State f Nebraska Medicaid EHR Incentive Prgram (MIP)
Table f Cntents PREFACE... 1 1. EP AND EH NEBRASKA REGISTRATION... 3 1.1. ACCESS PROVIDER WEB REGISTRATION... 3 1.1.1. Lcate Prvider Prfile... 3 1.1.2. Create New User Name and Passwrd... 4 1.1.3. Activate User Accunt... 5 1.2. APPLY FOR INCENTIVE... 5 1.2.1. Lg In... 5 1.2.2. Dashbard... 5 2. COMPLETE APPLICATION - EP... 6 2.1. EP APPLICATION GENERAL INFORMATION... 6 2.2. EP APPLICATION ELIGIBILITY SCREENS... 8 2.2.1. Prvider Questins... 9 2.2.2. EHR Questins... 9 2.2.3. Patient Vlume Questins... 11 2.3. EP APPLICATION - MEANINGFUL USE SCREENS... 14 2.3.1. Layut fr Meaningful Use Cre and Menu Objectives... 14 2.3.2. General Questins - Meaningful Use... 15 2.3.3. EP Cre Objectives... 15 2.3.4. EP Menu Set Objectives... 15 2.3.5. Clinical Quality Measures Selectin... 16 3. COMPLETE APPLICATION EH... 17 3.1. EH APPLICATION GENERAL INFORMATION... 17 3.2. EH APPLICATION ELIGIBILITY SCREENS... 19 3.2.1. Prvider Questins... 20 3.2.2. EHR Questins... 20 3.2.3. Patient Vlume... 21 3.2.4. Payment Calculatin... 22 3.3. EH APPLICATION - MEANINGFUL USE SCREENS... 23 3.3.1. Layut fr Meaningful Use Cre and Menu Objectives... 23 3.4. SUBMIT ATTESTATION FOR REVIEW... 24 3.5. APPEALS (EP AND EH)... 24 3.5.1. Access Appeals Page... 24 3.6. RECOVER / RESET LOG IN CREDENTIALS (EP AND EH)... 25 3.6.1. Recver User ID... 25 3.6.2. Reset Passwrd... 25 3.6.3. Change Passwrd... 25 3.7. UPLOAD SUPPORTING / REQUIRED DOCUMENTATION (EP AND EH)... 26 3.7.1. Add Dcument... 26 Page - ii NE MIP
Preface This Nebraska Medicaid Electrnic Health Recrd (EHR) Incentive Prgram prtal user manual is intended t prvide Eligible Prfessinals (EPs) and Eligible Hspitals (EHs) guidelines t successfully navigate the Nebraska Medicaid Electrnic Health Recrd (EHR) Incentive Prgram user prtal. The NE Medicaid EHR Incentive Prgram is fr prviders wh are eligible fr the Medicaid EHR incentive payments utlined in the American Recvery and Reinvestment Act (ARRA) f 2009, and serve the NE Medicaid ppulatin as well as needy individuals in the State f Nebraska (if applicable). EPs and EHs will use this prtal t attest t adptin, implementatin r upgrading f a certified Electrnic Health Recrd system and t attest and prve Meaningful Use. NE MIP (Medicaid Incentive Prgram) is prviding this material as a reference t prviders. NE MIP will make every reasnable effrt t ensure this material is accurate and up-t-date; hwever it is ultimately the respnsibility f the prviders t ensure they are submitting the required infrmatin in rder t receive EHR incentive payments. Cmplete definitins and rules can be fund in the ARRA, Title XIX f the Scial Security Act, the HITECH Act and 42 CFR Parts 412, 413, 422 and 495 Medicare and Medicaid Prgrams; Electrnic Health Recrd Incentive Prgram; Final Rule. This guide is nt intended t be used in lieu f the Final Rule r any abve mentined Acts fr guidelines in qualifying and btaining the EHR incentive payments. Please refer t the abve mentined Acts and the Final Rule fr clarificatins. If at any time yu have a questin, please cntact the NE Medicaid EHR Incentive Prgram staff by sending an email t DHHS.EHRIncentives@nebraska.gv. A member f the staff will respnd t yur inquiry. Acrnyms/Definitins Term AIU CAH CEHRT CHPL CMS CPOE CQM CY DHHS EH EHR Definitin Adptin, Implementatin r Upgrade Critical Access Hspital Certified Electrnic Health Recrd Technlgy Certified Health IT Prduct List (used fr EHR certificatin validatin) Centers fr Medicare and Medicaid Services Cmputerized Physician Order Entry Clinical Quality Measure Calendar Year State f Nebraska Department f Health and Human Services Eligible Hspital Electrnic Health Recrd Page - 1 NE MIP
Acrnyms/Definitins Term EP FQHC FFY HIPAA HITECH MIP MMIS NLR NPI ONC PA R&A RHC SMHP TIN Definitin Eligible Prfessinal Federally Qualified Health Center Fiscal Year Health Insurance Prtability and Accuntability Act Health Infrmatin Technlgy fr Ecnmic and Clinical Health Medicaid Incentive Prgram Medicaid Management Infrmatin System CMS Natinal Level Repsitry Natinal Prvider Identifier Office f the Natinal Crdinatr Physician s Assistant Registratin and Attestatin system fr prgram registratin with CMS Rural Health Clinic State Medicaid Health Infrmatin Technlgy Plan Taxpayer Identificatin Number Page - 2 NE MIP
