHCs; RHCs; CMHCs; or ambulatory practices employed by a CAH. These organizations also must be participating in the PI Program under MIPS and/or the Medicaid PI Program, actively billing Indiana Medicaid, and using certified electronic health records.
Questions about calculating Medicaid volume for eligibility? Check out our Q&A.
Indiana Medicaid PI Program Help Desk
The Indiana Medicaid PI Program Help Desk is staffed by PHA subject-matter experts M-F 8:30 a.m.-5 p.m. (EST) who can answer your questions about the Medicaid PI Program. To expedite your call to our help desk, please have handy the name of your EHR vendor; Medicaid eligibility status (% Medicaid encounters, if possible); practice/clinic size, type and ownership; number of providers and locations; and current efforts toward Medicaid PI and/or QPP.
By phone: 844-PHA-INMU (toll free)
By email: INMedicaidMUHelp@pha.purdue.edu
What You Need to Know for PY2021:
- The reporting period for all Medicaid EPs and hospitals is a minimum of any continuous 90-day period during the calendar year.
- All Medicaid EPs must report Electronic Clinical Quality Measures (eCQM) on a 90-day eCQM reporting period. EPs are required to report on any six eCQMs related to their scope of practice. Medicaid EPs are required to report on at least one outcome measure. If no outcome measures are relevant, they must report on at least one other high-priority measure. If there are no relevant outcome or high priority measures, they must report on any six relevant measures.
- All participants are required to use 2015 Edition CEHRT, which must be used for the entirety of the self-selected 90-day EHR reporting period.
- Please see the Medicaid specification sheets for more information on the requirements to meet all eight Medicaid PI Program EP objectives:
Assistant Director, Quality Services
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 opioids crisis.
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