Oklahoma EHR Incentive Program

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Oklahoma EHR Incentive Program
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Oklahoma EHR Incentive Program

• Incentive to in the first year . . .
• Adopt (acquire and install)
• Implement (commenced utilization, train staff,
  deploy tools, exchange data)
• Upgrade (expand functionality or
  interoperability)
• Or in years 2-6
• Meaningfully Use (meet specified criteria)
• . . . a certified EHR System
• Meaningful Use in Year 2

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EP EH Eligibility
Eligible Professionals
Medicare Only Eligible Choice Medicaid Only Eligible
Doctors of Optometry Doctors of Medicine Nurse Practitioners
Doctors of Podiatric Medicine Doctors of Osteopathy Certified Nurse Midwives
Chiropractors Doctors of Dental Medicine or Surgery Physician Assistants leading a FQHC or RHC
Eligible Hospitals
Medicare Only Eligible Both Medicaid Only Eligible
Subsection(d) hospitals in 50 U.S. states and the District of Columbia Most subsection(d) hospitals/acute care hospitals Childrens Hospitals
Critical Access Hospitals (CAHs) Most CAHs Acute Care Hospitals in the territories
Cancer Hospitals
without 10 Medicaid Encounters
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Can tribal clinics be treated as Federally
Qualified Health Centers (FQHCs) for the Medicaid
EHR Incentive Program?

• CMS previously issued guidance stating that
  health care facilities owned and operated by
  American Indian and Alaska Native tribes and
  tribal organizations ("tribal clinics") with
  funding authorized by the Indian
  Self-Determination and Education Assistance Act
  (Public Law 93-638, as amended) must be
  reimbursed as FQHCs in order to be considered
  FQHCs in the Medicaid EHR Incentive Program. CMS
  revised this policy and will allow any such
  tribal clinics to be considered as FQHCs for the
  Medicaid EHR Incentive Program, regardless of
  their reimbursement arrangements.

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The Attestation Process

• 1. Provider registers with CMS
• Must wait two days after Centers for Medicare and
  Medicaid Services registration and attestation
  system registration
• Make sure you enter your CMS certification number
  for your EHR system
• 2. Complete the Appendix A for all individuals in
  an Indian Health Service, Tribal Hospital, or
  Outpatient Clinic
• Must receive PIN from OHCA
• 3. Proceed to the OHCA electronic provider
  enrollment (EPE) website
• 4. Fill out attestation, electronically sign
  contract amendment and fax requested supporting
  documentation to OHCA

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Meaningful Use of EHR

• Meaningful Use (MU) Meaningful use of EHR
  technology is a major goal of this program. CMS
  has determined that MU will be rolled out in
  three stages. The current rule provides specific
  information on Stage 1 which focuses heavily on
  establishing the functionalities in certified EHR
  technology that will allow for continuous quality
  improvement and ease of information exchange.
• Eligible Professionals
• 25 meaningful use objectives
• Minimum of 20 objectives
• 6 clinical quality measures
• Eligible Hospitals
• 24 meaningful use objectives
• Minimum of 19 objectives
• 15 clinical quality measures
• Must report on all measures

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Current Statistics for IHS/Tribal Providers (7.8)
Current Statistics for Oklahoma EHR Incentive
Program
Type Registered Paid Totals
Eligible Professionals 1231 862 32,845,474
Eligible Hospitals 78 45 18,352,916
Total 51,198,390
Type Registered Paid Totals
Eligible Professionals 200 110 2,237,500
Eligible Hospitals 4 2 1,660,916
Total 204 112 3,998,416
As of 9/29/2011
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Helpful Resources

• www.okhca.org/ehr-incentive
• www.cms.gov/EHRIncentivePrograms
• www.HealthIT.hhs.gov
• Email okehrincentive_at_okhca.org
• Email melissa.clampitt_at_okhca.org
• Upcoming Regular All-Provider Spring Fall
  Training
• Phone Melissa Clampitt 405-522-7567

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Thank You!