1. EP and EH Nebraska Registratin Prir t gaining access t the NE MIP prtal, EHR registratin must be cmpleted at the CMS Registratin and Attestatin website. Once NE MIP has received a ntice frm CMS indicating a prvider has successfully registered fr a Medicaid incentive payment frm Nebraska, prviders will be sent an invitatin t register with NE MIP using the NE MIP prtal. The invitatin will be sent t the email address used during CMS registratin and will read as fllws: <Prvider Name> <NPI> Nebraska Medicaid has received yur EHR incentive enrllment infrmatin frm the CMS Registratin and Attestatin System. Please g t the <PIPP prtal> t establish yur accunt and cmplete the attestatin. Yu will be asked t create a User ID, a passwrd, and prvide respnses t three security questins. Once yu have cmpleted this, yu will be sent an activatin email. After yu activate yur accunt, yu will be ready t begin the attestatin prcess. A user manual can be fund here <help link>. If yu have any questins r prblems cmpleting yur attestatin, please cntact 402-471-9147 t be directed t Medicaid EHR Incentive Prgram staff. Thank yu fr yur interest and participatin in the Nebraska Medicaid EHR Incentive Prgram. NOTE: If yu registered with CMS prir t 10/6/2014, yu will nt receive the invitatin email. Yu may g directly t the prtal t attest. 1.1. Access Prvider Web Registratin Click n the Prvider Web Registratin link n the left side f the screen. 1.1.1. Lcate Prvider Prfile Enter the required infrmatin t lcate yur prvider prfile. This infrmatin must match the individual r hspital data used t register with CMS R&A. CMS Registratin Number NPI Tax ID The number received after cmpleting registratin at the CMS Registratin and Attestatin web site. If yu have frgtten r lst this number, please call the CMS Help Desk at 1-888-734-6433. NE MIP des nt have this number. The NPI yu used t register with CMS. If yu are an Eligible Prfessinal, this is yur individual NPI. The last 4 digits f the Tax ID number yu used t register with CMS. If yu are an Eligible Prfessinal, this is yur individual Taxpayer Identificatin Number (TIN) r yur Scial Security Number (SSN). Click Find. If yur prvider prfile is lcated, the system displays a screen t create yur user name and passwrd. Page - 3 NE MIP
If yu receive an errr after entering yur infrmatin, the system is unable t match the data entered with any active registratin data frm CMS. Verify that yu entered the data crrectly. If the data is crrect accrding t yur recrds and the system is still unable t match yur registratin data, cntact CMS at 1-888-734-6433 r return t the CMS R&A website t check yur eligibility status and registratin data. 1.1.2. Create New User Name and Passwrd Enter the required infrmatin t create a user name and passwrd. The fllwing fields are pre-ppulated with the data received frm CMS. Yu are respnsible fr verifying this data is accurate. If any f the pre-ppulated data is incrrect, yu must return t the CMS R&A System website t make crrectins. NE MIP cannt make crrectins t this infrmatin fr yu. CMS Registratin Number NPI Last fur numbers f Tax ID First Name Last Name Email Address NOTE: ALL email crrespndence is sent t the address listed n this screen. Yu must enter data in the remaining fields t cmplete registratin. All fields n this screen are required. Create New User Name The User Name must have the fllwing prperties: Must be between 6 and 10 characters lng May cntain a cmbinatin f alphanumeric characters Must NOT cntain nn-alphanumeric characters User Name is nt case sensitive Create Passwrd The Passwrd must have the fllwing prperties: Must be a minimum f 8 characters lng Must cntain at least ne nn-alphanumeric character Must cntain at least ne upper case character Must cntain at least ne lwer case character Cnfirm yur passwrd. Answer Security Questins Security questins are used in the event yur user name and/r passwrd needs t be recvered r reset. Page - 4 NE MIP
A persn creating multiple new user accunts fr mre than ne prvider must create a new user name and passwrd fr each prvider. The passwrds and security questin answers can be the same but the user name must be unique t each individual prvider. 1.1.3. Activate User Accunt Once yur accunt has been created, an activatin email is sent t the email address registered with the CMS R&A system. Click n the link prvided in the email t activate yur accunt. Yu must click n the link t activate yur accunt befre attempting t lgin fr the first time. 1.2. Apply fr Incentive 1.2.1. Lg In Using the link in the activatin email pens the Lg In page fr the NE Medicaid EHR Incentive Prgram prtal. Enter the user name and passwrd created during NE MIP Prvider Web Registratin. If yu enter the wrng passwrd 3 times, the system autmatically lcks yur accunt. If yur accunt becmes lcked, yu need t cntact the Nebraska Medicaid EHR Incentive Prgram unit t unlck yur accunt. 