Request a consultation session with the EHRIP Team to review PY2017 changes and requirements.
Receive notification of program updates to your inbox: send your request to ahs.dvhaEHRIP@vermont.gov
Find a list of our past EHRIP email communications at our Archived Announcements
PREPARING TO ATTEST FOR PY2017 (Posted 12/08/17)
The EHRIP Team is working on the MAPIR system upgrade that will be available in early January 2018 for providers to start submitting their Program Year 2017 EHR Incentive Program applications. We are prepared to accept all attestations for Modified-MU2. The deadline for all 2017 Modified-MU2 EHRIP applications will be March 31, 2018. Attesting to Stage 3 criteria is an option for the first time in 2017 for those providers who have upgraded their CEHRT to 2015 standards, or a combination of 2014/2015 editions that supports Stage 3. However, MAPIR will not correctly process all MU Stage 3 criteria until an additional update is applied later in the spring of 2018. If you are planning to utilize Stage 3 Meaningful Use criteria for 2017 applications, please contact the EHRIP Team for guidance on when to proceed: ahs.dvhaEHRIP@vermont.gov
QUESTIONS ABOUT PY2017 REQUIREMENTS? ASK THE EHRIP TEAM! (Posted 12/08/17)
If you have any questions related to provider applications for Program Year 2017, schedule a session with the EHRIP Team. We have a short refresher on the changes related to Program Year 2017 requirements, plus you can ask us about issues specific to your practice: provider eligibility, patient volume strategies, etc. We have a 30-minute presentation we would be happy to schedule with you: contact us at ahs.dvhaEHRIP@vermont.gov
The outline of the review is as follows:
- Changes Resulting from the August 2017 IPPS Rule from CMS
- EHR Reporting Periods for MU Objectives and CQMs are 90 Days for All Providers
- Changes to Clinical Quality Measures for EPs
- CEHRT Flexibility and Extension of MU Stage 2 for PY2018
- Changes to Meaningful Use Objectives in 2017 as Compared to 2016
- Objective 1, Protect ePHI: SRA conducted or reviewed by 12/31/17
- Objective 8, Measure 2, Patient Electronic Access: Threshold Change
- Objective 9, Secure Messaging: Threshold Change
- Objective 10, Option 1, IZ Reporting: Ongoing Documentation Requirements
- Objective 10, Option 3A, Specialized Registry Reporting: No More Alternate Exclusion
- ONC EHR System Surveillance and Review Activities: “Objective 0”
- CMS Specification Sheets for PY2017 Objectives
- Other CMS Guidance and Resources for PY2017
- VT Medicaid EHRIP Audit Tip Sheet - Updated
- Are your providers required to participate in the Medicare Quality Payment Programs (MACRA/MIPS)?
- Questions and Contact Information
OBJECTIVES THAT ALLOW ACTION TO OCCUR OUTSIDE OF THE 90-DAY EHR REPORTING PERIOD (Posted 12/08/17)
For those providers challenged to meet revised, higher thresholds for certain Meaningful Use measures in Program Year 2017, remember that the data on certain actions can be included even if the action occurred before, during or after the 90-day EHR Reporting Period (but within the calendar year). Each objective’s specification sheet lists the information under the ‘Additional Information’ section of any objective that allows this. The following objectives for Modified Stage 2 in Program Years 2017 and 2018 include this option:
- Objective 1 - Protect Patient Health Information
- Objective 5 - Health Information Exchange
- Objective 6 - Patient-Specific Education
- Objective 8 – Patient Electronic Access; Measure 2 – Patient View/Download/Transmit
- Objective 9 - Secure Electronic Messaging
In order to provide the necessary documentation to support inclusion of the data, the EHRIP Team requests a data file that verifies that the action that occurring outside the EHR Reporting period during the calendar year is valid for a patient seen during the 90-day EHR reporting period. For guidance on documenting and reporting data, please contact the Vermont Medicaid EHRIP Team: ahs.dvhaEHRIP@vermont.gov. A complete listing of Meaningful Use measures for Modified-MU2 and MU3 in 2017 and 2018 is available here:
MERIT-BASED INCENTIVE PAYMENT SYSTEM - MIPS (Posted 12/08/17)
The U.S. Department of Health and Human Services has implemented the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program. MIPS applies to physicians and clinicians providing services under Medicare Part B. Any providers that bill Medicare Part B and are required to submit data to MIPS, can continue to participate with the Medicaid EHR Incentive Program until the maximum six payments are received or until the final Program Year of 2021. Submission of Meaningful Use data to the Medicaid EHR Incentive Program does not fulfill the MIPS reporting requirements. MIPS does not replace the Medicaid EHR Incentive Program, which will continue through Program Year 2021. Providers that are eligible for the Medicaid EHR Incentive Program will continue to attest in Vermont’s MAPIR system to receive their incentive payments. More information about the Medicare Quality Payment Program is available here: QPP@cms.hhs.gov and the QPP Helpdesk number: 1-866-288-8292.
