Updates and Announcements


      Check out our Frequently Asked Questions

       Find a list of our past PIP/EHRIP email communications at our Archived Announcements

      MAPIR is accepting PY2020 applications from September 1, 2020 - January 31, 2021

      Sign up to receive email updates: ahs.dvhaEHRIP@vermont.gov


TELEHEALTH AND ATTESTATION (posted 11/25/2020)

The year 2020 has been far from routine for any of us, especially those of us working in the health care industry.  Care delivery has changed; technology allowed for providers to connect with patients through virtual means while keeping us safe and distanced whenever possible.  The use of telehealth technologies increased greatly during 2020, and it will continue to be a useful tool in health care going forward.

What does the use of telehealth mean for attestation in 2020?

We have heard that some providers believe they may not meet the standards for meaningful use in 2020 because of the increased use of telehealth services.  It is important to know that (continued on next page) (continued from previous page) the use of telehealth itself is compatible with meeting MU standards; providers can practice virtually and still successfully attest to meaningful use in PY2020.

However, if operational changes were made as a result of the use of telehealth visits, attestation may be more challenging in some cases.  For instance, if documentation or practices that would be required for attestation were skipped as part of a new workflow created to accommodate the use of telehealth, then objectives and measures may not meet the thresholds for meaningful use.  In these instances, we encourage preparers to look for a 90-day period when telehealth visits were lowest; perhaps the first quarter of 2020 before operations were changed by the pandemic.  Consider when the office might have re-opened for more in-person visits after the first wave of the pandemic as well.

MU GENERAL REQUIREMENTS (posted 11/25/2020)

As part of attestation in MAPIR, preparers will be asked to demonstrate significant use of CEHRT by answering two different eligibility questions (see below). The first question is asking for a percentage of all encounters.  The second question is asking for a percentage of unique patients.

For example: A provider has sees 90 unique patients during a reporting period.  75 of them she only sees for one encounter.  But there are 15 of them that she sees twice.  Adding up the encounters would be (75 + [15*2]) =  105 encounters.

In this case, the denominator in the first question would be 105.  The denominator in the second question would be 90. The numerators for each of these would be dependent upon how many encounters (for the first question) or unique patients (for the second question) met the measure outlined in the respective question.

It is highly unlikely that the denominators in these two questions would match, as it is unlikely that a provider would encounter each unique patient exactly one time during a reporting period.  Even if 100% of all encounter occurred in locations where CEHRT is being utilized and 100% of all unique patients have their data in the CEHRT, the two denominators would still not be the same.

MU General Requirements

A CLOSER LOOK: OBJECTIVE EIGHT, PUBLIC HEALTH AND CLINICAL DATA REGISTRY REPORTING (posted 11/13/2020)

There are several measures in this objective that must be answered correctly in order to successfully attest. Please click here for details.
An EP must satisfy two measures for this objective. If the EP cannot satisfy at least two measures, they may take exclusions from all measures they cannot meet.
Note that there are measures 1 through 5. Measures 4 and 5 can be separated into 4a and 4b, and 5a and 5b, respectively, essentially making it possible to attest to a total of seven (7) measures for Objective 8. If an EP attests to active engagement in measure 4a, they must also attest to 4b (which may be satisfied or excluded).  Likewise, if an EP satisfies measure 5a, they must also attest to 5b (which may be satisfied or excluded).
Here are some considerations for Vermont EP’s:

  • The Blueprint for Health Registry was not active for PY2020. You may not attest to active engagement with this registry for any measure.
  • The Vermont Department of Health registries do not meet Stage 3 requirements. You may not attest to active engagement with any of these for any measure, including measures 4 and 5.
  • Measures 1, 2, and 3: All Vermont EP's must exclude from these measures. Documentation is not required. Measure 4a: Most EP's will EXCLUDE. However, some EP's may belong to organizations/registries that qualify as an MU Stage 3 Public Health Registry. You must provide documentation for this measure whether you are engaged with a registry or excluding from the measure.
  • Measure 4b: If you excluded from 4a, no data entry will be allowed for this measure, therefore no documentation is required. However, if you attested to active engagement in 4a, you must attest to 4b. You must provide documentation for 4b whether you are engaged with a registry or excluding from the measure.
  • Measure 5a: Most EP's will EXCLUDE. However, some EP's may belong to organizations/registries that qualify as an MU Stage 3 Clinical Data Registry. You must provide documentation for this measure whether you are engaged with a registry or excluding from the measure.
  • Measure 5b: If you excluded from 5a, no data entry will be allowed for this measure, therefore no documentation is required. However, if you attested to active engagement in 5a, you must attest to 5b. You must provide documentation for 5b whether you are engaged with a registry or excluding from the measure.