1.2.2. Dashbard The Dashbard displays cmmunicatins sent t the email address assciated with the user accunt as well as the status f yur applicatin, payment histry (if applicable), and additinal infrmatin t aid in cmpleting yur applicatin. The menu n the left f the screen cntains the fllwing ptins: My Prfile The user accunt cntact name can be changed This des nt change the ntificatin emails. They will cntinue t be sent t the email address that was used n the CMS registratin. The passwrd can be changed A security questin must be successfully answered befre any changes can be saved Lg Out Lg ut f the NE MIP prtal Hme Displays the Dashbard Apply fr Incentive Link t the applicatin pages CMS Registratin Site Link t https://ehrincentives.cms.gv/hitech/lgin.actin Cntact Us Phne number and email address fr NE EHR Incentive Prgram staff Quick Links Page - 5 NE MIP
Links that prvide additinal infrmatin abut the EHR Incentive Prgram; helpful links frm CMS, Nebraska specific infrmatin, and the prtal user manual 2. Cmplete Applicatin - EP 2.1. EP Applicatin General Infrmatin Clicking n Apply fr Incentive (Attest) link frm the Dashbard displays the Prvider Attestatin screen. Current Case The Current Case sectin displays prvider infrmatin mst f this infrmatin is btained frm yur registratin with CMS. First Clumn Prvider Prvider name received frm CMS registratin Address Address received frm CMS registratin City/State City received frm CMS registratin Zip Zip cde received frm the CMS registratin Email Email address received in the CMS registratin ALL EMAIL COMMUNICATION is sent t this email address. Status Current status in NE Medicaid EHR Incentive Prgram prcessing (see table belw) Status CMS Received Applicatin Pending Applicatin Review Applicatin Review Secndary Pending CMS Review C5 Pending C5 Review Ready fr Payment Payment Pending Payment Cmplete Payment Rejected by CMS Applicatin Denied Cancelled by CMS Descriptin The prvider has successfully registered thrugh the CMS prtal and that infrmatin has been received in the MIP. This status means ne f three things: Yu have cmpleted at least ne page f the applicatin, but have nt submitted the applicatin t NE MIP. If an EH, NE has received yur MU infrmatin frm CMS NE has returned this applicatin t yu fr additinal infrmatin Yur submitted applicatin is in the first step f the NE review prcess Yur submitted applicatin is in the secnd step f the NE review prcess NE is waiting n final apprval frm CMS NE is waiting fr yur MU infrmatin frm CMS (nly fr EHs) NE has received yur MU infrmatin frm CMS and is reviewing the data (nly fr EHs) CMS and NE have apprved the applicatin NE is prcessing the payment NE has issued the payment CMS rejected the payment request by the state NE has denied yur applicatin CMS ntified NE that yur request t participate with NE has been cancelled Page - 6 NE MIP
Secnd Clumn Prvider Type Prvider type received frm CMS registratin NPI Individual NPI received frm CMS registratin Payee NPI EP s Payee NPI received frm CMS registratin (payment assignment) Tax ID Tax identificatin number received frm CMS registratin Payee Tax ID Payee tax identificatin number received frm CMS registratin Status Date The date the applicatin mved int its current status Attestatin Date The riginal date f submissin. This date is nly ppulated when the applicatin has been submitted. Otherwise it displays N/A. Third Clumn Applicatin ID This is a system generated number assigned t each prvider s applicatin. A prvider will have a different Applicatin ID each year. Imprted Data If previus year attestatins existed in the ld system used t prcess the Nebraska Medicaid EHR Incentive Prgram payments, this will display Y, therwise this is always N. Prgram Year / Payment Year The Prgram and Payment year fr the current applicatin Prfessinals may participate fr 6 years Prfessinals fllw the Calendar Year (CY) calendar fr this prgram MU Stage The Stage f Meaningful Use attestatin this is determined by previus participatin and years f attestatin Page - 7 NE MIP
