The Six Objectives of the Medicaid Incentive Program

In 2021, Medicaid Eligible Professionals (EPs) attest to six eCQMs related to their practice for a minimum of 90-days. EPs need to report one outcome measure, and if that’s not available, go after a high-priority measure.

Protect Patient Health Information

EPs must attest to this objective by making sure Patient Health Information (PHI) is protected at all times. We do this by implementing the right technical, administrative, and physical safeguards.

Electronic Prescribing

The objective is self-explanatory. EPs must come up with electronic prescriptions through their EMRs to get incentivized. That’s right! Once you do that, the EHR incentive program pays off big time.

Patients with Electronic Access

It is about patient empowerment; thus, EPs should share with patients their health information electronically. Also, you have to educate them on their health status.

Care Coordination

Use of Electronic Health Record technology to improve patient care. Either interact with the patient themselves or with their authorized people to discuss their health status.

Health Information Exchange

It is the core objective of promoting interoperability where an EP shares the summary of care when referring patients to another care setting. Meet this objective with Avant-Garde BPO.

Public Health

The EP should be in contact with a Public Health Agency (PHA) or Clinical Data Registry (CDR) to submit electronic public health data meaningfully via CEHRT, applicable by the law.

What is Medicaid Promoting Interoperability?

Formerly Meaningful Use (MU), the EHR incentive program is now called Medicaid Promoting Interoperability. To attest to this program, EPs must use a 2015 version of Certified EHR Technology (CEHRT). Since it is a voluntary program conducted by each state individually, you can choose to participate. However, there are no payment adjustments for EPs who fail to participate or attest to the Medicaid Promoting Interoperability program.
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What Type of Measures Do I Have to Report?

All Medicaid EPs have to report for a continuous 90-day period on six eCQMs most relevant to their practice. The list of available eCQMs to report for this program aligns with the list of eCQMs for eligible clinicians under the Merit-based Incentive Payment System. Therefore, federal authorities have their focus on the Quality aspect, whether it is Medicaid or Medicare. To get started right away, click the following button, and submit your information.
Confirm Your Incentives

FAQs - Medicaid EHR Incentive Program

You can find some of the frequently asked questions around the Medicaid Incentive Program, whether it is for Washington, NY, Ohio, or any other state.

It’s a voluntary program in which the following types of clinicians can participate:

  • Physicians (MDs and DOs)
  • Nurse Practitioners
  • Certified Nurse-Midwives
  • Dentists
  • Physician Assistants with services in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC)

Some optometrists can also participate depending on the state they practice.

You can participate in the Medicaid Promoting Interoperability program if you meet the following criteria:

  • Have at least 30% of Medicaid patients (the percentage is 20% for pediatricians)
  • Practice mostly in an FQHC or RHC setting with a minimum of 30% of their patient volume as needy

You are required to report at least six quality measures most suitable to your practice, including one outcome measure or a high-priority measure. If none of them are available, you can report a total of six most suitable measures only. For deadlines and submission requirements, it is best to consult your states because they variate state-wise. However, we – Avant-Garde BPO – can reach out on your behalf and find out.

Here’s a list of 2021 Medicaid Promoting Interoperability measures that you can select from and report ahead:

https://ecqi.healthit.gov/ep-ec?year=2020

Well, the statutory deadline, according to the CMS’s website, is December 31, 2021. Until this date, make sure to submit data to CMS, both accurate and relevant, to get paid for incentives and even qualify for bonuses.