For samples of the types of acceptable documentation for measures 4a, 4b, 5a, and 5b, please see our Public Health webpage here. You’ll also find information for New Hampshire providers as well as documentation aids for Objective Eight.

PROGRAM YEAR 2021: WHAT TO EXPECT (Posted 10/30/2020)

CMS has released spec sheets for PY2021, the final year to attest for the Medicaid Promoting Interoperability Program. The requirements of the program for PY2021 will remain unchanged from those of PY2020.
While the eCQMs will be updated, the objectives, measures, and exclusions will remain unchanged for the program's final year.
The attestation window for PY2021 is only months away! It will be open from April 30, 2021 through
July 31, 2021. All incentive payments will be distributed by December 31, 2021.

A CLOSER LOOK: OBJECTIVE SIX, MEASURE THREE (Posted 10/30/2020)

Objective Six, Coordination of Care through Patient Engagement, is an objective with which there have been challenges historically, especially with Measure Three. It is worth reviewing this measure in detail to ensure that EPs can attest successfully. Full details can be viewed here.
Objective Six requirements: An EP must attest to all three measures and meet the threshold for two measures. If the EP meets the criteria for exclusions for two measures, they must meet the threshold for the one remaining measure. If the EP meets the criteria for exclusion from all three measures, they may be excluded from meeting this objective.
Measure Three: Patient generated health data or data from a non-clinical setting is incorporated into the CEHRT for more than 5 percent of all unique patients seen by the EP during the EHR reporting period.
Definition for Patient Generated Health Data: Data generated by a patient or a patient's authorized representative.
Definition for Data from a Non-Clinical Setting: This includes, but is not limited to, social service data, data generated by a patient or a patient's authorized representative, advance directives, medical device data, home health monitoring data, and fitness monitor data. The data may not be information the patient provides to the EP during the office visit.
The sources of data may include mobile applications for tracking health and nutrition, home health devices with tracking capabilities such as scales and blood pressure monitors, wearable devices such as activity trackers or heart monitors, patient-reported outcome data, and other methods of input for patient and non-clinical setting generated health data. Telehealth platform, personal health records, social determinants of health screening modules, long term care/post-acute care coordination platforms might also be considered.
Providers in non-clinical settings may include care providers such as nutritionists, physical
therapists, occupational therapists, psychologists, and home health care providers. Other key
providers in the care team such as behavioral health care providers, may also be included.

EXCLUSIONS (Posted 10/16/2020)

Did you know that many objectives and measures for the Promoting Interoperability Program have exclusions that may allow for providers to successfully attest and receive incentive payments, even if they cannot meet all the measures?  For instance, if your practice writes less than 100 radiology orders during the reporting period, then you may exclude from the measure associated with electronic radiology orders.

There are also objectives with multiple measures for which all measures do not have to be met to pass the objective.  For instance, Objective 7 has three masures to which an EP must attest, but only two of the three measures must be met to pass the objective.  And if an EP meets the exclusions for all three measures, the EP can exclude from the entire objective.

For more details about each objective,  measures, and exclusions, review the spec sheets from CMS, which can be found here.

SURVEY PARTICIPATION REQUESTED (Posted 10/1/2020)

The Vermont Medicaid PIP team is requesting your participation in a very brief survey in an effort better understand the current environment for participation in PY2020.  It will only take a few minutes of your time and is completely anonymous.  Click here to access the survey.  Thank you for your time!

