Have questions about calculating Medicaid volume for eligibility? Find the answers in our Q&A.
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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Indiana Medicaid Promoting Interoperability Program
Enrollment Status: Accepting applications/Open (scroll down to fill out the enrollment form)
Indiana Medicaid PI Program Help Desk
The Indiana Medicaid PI Program Help Desk is staffed by subject-matter experts at Purdue Healthcare Advisors 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
Hours: M-F 8:30 a.m.-5 p.m. (EST) except on Purdue University-designated holidays and closures.
About the Program
From 2016 to 2019, Purdue Healthcare Advisors assisted more than 150 Indiana-based organizations (representing approx. 900 Indiana 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 up to 175 eligible organizations per year. This assistance is provided at no cost to ensure your 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).
EPs that directly participate in the PI Program will continue to attest to the objective/measure requirements as finalized in the 2019 IPPS Final Rule. Indiana Medicaid PI Program services include:
- Direct technical assistance for PI Program and/or QPP/MIPS
- Security Risk Assessment (SRA)) required by HIPAA
- Additional services per organizations' needs including documentation review, EHR optimization, external vulnerability scan, phishing testing
Eligibility for Participation
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).
Program Year 2020
What You Need to Know:
- Promoting Interoperability Reporting Period: The PI reporting period for all Medicaid EPs and hospitals in 2020 is a minimum of any continuous 90-day period during the calendar year (January 1 through December 31 of 2020).
- Electronic Clinical Quality Measures (eCQM) Reporting Period: All Medicaid EPs must report on a 90-day eCQM reporting period.
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 other 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.
- 2015 Edition Certified Electronic Health Records Technology (CEHRT): All participants in the Medicaid PI Program are required to use 2015 Edition CEHRT. This requirement will benefit healthcare providers and patients by using the most up-to-date standards and functions to better support interoperable exchange of health information and improve clinical workflows. The 2015 Edition CEHRT must be used for the entirety of the self-selected 90-day EHR reporting period.
- Objectives and Measures: Please see the following Medicaid specification sheets for more information on the requirements to meet all eight Medicaid PI Program EP objectives:
Looking for resources about the Indiana Medicaid Promoting Interoperability Program for Eligible Hospitals (EH) & Critical Access Hospitals? Contact the PHA Help Desk at 844-PHA-INMU (toll free) or INMedicaidMUHelp@purdue.edu.
Indiana Medicaid PI Program Enrollment
Please fill out the following form to inquire about enrollment in the program.