III July 1, through September 30, ; or. IV October 1, through December 31, I October 1, through December 31, ;. II January 1, through March 31, ;. III April 1, through June 30, ; or. IV July 1, through September 30, A Eligible professionals attesting for the first year, either:. B Eligible professionals attesting for a subsequent year, the calendar year;. C Eligible hospitals attesting for the first year, either:.
D Eligible hospitals attesting for a subsequent year, the federal fiscal year. A Any continuous day period in the calendar year; or. C Certified EHR technology adoption, implementation, or upgrade requirements in the first year of participation and meaningful use requirements in subsequent years, or meaningful use requirements in all years of participation. A Be an enrolled Medicaid provider with the Division;. B Maintain current provider information with the Division;.
C Possess an active professional license and comply with all licensing statutes and regulations within the state where the eligible provider practices;. D Have an active Provider Web Portal account;.
E Ensure the designated payee is able to receive electronic funds transfer from the Authority; and. F Comply with all applicable Oregon Administrative Rules, including chapter , division , and chapter , division C An entity promoting the adoption of certified EHR technology.
The eligible professional shall:. D On a consecutive or non-consecutive annual basis. A An eligible professional qualifying with 30 percent minimum patient volume:.
B An eligible pediatrician qualifying with 20 percent but less than 30 percent minimum patient volume:. A Starting as early as program year but no later than program year ;.
D On a consecutive or non-consecutive annual basis for program years prior to program year ; and. E On a consecutive annual basis for program years starting in program year An eligible hospital is paid the aggregate incentive amount over three years of qualified participation in the Program:.
A The first payment incentive amount is equal to 50 percent of the aggregate EHR amount;. B The second payment incentive amount is equal to 40 percent of the aggregate EHR amount; and. C The third payment incentive amount is equal to 10 percent of the aggregate EHR amount. The aggregate EHR amount is calculated once for the first-year participation and then paid over three years according to the payment schedule:. A The overall EHR amount for an eligible hospital is based upon a theoretical four years of payment the hospital would receive and is the sum of the following calculation performed for each of such four years.
For each year, the overall EHR amount is the product of the initial amount, the Medicare share, and the transition factor:. No discharge-related amount is added for discharges prior to the 1,th or any discharges after the 23,th;. Average annual rate of growth is calculated as the average of the annual rate of growth in total discharges for the most recent three years for which data are available per year.
I 1 for the first of the theoretical four years;. III 0. B The Medicaid share for an eligible hospital is equal to a fraction:. I The estimated number of inpatient-bed-days that are attributable to Medicaid individuals; and. Can Oregon change the patient volume threshold? No, the patient volume thresholds of 30 percent and 20 percent pediatricians are required by federal statute and cannot be changed by states.
Are incentive payments for eligible professionals based on individual providers or a group? The incentive payments are made on a per eligible professional EP basis. If you are part of a practice or clinic, the patient volume may be calculated on a group level which means the encounters for all practitioners eligible and non-eligible providers in a group practice are used to determine patient volume.
After the first year of participation each EP will need to individually demonstrate meaningful use of certified EHR technology. In addition, each EP is eligible for one incentive payment each year, regardless of the number of practices or locations.
How is patient volume calculated? In the first year of the program, Oregon will offer providers the choice of calculating patient volume using either the Patient Encounter or Patient Panel methodology. Both methods require providers be able to properly document their patient volume. If an eligible professional has Medicaid patients from Oregon and Washington, do both count towards the 30 percent patient volume?
Yes, Oregon will include out of state Medicaid patient encounters in the patient volume calculation. How many years can an eligible professional receive Medicaid EHR incentive payments?
EPs must initiate participation no later than See our Provider Incentive Amount page for a table of payment examples. No, an eligible professional who is eligible for both the Medicare and the Medicaid EHR Incentive Programs can only participate in one program, not both. Before , an eligible professional may switch between the programs one time after the first incentive payment is initiated.
What is Adopt, Implement, or Upgrade? Eligibility in year one of the program requires the adoption, implementation, or upgrade AIU to certified EHR technology. CMS is requiring that Oregon validate this eligibility criterion by verifying at least one of the four following types of documentation: copy of a software licensing agreement contract invoices receipt that validates your acquisition Vendor letters, and other documents may also be submitted as a supplement to the items on the documentation list above.
However, these supplemental documents will not satisfy program eligibility requirements on their own. Adopt: Acquire, purchase, or secure access to certified EHR technology Implement: Install or commence utilization of certified EHR technology capable of meeting meaningful use requirements Upgrade: Expand the available functionality of certified EHR technology capable of meeting meaningful use requirements at the practice site, including staffing, maintenance, and training, or upgrade from existing EHR technology to certified EHR technology per the ONC EHR certification criteria.
When do providers have to meet the Medicaid meaningful use requirements? Visit our Provider Meaningful Use page. What are the meaningful use requirements? New questions and answers will be posted periodically on this website.
Subscribe to receive email alerts when we make updates to this site. How does a hospital participate in an incentive program? For the Medicaid EHR Incentive Program, it is important to know that participation includes eligibility criteria, registration and attestation. Information on the steps needed to apply is available.
Oregon is encouraging all hospitals, whether eligible for one incentive program or both, to register with CMS for both Medicare and Medicaid and designate the intent to participate with Oregon in order to maintain this option. There is no penalty if a hospital registers for both, but participates in one program. However, it is more difficult to add a program once registered. The CMS registration user guide for eligible hospitals is available now.
Eligible hospitals that are participating in the Medicaid EHR Incentive Program for the first time in have 60 days after the end of the program year to apply for an incentive payment. November 30, is the last day to apply for a year one payment. Eligible hospitals participating in their second year in the Medicaid EHR Incentive Program for have 90 days after the end of the program year to apply for an incentive payment. December 29, is the last day to apply for a year two payment.
Who certifies EHRs? Visit our EHR Support page for details. How do I know if my EHR is certified?
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