Prvider EHR Criteria The Prvider EHR Criteria sectin displays the attestatin questin pages that must be cmpleted. Begin yur applicatin by selecting the Attest link next t Prvider Questins. Yu must respnd t all f the questins n each page. Once yu have answered the questins n a page, click OK. If n errrs are received yur data is saved and yu are returned t the Prvider Attestatin main page t select anther questin page. If errrs are displayed, yu must crrect any errrs befre yur data is saved. Yu have the ability t change yur answers n any page until yur applicatin is submitted fr review. Criteria Clumn: Lists the pages that must be cmpleted in the current applicatin Prvider Questins Infrmatin abut the eligible prfessinal (EP) EHR Questins Infrmatin abut the EP s certified EHR system/mdule(s); yu will be asked t uplad dcumentatin that prves the EP wns r has access t a certified system/mdule Patient Vlume Submit infrmatin abut the EP s ttal paid patient encunters and ttal paid Medicaid encunters. A patient encunter means inpatient discharges r services rendered in an emergency department n any ne day. An enrlled Medicaid encunter is als defined as services rendered n any ne day t an individual wh is eligible fr Medicaid regardless f payment by Medicaid. All Inpatient Discharges r services rendered in an emergency department n any ne day cunt as ne encunter Meaningful Use screens See the sectin specific t EP MU attestatin fr details These screens are nly displayed if the prvider is attesting t MU Meaningful Use Cre Set Questins Meaningful Use Menu Set Questins Meaningful Use Clinical Quality Measures Status: Displays the status f each applicatin page Pending Answers have nt been cnfirmed r saved Attested Answers have been cnfirmed r saved Pass Questin page has been apprved in ne r mre f the NE MIP review prcesses Fail Questin page has been denied/rejected in ne r mre f the NE MIP review prcesses Received Date: Date f the latest change t the page Denial Reasn: Return and denial reasns are displayed in this clumn Attested: N changes t Yes as each page is cmpleted 2.2. EP Applicatin Eligibility Screens This sectin includes guidelines fr the applicatin screens that determine yur NE Medicaid EHR Incentive Prgram eligibility. Page - 8 NE MIP
These screens are required every year f attestatin t determine eligibility These are the nly screens required fr prviders attesting t AIU (Adpt, Implement, r Upgrade) in their first year f participatin If attesting t MU (Meaningful Use), see the guidelines in the sectin specific t MU attestatins. 2.2.1. Prvider Questins Are yu currently enrlled as a Nebraska Medicaid prvider? Yes N My prfessinal license number is: Enter yur state issued license number Enter yur license state (defaults t NE) D yu have any sanctins? Yes A text bx displays fr a brief descriptin f the sanctin(s). The descriptin is limited t 100 characters. Please uplad any necessary supprting dcumentatin r cmments. N D yu practice in multiple lcatins? Yes Click n Add t enter the addresses f all lcatins where yu prvide services. Yu are required t enter at least tw addresses. Address City State Zip N OK and Cancel Buttns EPs can chse t attest t AIU r MU in their first year f prgram participatin withut reducing their payments r years f eligibility. T what are yu attesting? Adpted Implemented Upgraded Demnstrating Meaningful Use Uplad supprting dcumentatin The system will prmpt yu if an uplad is required 2.2.2. EHR Questins CMS EHR Certificatin number: First Year: If yu included yur EHR Certificatin number in yur CMS registratin, this field will be pre-ppulated with that number. Please verify this number is accurate and crrect if needed. If yu did nt include yur EHR Certificatin number in yur CMS registratin yu will need t enter that number here. A valid EHR Certificatin number is required n this page. Supprting dcumentatin is required Fr Subsequent Years: The CMS EHR Certificatin number used in previus years will nt be displayed; yu will need t enter yur EHR Certificatin number. A valid EHR Certificatin number must be entered Page - 9 NE MIP
If the EHR Certificatin number yu enter des nt match the EHR Certificatin number n recrd fr previus years yu will be required t uplad supprting dcumentatin fr the new EHR technlgy All Years: Yur EHR Certificatin number will be verified with the ONC CHPL if the number is nt valid accrding t their database, an errr message will be displayed Name, versin, and descriptin f Certified EHR System: Enter the name, versin and a brief descriptin f yur Certified EHR technlgy in the text bx prvided. The text bx is limited t 100 characters. If mre space is needed please attach a dcument with additinal details. Uplad supprting dcumentatin The system will prmpt yu if an uplad is required If this is yur first applicatin with the state, r yur number changed frm the previus applicatin, prf f yur EHR system is required Acceptable dcumentatin fr such prf: A page f the cntract r lease shwing the prvider, vendr and name f the certified EHR technlgy and the dated signature