START OF LAST REPORTING PERIOD FOR PY2020 (Posted 10/1/2020)

The concluding 90-day period of 2020 starts October 3, 2020.  This is the final opportunity to ensure you are meeting all MU measures for PY2020.

EHR REQUIREMENTS (Posted 10/1/2020)

you are attesting for PY2020, you MUST be using a 2015 Edition Certified EHR System, also known as a 2015 Edition CEHRT.   While the CEHRT does not need to have been in place on January 1, 2020 in order to attest, it must be in place for the entirety of the selected MU reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period.

     How can you tell if your EHR system is 2015 Edition CEHRT?

There are a few ways to check:

1. The easiest way is to look at the CEHRT ID, which may or may not be readily available directly within your EHR system.  It will be a 15-alpha/numerical code.  “15E” will be in the 3rd-5th spaces in the code if your EHR is 2015 Edition.

2. Contact your EHR vendor and ask about the certification standard of your system.

3. Utilize the Certified Health IT Product List (CHPL):  Here you can search by product name, vendor name, or CHPL product number to identify the CEHRT ID.

MIPS?  PIP?  WHAT'S THE DIFFERENCE? (Posted 9/15/2020)

Our program is the Medicaid Promoting Interoperability Program (Medicaid PIP), formerly known as the EHR Incentive Program, but the terms “Promoting Interoperability” and “Meaningful Use” are found in multiple federally-funded incentive programs for medical providers and hospitals, which can and has led to considerable confusion. It is worth briefly reviewing the two other distinct programs and how they relate to our program:

  • Medicare Promoting Interoperability (Medicare PIP)
  • Merit-Based Incentive Payments (MIPS)

     Medicare PIP and Medicaid PIP:

These programs are or have been available to eligible professionals (EPs) and hospitals (EHs) through the HITECH act, which sunsets at the end of 2021. All EHs in Vermont have topped out of the Medicaid PIP. Medicare PIP is now only available for EHs; Medicare PIP has been replaced by MIPS for EPs. If a provider participated in Medicare PIP while it existed and did not participate in Medicaid PIP before 2016, they are not eligible to participate in Medicaid PIP for the remainder of the program. If an EH has participated in Medicare PIP, you may be required to attest annually, whereas the Medicaid PIP does not require annual attestation.

Both Medicaid and Medicare PIPs are sometimes referred to as “Meaningful Use”.

     MIPS and Medicaid PIP:

The Medicare Access and CHIP Reauthorization Act (MACRA) streamlined existing Medicare incentive payment programs into MIPS, thereby eliminating the Medicare PIP for EPs. Participating in MIPS is required on an annual basis, while (as mentioned above) Medicaid PIP attestation is voluntary and years of participation need not be sequential. Here in Vermont, MIPS reporting may look different if an organization is participating in the accountable care organization, OneCare, which is recognized as an Alternative Payment Model (APM) entity. If OneCare has determined that a clinician has met specific thresholds, they may be exempted from participating in MIPS. If a practice/provider is not participating with OneCare, MIPS reporting is required. Regardless of the exemption status or participation in MIPS, EPs may also participate in Medicaid PIP concurrently.

MIPS has a performance category that is called “Promoting Interoperability”, which was a holdover from the Medicare PIP program for EPs that no longer exists.

Simply being aware that these terms are not unique to one program can help to avoid confusion.

PIP ELIGIBILITY (Posted 9/15/2020)

Are you certain of the eligibility status of all your providers, especially newer ones? Do you know how many years of incentive payments each eligible professional (EP) has received? If you have any uncertainty, consider taking the following steps to ensure you are attesting for all EPs at your organization.

  1. Check the Provider On-Demand Resource on MAPIR. This tool will allow you to see all EPs in your organization that are associated with your organization's TIN in the CMS R&A site.  For assistance in locating this resource, email us at ahs.dvhaEHRIP@vermont.gov.
  2. If you have had new staff join your organization, email a list of names and NPIs to ahs.dvhaEHRIP@vermont.gov. Our team will manually check the National Level Registry and identify eligibility of each provider. If any of your providers participated with a previous employer and/or in another state, they may be eligible for PY2020 attestation with your organization.

