Nebraska Medicaid Program

Medicaid Electronic Health Record (EHR)
Incentive Program

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Medicaid EHR Incentive Program Information

In February 2009, Congress enacted the Health Information Technology for Economic and Clinical Health Act ("HITECH"), as part of the federal stimulus package. The legislation included a number of provisions designed to encourage the adoption and use of health information technology, including electronic health records (EHRs) and the development of a health information exchange (HIE) infrastructure to improve health outcomes while providing cost savings efficiencies.

One of the initiatives of this legislation is the Medicaid Electronic Health Record (EHR) Incentive Program. Under this program, States will distribute incentive payments to qualified Medicaid providers that adopt, implement, upgrade, or meaningfully use, certified EHR technology.

New Beginning with EHR Program Year 2014, all Eligible Professionals, Eligible Hospitals and CAHs need to upgrade to 2014 Edition EHR technology.   All providers must include the 2014 CMS EHR Certification ID (ONC Certification number) on Enrollment and Attestation forms for Program Year 2014.

NOTE:  The deadline for eligible professionals to register for a payment for 2013 remains February 28, 2014 (60 days after the end of the calendar year).

NewThe deadline for eligible hospitals to register for a payment for 2014 is November 30, 2014 (60 days after the end of the federal fiscal year). The deadline for eligible professionals to register for a payment for 2014 is February 28, 2015 (60 days after the end of the calendar year).

New Medicare payment adjustments start on January 1, 2015, for any eligible professional who has not successfully demonstrated meaningful use. Meaningful use can be demonstrated through either the Medicaid or the Medicare EHR Incentive Program. See this  CMS website for important deadlines to avoid these penalties as well as information on the hardship exceptions.  Also see this CMS Payment Adjustments and Hardship Exceptions website with more information regarding the Medicare Payment Adjustment Hardship Application Process.

Hospitals will also have Medicare payment adjustments if they have not successfully demonstrated meaningful use. See this  CMS website for information on the important deadlines and hardship exceptions for hospitals who wish to avoid these penalties.

Step 1: The registration process starts with CMS. Complete the Registration at this website:

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/RegistrationandAttestation.html

Step 2: After completing the registration with CMS, then complete our enrollment form using the link to the instructions. The instructions provide information on how to submit the form to DHHS as well as specific information on each field on the enrollment form:

Eligible Professional (EP) EHR Incentive Program Enrollment and Attestation Form

Instructions for Eligible Professional (EP) EHR Incentive Program Enrollment and Attestation Form

Stage 1 Meaningful Use Supplement to the EP Enrollment and Attestation

Instructions for Meaningful Use Supplement to the EP Enrollment and Attestation

Eligible Hospital (EH) EHR Incentive Program Enrollment and Attestation Form

Instructions for Eligible Hospital (EH) EHR Incentive Program Enrollment and Attestation Form

Step 3: You will receive an e-mail from DHHS if any further information is needed. All payments will be made by Electronic Funds Transfer (EFT). If you are determined to be eligible for a payment, you will receive an e-mail when the payment has been made. Hospitals will be able to review the payment calculation before the payment is actually made.

Please send any questions to our mailbox at DHHS.EHRIncentives@NEBRASKA.GOV

Tips for enrollment:

  • When sending in the enrollment form, include a copy of the contract or other supporting documentation if AIU is being claimed.
  • If Meaningful Use is being claimed, eligible professionals will need to complete both the MU Supplement (MC-150A) and the Enrollment and Attestation form (MC-150).
  • A copy of the page from the system which shows the total patient volume for the selected period.
  • The payee information and other information on the CMS registration must match what is entered on the enrollment form. If the CMS registration has incorrect information, update the CMS registration, then submit the enrollment document.
  • When selecting group reporting, be sure to list all of the Medicaid numbers that are included in that group.

EHR Incentive Program Eligibility, Requirements and Payments

Eligible Hospitals (EH):

Patient Volume Information for Eligible Hospitals
Hospital Estimated Payment Calculator
Hospital Estimated Payment Calculator Instructions
EH Slide Show Presentation

Eligible Professionals (EP)

Patient Volume Information for Eligible Professionals
EP Slide Show Presentation
FQHC/RHC Slide Show Presentation
IHS Slide Show Presentation

Resources

Stage 1 vs. Stage 2 Comparison for Eligible Professionals
Stage 1 vs. Stage 2 Comparison for Eligible Hospitals
Public Health Meaningful Use objectives
CMS Introduction to the Medicaid EHR Incentive Program for Eligible Professionals Guide
CMS Registration User Guide for Eligible Professionals
CMS Registration User Guide for Eligible Hospitals
CMS Final Rule
CMS Frequently Asked Questions
CHPL Certified Health IT Product List

DHHS Activities and Timeline

Nebraska launched the EHR incentive program on May 7, 2012. The SMHP which was submitted to CMS on June 24, 2011, was approved. An updated SMHP was submitted in October 2012 to make some changes following the Stage 2 rule changes. This updated SMHP was approved in January 2013. A link to the updated document is below. Current SMHP

Frequently Asked Questions

To receive notification of updates program activities and timelines, please subscribe to this page.

Rules and Regulations:

The Centers for Medicare and Medicaid Services (CMS) published the final rule for the Medicare and Medicaid EHR Incentive Programs on July 28, 2010. This rule outlines the requirements for participation in the programs. A copy of the final rule and up-to-date, detailed information about the programs, including eligibility, payments, meaningful use, and registration, is available on the CMS website:

DHHS Contact

Other Health Information Technology Information and Resources

All documents available from this page are in PDF PDF format
which require the use of Adobe Acrobat Reader.

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