page. If yur current cntract/lease agreement requires the vendr t prvide yu with apprpriate updates/upgrades including certified EHR technlgy, a signed and dated cpy f amendment/attachment shwing the installatin f certified EHR technlgy. A cpy f yur purchase rder identifying the vendr and certified EHR technlgy being acquired and prf f payment FOR 2014 ONLY The CMS EHR Certificatin Number indicates the versin as fllws: If characters 3-5 = H13 = Hybrid 2011 and 2014 Editin 14E = 2014 Editin H13 AND 14E = 2011 Editin Fr AIU - yu must use a 2014 editin Fr MU Stage 1 If using a 2011 Editin: Yu must attest that yu were nt able t fully implement a 2014 Editin f CEHRT due t delays in CEHRT availability Yur MU pages default t the 2013 Stage 1 Objectives and the 2013 CQMs If using a Hybrid 2011 and 2014 Editin yu must select an ptin: 2013 Stage 1 Objectives and 2013 CQMs Yu must attest that yu were nt able t fully implement a 2014 Editin f CEHRT due t delays in CEHRT availability 2014 Stage 1 Objectives and 2014 CQMs N additinal messages will display; cmplete attestatin page as described in this manual If using a 2014 Editin Page - 10 NE MIP
N additinal messages will display; cmplete attestatin page as described in this manual Fr MU Stage 2 at least yur third r furth year f participatin in 2014 (yu must have attested t tw years f Meaningful Use befre attesting t Stage 2 MU): If using a 2011 Editin: Yu must attest that yu were nt able t fully implement a 2014 Editin f CEHRT due t delays in CEHRT availability Yur MU pages default t the 2013 Stage 1 Objectives and the 2013 CQMs If using a Hybrid 2011 and 2014 Editin yu must select an ptin: 2013 Stage 1 Objectives and 2013 CQMs Yu must attest that yu were nt able t fully implement a 2014 Editin f CEHRT due t delays in CEHRT availability 2014 Stage 1 Objectives and 2014 CQMs If using a 2014 versin Yu must select an ptin: Stage 1 = Yu must attest that yu were nt able t fully implement a 2014 Editin f CEHRT due t delays in CEHRT availability Stage 2 = N additinal messages displayed, cmplete the attestatin page as described in this manual Yu must select an ptin: Stage 1 = Yu must attest that yu were nt able t fully implement a 2014 Editin f CEHRT due t delays in CEHRT availability Stage 2 = N additinal messages displayed, cmplete the attestatin page as described in this manual 2.2.3. Patient Vlume Questins If yu are applying during the 60 day perid fllwing the end f the prgram year, yu will be required t identify the prgram year fr which yu are applying Select Incentive Year This selectin is displayed nly during the attestatin tail perid (60 days after the end f the Calendar Year). Select the beginning date fr the cntinuus 90-day perid in the 12 mnths prir t the riginal submissin f the attestatin yu are using fr yur patient vlume perid. The end date f the 90-day perid is autmatically calculated fr yu. Neither date can be a future date. Begin Date mm/dd/yyyy End Date mm/dd/yyyy (autmatically calculated) If the 90-day perid is utside f the previus 12 mnths, an errr message is displayed: The 90-day perid must ccur within the 12 mnths preceding the submissin f this attestatin. Is patient vlume being submitted fr an individual r grup? After the first prvider has defined their grup and submitted their attestatin, all f the prviders in the grup, tied t the same Payee Tax ID, will be required t attest t grup patient vlume Page - 11 NE MIP
Individual All prviders tied t the same Payee Tax ID will be set t Individual as well Grup Hw is yur grup defined? By Grup Payee Tax ID All prviders tied t the same Payee Tax ID will be tied t the Payee Tax ID definitin By Grup NPI All prviders tied t the same Payee Tax ID must select either an existing NPI n the screen, enter a new NPI, r select Lcatin as their definitin By Grup Physical Lcatin All prviders tied t the same Payee Tax ID must select either an existing lcatin, enter a new lcatin, r select Payee NPI as their definitin Are yu claiming the Managed Care patient panel methdlgy? Yes Help Text displayed: If yu are a Medicaid Managed Care Primary Care Physician (PCP) and submitting based n patient panel, please cmplete the fllwing: (This is an ptinal methd f reprting fr managed care PCPs. This methd requires the EP t maintain a recrd frm the Managed Care plan which shws the number f patients assigned t them during the specified 90-day as well as prf f the encunters ver the past year. Befre using this methd, it is suggested yu e-mail Medicaid at DHHS.EHRIncentives@nebraska.gv t determine if this methd is apprpriate.) N What is the ttal