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IMPORTANT Notification: 2016 Medicaid Meaningful Use Attestations

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IMPORTANT Notification: 2016 Medicaid Meaningful Use Attestations
IMPORTANT Notification: 2016 Medicaid Meaningful Use Attestations

IMPORTANT Notification: 2016 Medicaid Meaningful Use Attestations

2016 is the last year to begin attesting an eligible professional under the Medicaid EHR Incentive Program.

If you use group patient volume when attesting your providers, it is very important that you verify that all providers attesting for the first time had Medicaid billing within the patient volume reporting period. (This first attestation is typically your adopt/implement/upgrade (AIU) attestation)

As you may recall, when using group patient encounter volume, all providers attesting for the program year must use the same group patient encounter reporting period and volume. For example:

if you typically use the last quarter of the previous calendar year for your patient volume reporting period, your group patient encounter volume for 2016 attestations would be reported for 10/03/2015-12/31/2015.
However, if you have hired (or plan to hire) in 2016 a new graduate or someone who did not previously bill Kansas Medicaid encounters, you would be unable to attest them as part of your group in 2016. Similarly, if you are attesting a provider for the first time in 2016 who was on extended leave (e.g. maternity leave, recovery from a significant injury or surgery, etc.) during the entire last quarter of 2015, you are also be unable to attest them.
If you are unable to attest your first-time Medicaid EHR Incentive Program participating providers as part of your group in 2016, they will no longer be eligible to participate in the Medicaid EHR Incentive Program and, therefore,will not be eligible for any Medicaid EHR incentives.
If you are encountering situations similar to those described above, you can take one of two approaches:
  • First, you could attest all providers in 2016 with individual patient encounter volume. This would allow you to select any 90-day reporting period in 2015 (the previous calendar year) or 2016 (the year prior to attestation) for your patient encounter volume on a per provider basis. In such a case, a provider you hired in January could be attested sooner than a provider who is scheduled to start in mid-August. Each provider would need to individually meet the 30% patient encounter volume of Medicaid (excluding CHIP) encounters or, for FQHCs and RHCs only, the 30% patient encounter volume of Medicaid (including CHIP) and “needy” encounters; “needy” encounters include sliding fee and uncompensated care. Also, this would require more reporting than the group patient encounter volume because Medicaid encounters, “needy” encounters (when applicable) and total patient encounters would need to be obtained for each individual provider that you are attesting.
  • Alternatively, you could attest with a group patient encounter reporting period in 2016 in which all providers have 1) submitted Medicaid claims and 2) meet the 30% patient encounter volume described above. This could, of course, result in a delay in attesting providers hired in early 2016.
Thank you,
Trish
For more information or further clarification – please reach out to Trish Harkness direct at:
(620)874-9034
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