IT'S NOT TOO LATE FOR PY2020 (Posted 9/15/2020)

You may think that because we are in the final quarter of 2020 that it’s too late for you to attest to meaningful use for this year. However, there is still time to be successful in leveraging that incentive payment! Both the MU attestation period and eCQM periods are only 90 days. The latest these reporting periods could start is October 3, 2020. There's still time!

Over the next few weeks, consider the following tasks:

The attestation window closes January 31, 2021, giving you time during this final quarter of 2020 to meet the requirements of MU and the full month of January to attest in MAPIR.

LOST IN ATTESTATION? (Posted 9/15/2020)

Ideally, applying for the Promoting Interoperability Program via MAPIR is a straightforward practice, but if you’re a new preparer or if it has been a few years since you’ve attested, you may find that some support is helpful.

The first place we recommend looking is our MAPIR User Guides. These PDFs are updated every program year, and walk preparers through the entire application process with screenshots of each page you’ll encounter in MAPIR. We also have specific guidance for the Public Health objective and eCQMs, if those are areas in which assistance would be helpful.  And of course, you can always email us at ahs.dvhaEHRIP@vermont.gov, and we will be happy to assist you.

A MEANINGFUL (USE) PARTNERSHIP WITH VITL (Posted 9/15/2020)

DHVA has partnered with Vermont Information Technology Leaders (VITL) to offer providers and preparers support surrounding achieving Meaningful Use (MU) for PIP. This service is offered free-of-cost. Mary Donati is a Registered Nurse with years of clinical, administrative, and technical experience and is available to assist practices with successful attestation. Mary is able to assist with a wide variety of challenges that providers and preparers might encounter when striving to achieve MU, including navigating EHR reporting, completing Security Risk Assessments, and operational workflows.

In addition to Mary’s free MU support, VITL offers many other helpful services surrounding health information technology that are available to practices for an additional fee at their discretion. Learn more at www.vitl.net, and email Mary Donati at mdonati@vitl.net to find out how she can help you be successful with your PY2020 attestation.

TIME TO CHECK FOR SPECIALTY REGISTRIES! (Posted 9/15/2020)

Many providers are members of medical societies, patient safety organizations, and quality improvement organizations. These institutions may sponsor or maintain clinical data registries that meet the guidelines for Meaningful Use. All providers should evaluate their membership status and active engagement in any registries prior to attesting for PY2020. Check with the appropriate organizations if you are unsure, or email us at ahs.dvhaEHRIP@vermont.gov

Supporting documentation is required to be submitted whether attesting to active engagement or excluding from this measure. See our Public Health page here for documentation aids and additional guidance.

ATTESTATION TIME PERIODS (Posted 9/15/2020)

There are three separate 90-day time periods to consider when attesting for the PI Program. They may overlap, or they may be distinct from one another. Here is a quick review of what you need to know about each:

Patient Volume Reporting Period: Each provider must demonstrate patient volume thresholds for each year of program participation. Providers cannot re-use or overlap any dates from a previous year's attestation. There are two options for selecting the 90-day period:

Calendar year preceding payment year (calendar year 2019 currently); OR

12 months preceding attestation date (up to 365 days prior to the date you attest in MAPIR).

Click here for additional information on Patient Volume Reporting Periods.

eCQM Reporting Period: For PY2020, the eCQM reporting period is any continuous 90-day period during CY2020. It may or may not overlap with either the Patient Volume or the EHR/MU reporting periods.

EHR/MU Reporting Period: For PY2020, the EHR/MU reporting period is any continuous 90-day period during CY2020. It may or may not overlap with either the Patient Volume or the eCQM reporting periods. There are measures that can occur before, during, or after the MU reporting period of 90 days (read more here), but within the calendar year of each program year.

Additionally, some EHR systems run MU reports for time periods that are slightly more than 90 days (such as 3 month) time periods. If attesting using a reporting period of more than 90 days, a statement explaining the discrepancy should be provided at the time of attestation.