number f patient encunters within the selected 90-day perid? (i.e. yur denminatr) Enter the TOTAL patient encunter cunt fr the selected 90-day perid Hver Over Help Text: Patient Encunter: Services rendered n any ne day t an individual What is the ttal number f Medicaid encunters within the selected 90-day perid? (i.e. yur numeratr) Enter the Medicaid encunter cunt fr the 90-day perid Medicaid patient vlume includes Nebraska Medicaid, ut-f-state Medicaid as well as needy patient encunters, if applicable. Hver Over Help Text: A Medicaid encunter means services rendered n any ne day t an individual wh is eligible fr Medicaid regardless f payment by Medicaid. All services rendered n a single day t a single individual by a single Eligible Prfessinal cunt as ne encunter. Percentage f enrlled Medicaid encunters ver the selected 90-day perid: This percentage is autmatically calculated using the numeratr and denminatr entered abve Hspital-based EPs are nt eligible fr the incentive payment. Are yu a hspitalbased prvider? Yes Yu cannt be hspital-based and qualify fr an EHR incentive payment unless yu are an EP that practices predminantly in an FQHC r RHC. If yu have at least 90 percent f yur services furnished in a place f service cde 21 (inpatient hspital) r 23 (emergency rm) in the previus calendar year, yu are cnsidered hspital-based. N Page - 12 NE MIP
Hver Over Help Text Displayed: Place f Service is Field 23B n CMS 1500 Claim frm. Place f Service 21 is defined as Emergency Rm Hspital. If 90% r mre f yur prfessinal services are in a hspital setting fr the previus calendar year, yu are nt eligible fr the EHR Incentive Payment. If yu prvide less than 90% f yur prfessinal services in the hspital setting hspital/emergency rm encunters are included in yur patient vlume. D yu practice predminantly in an FQHC/RHC? EPs that practice predminantly in an FQHC r RHC are nt subject t being excluded as Hspital-Based EPs and are able t use the Needy Individual ppulatin t meet their Patient Vlume threshld. Practicing Predminantly is defined as having ver 50% f yur encunters in an FQHC r RHC lcatin in a six mnth perid within the previus 12 mnths frm the date f attestatin. FQHC Fllw up questin displayed if prvider is a Physician s Assistant (PA): Hw is yur clinic s-led by a PA? PA is the Directr f the Clinic PA is the Primary Prvider Supprting dcumentatin is required RHC Fllw up questin displayed if prvider is a Physician s Assistant (PA): Hw is yur clinic s-led by a PA? PA is the Directr f the Clinic PA is the Owner f the Clinic PA is the Primary Prvider Supprting dcumentatin is required N Hver Over Help Text Displayed: Practicing predminantly is defined as having ver 50% f yur encunters in an FQHC r RHC lcatin in a six mnth perid within the previus 12 mnths frm the date f attestatin. Enter the dates yu predminantly practiced at the FQHC r RHC: Begin Date mm/dd/yyyy End Date mm/dd/yyyy (An end date will be autmatically calculated fr six mnths after the begin date) Are any f yur Medicaid patients cvered by anther state s Medicaid prgram? Yes A table will be displayed t enter additinal data. The state abbreviatin and the encunter cunt fr that state must be entered. T ensure accurate multi-state reprting Nebraska Medicaid encunters must als be reprted in this table. NE is the default fr yur first entry. N Des yur 30% include Needy Individuals? This questin will nly be displayed if yu indicated yu practice predminantly in an FQHC r RHC n this page. If the Medicaid patient vlume meets the minimum percentages, needy patient vlume des nt need t be entered. Yes Enter the fllwing cunts: NE Medicaid Uncmpensated N What is the auditable data surce yu are using t calculate patient vlume? EHR system Billing system Appintment Bk Other prvide a brief descriptin f the ther surce Enter yur Nebraska Medicaid prvider numbers that pertain t this attestatin: Page - 13 NE MIP
