Medicaid Incentive Payouts and Stage 2 Meaningful Use

Post on 24-May-2015

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Adele Allison, National Director of Government Affairs at SuccessEHS, explains the details and deadlines providers need to know for Medicaid Meaningful Use. She highlights the incentive payouts for meeting Stage One, as well as the changes Stage 2 brings for both Medicare and Medicaid. For a copy of the Medicaid Timeline, visit our blog: info.successehs.com/blog

Transcript of Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts & Stage 2 Meaningful Use

Medicaid Incentive Payouts

Medicaid Incentive Payouts

Pays out over 6 years

Medicaid Incentive Payouts

Pays out over 6 years

(Medicare pays out over 5 years)

Medicaid Incentive Payouts

Pays out over 6 years

(Medicare pays out over 5 years)

State-run program

Medicaid Incentive Payouts

Pays out over 6 years

(Medicare pays out over 5 years)

State-run program

(Medicare is federally-run)

Medicaid Incentive Payouts

For a copy of this chart, visit our blog: info.successehs.com/blog

Medicaid Incentive Payouts

Medicaid Incentive Payouts

Year One: Adopt, Implement or Upgrade only

Reporting period does not

begin until Year Two.

Medicaid Incentive Payouts

Year Two: Demonstrate 90 days of

continuous Meaningful Use

Medicaid Incentive Payouts

Year Two: Demonstrate 90 days of

continuous Meaningful Use

Followed by a full year

Medicaid Incentive Payouts

Medicaid Incentive Payouts

Adopt, Implement, Upgrade

Medicaid Incentive Payouts

90 days of Meaningful Use

Medicaid Incentive Payouts

Full year of Meaningful Use

Medicaid Incentive Payouts

Must attest successfully EACH YEAR

Medicaid Incentive Payouts

$63,750 in potential funds

Medicaid Incentive Payouts

What about Stage 2?

Medicaid Incentive Payouts

What about Stage 2?

Federal Register: Sept. 4, 2012

Medicaid Incentive Payouts

What about Stage 2?

Federal Register: Sept. 4, 2012

Stage 2 delayed to CY2014

Medicaid Incentive Payouts

Big changes for eligible providers (EPs) attesting in CY2014

Medicaid Incentive Payouts

Big changes for eligible providers (EPs) attesting in CY2014

(Either Stage 1 or Stage 2)

Medicaid Incentive Payouts

CY2014: Reporting period now any quarter

Medicaid Incentive Payouts

CY2014: Reporting period now any quarter

Not a full year

Medicaid Incentive Payouts

CY2014

Medicaid Incentive Payouts

CY2014

Medicare: Now a 3-month reporting period

Medicaid Incentive Payouts

CY2014

Medicare: Now a 3-month reporting period

Medicaid: Now either 90 days or any quarter (state’s opinion)

Medicaid Incentive Payouts

Reason for the change?

Medicaid Incentive Payouts

Reason for the change?

So that everyone gets 2 years in each Stage.

Medicaid Incentive Payouts

Other Changes in Stage 2

Medicaid Incentive Payouts

Other Changes in Stage 2

Clinical Quality Measures now electronically submitted

Medicaid Incentive Payouts

Other Changes in Stage 2

Patient Engagement - HUGE

Medicaid Incentive Payouts

Other Changes in Stage 2

Patient Engagement - HUGE

Start planning now!

Medicaid Incentive Payouts

Other Changes in Stage 2

Batch (or Group) Reporting now allowed

Medicaid Incentive Payouts

Other Changes in Stage 2

Production HIE now required

Medicaid Incentive Payouts

Other Changes in Stage 2

Production HIE now required

Transitions of Care, Referrals, etc.

MU2 Highlights • Published in the Federal Register September 4, 2012 • Delayed Stage 2 by one year to CY2014 • CY2014 attesters (MU1 or MU2) → any quarter

o 3 month reporting period for ‘Care attesting Stage 1/2 in 2014 o First year ‘Caid EPs either any 90-days or quarters, by state option

• Everyone gets 2 years in each Stage • Changes to Quality measures with expectation they will be

electronically submitted • Patient Engagement → Big theme • Stage 2 allows for batch or group reporting • Production HIE will be required