CONCLUDING PY2019 REVIEWS AND PAYMENTS (Posted 7/28/2020)

Thank you for your patience as the PIP/EHRIP Team reviewed Program Year 2019 applications.  All submissions have received their initial reviews and have either been approved for further processing or are awaiting receipt of corrections or additional documentation.  If you have received a request for information, please respond promptly so that we may finalize all payments.

PREPARING FOR PY2020 ATTESTATION (Posted 7/28/2020)

The current Promoting Interoperability Program sunsets at the end of 2021.  As a result, reporting and attestation periods will become truncated to facilitate administration of the program.  This will allow for final incentive payments to be paid out by the end of December in 2021.  For the first time in the program, the attestation window will open during the program reporting year.  The PY2020 attestation window opens September 1, 2020 and closes January 31, 2021.

We encourage you to start preparing for attestation by reviewing the current program requirements, which can be found on our website here.  You will find guidance on a variety of topics such as the new 90-day eCQM reporting period, updated public health reporting, and new MAPIR 6.3 user guides.  Develop a plan now to review your progress, so that any needed clinical workflow adjustments are in place in time for the final 90-day reporting period of the year (October 3, 2020 - December 31, 2020).

We also offer web-based consultations to help further your understanding of the PY2020 eligibility, reporting and documentation requirements.  Please email us at ahs.dvhaEHRIP@vermont.gov to schedule a consultation.

eCQMS HAVE BEEN UPDATED FOR PY2020 (Posted 7/28/2020)

Each year CMS updates eCQMs that have been adopted for submission to the Promoting Interoperability Program and other CMS quality reporting programs.  There are several resources available to review PY2020 eCQM requirements:

  • eCQI Resource Center website here
  • Vermont PIP/EHRIP PY2020 page here
  • CMS.gov eCQM basics webpage here

AUDIT UPDATES AND REMINDERS (Posted 7/28/2020)

We’d like to remind providers how important it is to keep their audit supporting documentation for six years. If you’re contacted that you’ve been selected for an audit, it’s imperative that you’re able to retrieve all of your audit supporting documentation.

We strongly encourage providers to have multiple people within their organization aware of the location of the supporting documentation. This will ensure the program always has someone that knows where and how to locate the documentation if selected for an audit.

You can also consult your EHR vendor and ask about the capability of your system to retrieve, store, and manage old data. This is especially important if you are undergoing system changes or upgrades.

The Audit Tip Sheet has been revised.  Please review it on our website here.

PROGRAM YEAR 2019 SUBMISSION WINDOW CLOSING SOON! (Posted 05/19/2020)

The application submission window for PY2019 will be closing on Sunday, May 31, 2020.

We have started processing applications and appreciate your patience.

For more information on the application process, please refer to the Meaningful Use Assistance Service and MAPIR USER GUIDES announcements below (Posted 04/15/2020).

NEW MEDICAID OPERATIONS ADMINISTRATOR HAS JOINED VERMONT PROMOTING INTEROPERABILITY/ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM (Posted 05/19/2020)

The team is pleased to announce that we recently hired a new program administrator.  Michelle Sawyer brings along several years of experience in social and healthcare programs, both as a direct service provider and in administering and developing quality assurance, implementation, and operational procedures. Michelle will be serving as the lead outreach and education point of contact for the team. She is excited to be onboard and looks forward to helping all of you, our program participants, as you navigate the complex requirements of the Vermont Promoting Interoperability Program.

UPDATE ON PROGRAM YEAR 2019/RESPONSE TO COVID-19 (Posted 04/15/2020)
In response to the COVID-19 emergency declarations the Promoting Interoperability Program has reopened the PY2019 application submission window in MAPIR. The application submission window for PY2019 will be open through May 31, 2020.

MEANINGFUL USE ASSISTANCE SERVICE (Posted 04/15/2020)

The PIP/EHRIP team is standing by to answer questions and support providers with their attestations. Please email us at AHS.DVHAEHRIP@vermont.gov with any questions and be sure to check out the Vermont Medicaid PIP/EHRIP website at https://healthdata.vermont.gov/ehrip for important information about the program.