Add buttn t allw up t 30 Medicaid ID numbers At least ne entry is required Uplad supprting dcumentatin. The system will prmpt yu if an uplad is required 2.3. EP Applicatin - Meaningful Use Screens When attesting t Meaningful Use in Payment Years 1 thrugh 6 yu must cmplete the Meaningful Use Cre, Menu, and Clinical Quality Measure (CQM) pages in additin t the eligibility questin pages in the previus sectin; Prvider Questins, EHR Questins, and Patient Vlume Questins. 2.3.1. Layut fr Meaningful Use Cre and Menu Objectives All Meaningful Use bjectives are displayed in a similar fashin. Review the sectin belw prir t beginning attestatin t becme familiar with the MU questins. Due t the nature f the prgram the MU bjectives and assciated measures are nt cvered in this manual. The bjective and measures may change annually and will change depending n the stage f MU yu must attest t. Please refer t the final rule and www.healthit.gv and www.cms.hhs.gv/ehrincentiveprgrams fr detailed infrmatin n the Meaningful Use bjectives and measures. Objective The tp rw displays the bjective number and text frm 42 CFR 495 t allw yu t easily lcate the bjective in the final rule fr any clarificatins yu may need. Answer The secnd sectin f the questin bx cntains the quick view f the required infrmatin in rder t attest t meeting the measure requirements. The answers may cnsist f numeratrs and denminatrs, radi buttns and free frm text bxes. Additinal questins may appear belw depending n yur answer selectin see Additinal Questins belw Mre link The Mre link expands the Answer bx t prvide detailed infrmatin n the measure fr the bjective. Details abut the exclusin (if applicable) are displayed, as well as details fr the numeratr and denminatr. Cllapse View T cllapse the expanded view, click n the Objective descriptin. WARNING: Expanding and cllapsing the questin field will clear yur answers, please use the Mre link t get clarificatin prir t entering yur answers. Denminatr Type Fr bjectives that require yu t prvide the type f denminatr used t prduce yur MU data, an additinal sectin is displayed fr yu t indicate the surce f yur denminatr. Additinal Questins Page - 14 NE MIP
Sme bjectives require yu t prvide additinal infrmatin abut yur answer. These questins vary by bjective and yur answers. Please keep an eye ut fr these as yu attest t MU. If the questin is displayed an answer is required. 2.3.2. General Questins - Meaningful Use The EHR reprting perid fr all prviders in their first year f attesting fr Meaningful Use is any cntinuus 90-day perid within the applicatin year (calendar year fr EPs). Fr subsequent years the prvider must use a full year fr the EHR Reprting Perid, except fr 2014. CMS is permitting a ne-time 90-day reprting perid in 2014 t allw prviders additinal time t implement Certified EHR systems. This nly applies t Calendar Year 2014 fr EPs r Federal Fiscal Year 2014 fr EHs. GEN-1: Enter the begin date f the reprting perid and the end date will be autmatically calculated. GEN-2: Did yu have at least 50% f yur encunters in a practice lcatin that has a certified EHR system? (Yes r N). GEN-3: At least 80% f unique patients must have their data in the certified EHR during the EHR reprting perid. This is a general requirement that will help gauge if yu will be able t successfully attest t Meaningful Use. (Numeratr and Denminatr fr unique patients required). GEN-4: What is the principal cunty in which yu practice? (Drpdwn list f all NE Cunties). GEN-5: Select the specialty that best describes yur practice. (Drpdwn list Only displayed fr Physicians). 2.3.3. EP Cre Objectives An EP must attest t all Cre bjectives. Attestatin fr mst bjectives is accmplished by entering a numeratr, denminatr, and exclusin infrmatin. Certain bjectives d nt require a numeratr and denminatr, but rather a Yes/N answer. Objectives that require the denminatr type will display the types f denminatrs allwed. All questins require an answer unless therwise specified. As mentined earlier in this guide, due t the nature f the prgram, the MU bjectives and assciated measures are nt cvered in this manual. The bjective and measures may change annually and will change depending n the stage f MU yu must attest t. Please refer t the final rule and www.healthit.gv and www.cms.hhs.gv/ehrincentiveprgrams fr detailed infrmatin n the Meaningful Use bjectives and measures. 2.3.4. EP Menu Set Objectives The Menu Set Objectives rules vary by Stage. Objective selectin screens display instructins apprpriate fr yur applicatin based n yur prgram participatin histry. The selectin screen displays grids that list the menu set bjectives. The tp prtin f the grid cntains the public health bjectives; the bttm prtin f the grid cntains the additinal menu bjectives. Page - 15 NE MIP
