State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director...
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Transcript of State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director...
![Page 1: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/1.jpg)
State Medicaid HIT PLAN
Cabinet for Health and Family ServicesKathy Frye, Deputy Executive Director and CIO
Sandeep Kapoor, CTO
![Page 2: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/2.jpg)
SMHP
• Assessment of the ‘As-Is’ HIT Landscape
• Development of the To-Be HIT Landscape
• EHR Incentive Program Development Plan
• Roadmap• RFP released 5/25 closing 6/29
Slide #2
![Page 3: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/3.jpg)
Slide #3
Eligible Professionals (EPs)Physicians (Pediatricians have special eligibility & payment rules)Nurse Practitioners (NPs)Certified Nurse-Midwives (CNMs)DentistsPhysician Assistants (PAs) who lead a Federally Qualified Health Center (FQHC) or rural health clinic (RHC) that is directed by a PA
Eligible HospitalsAcute Care HospitalsChildren’s Hospitals
Eligible providers for Medicaid
![Page 4: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/4.jpg)
Slide #4
![Page 5: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/5.jpg)
Slide #5
Meaningful Use – Waiting on final rule
![Page 6: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/6.jpg)
Slide #6
Meaningful Use – Waiting on final rule
- ePrescribing
- Lab interface
-Continuity of Care Document
![Page 7: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/7.jpg)
Slide #7
Medicaid only AIU
![Page 8: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/8.jpg)
Slide #8
![Page 9: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/9.jpg)
Kentucky e-Health Network BoardSlide #9
![Page 10: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/10.jpg)
Kentucky e-Health Network BoardSlide #10
![Page 11: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/11.jpg)
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The Basic Equation
REC HIE
EHR Incentive Pay
ment
AIU or MUMedicaid Activities
![Page 12: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/12.jpg)
National Level Repository
• CMS proposed a national-level repository in order to accomplish three statutory goals:– Ensure that there is no duplication of
payments between Medicare and Medicaid and between states;
– Ensure accurate and timely payments; and – Allow Medicare to meet its mandate for
online posting requirements.
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![Page 13: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/13.jpg)
The Medicaid EHR Incentive Timeline
• 2011- 2021• Providers cannot initiate after 2016• Incentive amounts are linked to
providers’ participation year, not the calendar year
• No fee schedule reductions like Medicare
• AIU in first participation year, MU in 2nd and subsequent years
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![Page 14: State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO.](https://reader034.fdocuments.us/reader034/viewer/2022051620/56649ec15503460f94bcd746/html5/thumbnails/14.jpg)
More information on the KHIE can be found on the Governor’s Office of Electronic Health Information
website at http://chfs.ky.gov/os/goehi/
Contact information