Alternatively, you may reach out to our VITL Meaningful Use Assistance service provider, at Mdonati@vitl.net for assistance with understanding the Meaningful Use requirements and submitting incentive payment applications. This service is paid for directly by our program at no charge to program participants, however, there are other services your practice may want to utilize for a fee at your own discretion.

MAPIR USER GUIDES (re-Posted 04/15/2020)

Before proceeding with an application in MAPIR, download and review the helpful User Guides. As you step through the screens in the MAPIR system, the User Guides provide additional explanation, illustrated hints, navigation tips, and documentation forms. Reviewing the User Guide will help you organize the reports and data needed for attestation. Assembling this information ahead of time will maximize your productivity when you are logged into the MAPIR system.

The MAPIR 6.2 User Guides for Eligible Professionals are separated into four files:

Part 1 - Getting Started, Confirm R&A and Contact Info, Eligibility, Patient Volumes  (PDF 2.4 MB)

Part 2D - Attestation Phase, MU General Requirements, MU Objectives, CQMs (PDF 4.8 MB)

Part 3 - Review; Optional Questionnaire; File Uploads; Required Documentation; Submission; Status information; Adjustments  (PDF 1.2 MB)

Part 4 - Additional User Information, Appendices (PDF 460 KB)

NOTE TO PREPARERS: MULTIPLE LOCATIONS/EMPLOYERS (Posted 02/03/2020)

Those preparing and submitting applications for incentive payments in the Medicaid Promoting Interoperability Program MUST be cognizant of whether the providers they are preparing applications for practice at other locations or have other employers.

We recommend that preparers flag any provider who either:

•    Practices at another location (in most instances when it is the same employer that has multiple practice sites, the CEHRT automatically combines the data, so there will likely be no extra steps needed).

                or

          •    Has more than one employer.

For each of these providers, you should confirm that at least 50% of their total outpatient encounters during their EHR reporting period took place at a location, or a combination of locations, with certified EHR technology (CEHRT).

Meaningful use measures can be calculated across locations and employers by adding the numerators and denominators from each CEHRT.

Please be advised that you will be putting your organization at risk of recoupment during post-payment audit if you do not consider all of the locations and employers of your attesting Providers. Furthermore, please be aware of the dates you are entering in your applications. The EHR Reporting Period should be used when completing the MU General Requirements section of the MAPIR attestation, not the Patient Volume dates.

Please refer to CMS guidance on multiple locations for further information: Guide for Eligible Professionals in the Medicaid Promoting Interoperability Program Practicing in Multiple Locations.

Reach out to the PIP team at ahs.dvhaEHRIP@vermont.gov if you have any other questions, comments, or concerns.

Reminder: MAPIR IS READY TO ACCEPT PY2019 APPLICATIONS (Posted 02/03/2020)
The MAPIR system upgrade is complete, and providers may start submitting their Program Year 2019 PIP/EHR Incentive Program applications. The deadline to submit applications is February 29, 2020. More information here: https://healthdata.vermont.gov/ehrip/PY2019

Please refer to the website announcement from January 3, 2020 for information on MAPIR User Guides and resolving Problems Logging Into MAPIR.

PROGRAM YEAR 2020 IS UNDERWAY FOR TRACKING ELIGIBILITY AND MU MEASURES (Posted 02/03/2020)

CMS has posted the Specification Sheets for 2020 Medicaid Promoting Interoperability Program requirements at their PY2020 webpage. Highlights:

  • 2015 Certified EHR System is required.
  • All providers will be attesting to Meaningful Use Stage 3 Objectives and Measures.
  • 90-Day EHR Reporting Period for MU Objectives and Measures.
  • 90-Day Reporting Period for Clinical Quality Measures.
  • Changes to Public Health Reporting Options.

More information and guidance will be posted at our website as it becomes available.