PUBLIC HEALTH DOCUMENTATION AID UPDATED FOR PY2017 MODIFIED-MU2 (Updated 12/08/17)
The Public Health Documentation Aid contains screenshots of the three Public Health Meaningful Use Measures as they appear within the MAPIR attestation environment, keyed with spaces to provide additional information for the measures met or the exclusions qualified for. The Documentation Aid, when emailed or uploaded at the time of attestation along with the supporting documentation, will facilitate the application review process, and will also help provide the information that would be requested in the event of an audit:
Program Year 2017 EPs Attesting to Modified MU Stage 2
UPDATED VERMONT MEDICAID EHRIP AUDIT TIPSHEET (Updated 12/08/17)
The VT EHRIP Audit Team has updated their helpful Eligible Professional Audit Tip Sheet based on their activities and experience with reviewing provider records. Remember, the best time to prepare for an audit is during the attestation process. Download and consult this guidance as you prepare and submit your EHRIP attestation.
THE BLUEPRINT VERMONT CLINICAL REGISTRY IS A SPECIALIZED REGISTRY (Updated 12/08/17)
Eligible Professionals at practices participating in the Vermont Blueprint for Health may use their engagement with Blueprint’s Vermont Clinical Registry to meet the Specialized Registry reporting option for the Public Health Objective. A significant number of Blueprint practices send their data through VITL’s Health Information Exchange where it then flows to the Vermont Clinical Registry. If you have any questions about whether you qualify for registering, onboarding or reporting data to this registry for meeting the Specialized Registry reporting measure in 2017, please do not hesitate to contact the EHRIP Team: ahs.dvhaEHRIP@vermont.gov
MEANINGFUL USE STAGE 3 (Updated 12/08/17)
Stage 3 of Meaningful Use is an option for the first time in 2017 for those providers who have upgraded their Certified EHR Systems to the 2015 Edition, or are using a combination of 2014 and 2015 CEHRT. Providers attesting with the Vermont Medicaid EHR Incentive Program in Program Year 2017 who will be meeting Stage 3 criteria will wait until the spring of 2018 to start their attestations. We will alert our program participants when MAPIR upgrades are complete and Stage 3 screens are configured with the correct options. More information about Stage 3 criteria can be found at the CMS Website: MU3 Guidance for Medicaid EHRIP.
CMS RESOURCES FOR PY2017 REQUIREMENTS (Updated 12/08/17)
- Health Information Exchange Fact Sheet
- Security Risk Analysis Tip Sheet
- Patient Electronic Access Tip Sheet
- Public Health Reporting in 2017 for Medicaid EHRIP EPs
- 2017 Payment Adjustment Fact Sheet for EPs
- 2017 Modified-MU 2 Specification Sheets for EPs
- 2017 MU 3 Specification Sheets for EPs
PROVIDERS CONCLUDING THE VERMONT MEDICAID EHRIP: WHAT’S NEXT? (Posted 6/29/17)
Congratulations to the 62 providers scheduled to complete all six years of their eligibity with the Medicaid EHR Incentive Program as of their Program Year 2016 payment! Providers finishing their incentive payments for meeting Meaningful Use in the EHRIP, please keep in mind that other quality programs still exist. For 2017 and beyond, if providers also see Medicare patients, the Merit-based Incentive Payment System will replace Medicare reporting for the Medicare EHR program, Physician Quality Reporting System and the Value-Based Payment Modifier. The Quality Payment Program is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and includes two tracks — Advanced Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS). If you have questions or need assistance with determining eligibility or requirements, visit the Quality Payment Program to find out if providers should participate in MIPS at https://qpp.cms.gov
REMINDER: LAPSED MEDICAID ENROLLMENT CANCELS ANY ACTIVE MAPIR APPLICATION (Posted 6/29/17)
If an Eligible Professional’s Vermont Medicaid enrollment lapses at any time after an application is started and BEFORE A PAYMENT IS RECEIVED, the application will be automatically cancelled in the MAPIR system. All saved data for the application will be eliminated. The attestation must then be restarted from the beginning in MAPIR if the EP is able to be fully re-enrolled in Vermont Medicaid. If a MAPIR application of one of your providers is cancelled, please contact us right away: ahs.dvhaEHRIP@vermont.gov
VERMONT MEDICAID EHRIP REPORTS (Posted 6/8/17)
At the EHRIP Reports webpage, you will find reports that track the perfomance progress of the Vermont Medicaid EHR Incentive Program.
Payments to Eligible Providers: Lists all Eligible Hospitals and Eligible Professionals that received a Vermont Medicaid EHR Incentive Program payment for each Program Year. Each month’s update is a cumulative, full replacement for all previously posted files.
The 2016 Annual Report: A CMS-prescribed format for Federally-defined annual reporting requirements for EHR Incentive Program payments. It contains aggregate Meaningful Use (MU) and Clinical Quality Measure (CQM) data for all Medicaid EHR incentive payments made by the State of Vermont to Eligible Professionals from the program's inception through March 31, 2017.
Cumulative Payment Report: Illustrates the cumulative dollar amount of payments made to date for all Eligible Hospitals and Eligible Professionals.
An archive of previously issued VT Medicaid EHRIP Announcements is available here.
For questions, contact the Vermont EHRIP Team at ahs.dvhaEHRIP@vermont.gov
(Page last updated 12/08/2017)