Please select carefully. Once yu select yur Menu Objectives the system displays a screen t enter yur attestatin data. Yu will nt be able t save sme f yur bjective/measure answers and return t the selectin screen t change yur bjectives. Yu will be required t re-enter any previusly cmpleted questins if yu reset yur questins. After yur selectin is made, the menu bjectives are displayed in the same manner the cre bjectives. Refer t the earlier sectin specific t the MU questin layut. Please refer t the final rule and www.healthit.gvand www.cms.hhs.gv/ehrincentiveprgrams fr detailed infrmatin n the Meaningful Use bjectives and measures. 2.3.5. Clinical Quality Measures Selectin The Clinical Quality Measure rules vary by year; the current versin remains until the next versin is published if nt changed yearly. CQM selectin screens display instructins apprpriate fr yur applicatin based n yur prgram participatin histry. Please select carefully. Once yu select yur CQMs the system displays a screen t enter yur attestatin data. Yu will nt be able t save sme f yur bjective/measure answers and return t the selectin screen t change yur measures. Yu will be required t re-enter any previusly cmpleted questins if yu reset yur questins. Page - 16 NE MIP
3. Cmplete Applicatin EH 3.1. EH Applicatin General Infrmatin Clicking n Apply fr Incentive (Attest) link frm the Dashbard displays the Prvider Attestatin screen. Current Case The Current Case sectin displays prvider infrmatin mst f this infrmatin is btained frm yur registratin with CMS. First Clumn Prvider Prvider name received frm CMS registratin Address Address received frm CMS registratin City/State City received frm CMS registratin Zip Zip cde received frm the CMS registratin Email Email address received in the CMS registratin ALL EMAIL COMMUNICATION will be sent t this email address. Status Current status in NE Medicaid EHR Incentive Prgram prcessing (see table belw) Status CMS Received Applicatin Pending Applicatin Review Applicatin Review Secndary Pending CMS Review C5 Pending C5 Review Ready fr Payment Payment Pending Payment Cmplete Payment Rejected by CMS Applicatin Denied Cancelled by CMS Descriptin The prvider has successfully registered thrugh the CMS prtal and that infrmatin has been received in the MIP. This status means ne f three things: Yu have cmpleted at least ne page f the applicatin, but have nt submitted the applicatin t NE MIP. If an EH, NE has received yur MU infrmatin frm CMS NE has returned this applicatin t yu fr additinal infrmatin Yur submitted applicatin is in the first step f the NE review prcess Yur submitted applicatin is in the secnd step f the NE review prcess NE is waiting n final apprval frm CMS NE is waiting fr yur MU infrmatin frm CMS NE has received yur MU infrmatin frm CMS and is reviewing the data CMS and NE have apprved the applicatin NE is prcessing the payment NE has issued the payment CMS rejected the payment request by the state NE has denied yur applicatin CMS ntified NE that yur request t participate with NE has been cancelled Secnd Clumn Prvider Type Prvider type received frm CMS registratin NPI Hspital NPI received frm CMS registratin Page - 17 NE MIP
Payee NPI Hspital Payee NPI received frm CMS registratin Tax ID Tax identificatin number received frm CMS registratin Payee Tax ID Payee tax identificatin number received frm CMS registratin Status Date The date the applicatin mved int its current status Attestatin Date The riginal date f submissin. This date is nly ppulated when the applicatin has been submitted. Otherwise it displays N/A. Third Clumn Applicatin ID This is a system generated number assigned t each prvider s applicatin. A prvider will have a different Applicatin ID each year. Imprted Data If previus year attestatins existed in the ld system used t prcess the Nebraska Medicaid EHR Incentive Prgram payments, this will display Y, therwise this will always be N. Prgram Year / Payment Year The Prgram and Payment year fr the current applicatin Hspitals may participate fr 3 years Hspitals fllw the Federal Fiscal Year (FFY) calendar fr this prgram MU Stage The Stage f Meaningful Use attestatin this is determined by previus participatin and years f attestatin Schedule frm Federal Register / Vl. 77, N. 171 / Tuesday, September 4, 2012 / Rules and Regulatins Prvider EHR Criteria The Prvider EHR Criteria sectin displays the attestatin questin pages that must be cmpleted. Begin yur applicatin by selecting the Attest link next t Prvider Questins. Yu must respnd t all f the questins n each page. Once yu have answered the questins n a page, click OK. If n errrs are received yur data will be saved and yu will be returned t the Prvider Attestatin main page t select anther questin page. If errrs are displayed, yu must crrect any errrs befre yur data is saved. Yu have the ability t change yur answers n any page until yur applicatin is submitted fr review. Criteria Clumn: Lists the pages that must be cmpleted in the current applicatin Prvider Questins Infrmatin abut the hspital Page - 18 NE MIP