Electronic Health Records Vendor to Pay $145 Million to Resolve Criminal and Civil Investigations (Posted 02/03/2020)

On January 27, 2020, the U.S. Department of Justice announced that Practice Fusion Inc. (Practice Fusion), a San Francisco-based health information technology developer, will pay $145 million to resolve criminal and civil investigations relating to its electronic health records (EHR) software.

States may receive questions from providers regarding flawed Meaningful Use reports that have come to light. States and providers do not need to take any actions. CMS has a public-facing FAQ (#6097) stating that providers should not be penalized for problems with their CEHRT that are discovered after attestation. If an EP provided attestations that they believed to be accurate at the time, and their documentation was sufficient at the time of payment, then they should not be under further scrutiny.

                CMS FAQ #6097

Q: I entered numerator and denominator information during my Medicare Electronic Health Record (EHR) Incentive Program attestation from my certified EHR technology, but subsequently discovered that the method of calculation included in the software was flawed. The software vendor has updated the reports. If CMS audits me, will I be held responsible for the difference between what I reported and what the updated software calculates?

A: CMS does not plan to conduct an audit to find providers who relied on flawed software for their attestation information. We realize that providers relied on the software they used for accuracy of reporting, and we believe that most providers who were improperly deemed meaningful users would have met the requirements of the EHR Incentive Programs using the updated certified EHR technology.

For more information: DOJ Press Release

MAPIR IS READY TO ACCEPT PY2019 APPLICATIONS  (Posted 1/3/2020)
The MAPIR system upgrade is complete, and providers may now start submitting their Program Year 2019 PIP/EHR Incentive Program applications. The deadline to submit applications is February 29, 2020. More information here: https://healthdata.vermont.gov/ehrip/PY2019

MAPIR USER GUIDES  (Posted 1/3/2020)
Before proceeding with an application in MAPIR, review the online User Guides, posted on our website. As you step through the screens in the MAPIR system, the User Guides provide additional explanation, illustrated hints, navigation tips, and documentation forms. Reviewing the User Guide will help you organize the reports and data needed for attestation. Assembling this information ahead of time will maximize your productivity when you are logged into the MAPIR system.

The MAPIR 6.2 User Guides for Eligible Professionals in PY2019 are separated into four files:

Part 1 - Getting Started, Confirm R&A and Contact Info, Eligibility, Patient Volumes  (PDF 2.4 MB)

Part 2D - Attestation Phase, MU General Requirements, MU Objectives, CQMs (PDF 4.8 MB)

Part 3 - Review; Optional Questionnaire; File Uploads; Required Documentation; Submission; Status information; Adjustments  (PDF 1.2 MB)

Part 4 - Additional User Information, Appendices (PDF 460 KB)

IMPORTANT: PROVIDER MEDICAID ACTIVE STATUS  (Posted 1/3/2020)
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 automatically abort from the MAPIR system. The attestation must then be restarted from the beginning in MAPIR after the EP becomes fully re-enrolled in Vermont Medicaid. Contact the PIP/EHRIP Team if you experience this issue.

PROBLEMS LOGGING INTO MAPIR?  (Posted 1/3/2020)
MAPIR is accessed through the Vermont Medicaid provider secure web portal: https://www.vtmedicaid.com/secure/logon.do

Providers must be properly identified in the Vermont Medicaid system. In addition, there must be a relationship between:

  • The preparer (the person attesting on behalf of the provider);
  • The login User ID for the Medicaid Provider Portal, and;
  • The providers' information within the Medicaid system.

Aligning this information is necessary in order to proceed in MAPIR. Some providers and preparers have experienced common issues in accessing the MAPIR system as a result of issues with provider information alignment. A troubleshooting guide for solving for these common MAPIR access issues is available here:  http://healthdata.vermont.gov/ehrip/help/access

Please alert the PIP/EHRIP Team if you encounter any technical or policy issues as you proceed: ahs.dvhaEHRIP@vermont.gov


An archive of previously issued VT Medicaid PIP/EHRIP Announcements is available here.


For questions, contact the Vermont EHRIP Team at  ahs.dvhaEHRIP@vermont.gov

Back to the Vermont Medicaid PIP/EHRIP Home Page

(Page last updated 11/25/2020)