medicaid incentive payouts and stage 2 meaningful use

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Medicaid Incentive Payouts & Stage 2 Meaningful Use

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Adele Allison, National Director of Government Affairs at SuccessEHS, explains the details and deadlines providers need to know for Medicaid Meaningful Use. She highlights the incentive payouts for meeting Stage One, as well as the changes Stage 2 brings for both Medicare and Medicaid. For a copy of the Medicaid Timeline, visit our blog: info.successehs.com/blog

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Page 1: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts & Stage 2 Meaningful Use

Page 2: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Page 3: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Pays out over 6 years

Page 4: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Pays out over 6 years

(Medicare pays out over 5 years)

Page 5: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Pays out over 6 years

(Medicare pays out over 5 years)

State-run program

Page 6: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Pays out over 6 years

(Medicare pays out over 5 years)

State-run program

(Medicare is federally-run)

Page 7: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Page 8: Medicaid Incentive Payouts and Stage 2 Meaningful Use

For a copy of this chart, visit our blog: info.successehs.com/blog

Page 9: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Page 10: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Year One: Adopt, Implement or Upgrade only

Reporting period does not

begin until Year Two.

Page 11: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Year Two: Demonstrate 90 days of

continuous Meaningful Use

Page 12: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Year Two: Demonstrate 90 days of

continuous Meaningful Use

Followed by a full year

Page 13: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Page 14: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Adopt, Implement, Upgrade

Page 15: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

90 days of Meaningful Use

Page 16: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Full year of Meaningful Use

Page 17: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Must attest successfully EACH YEAR

Page 18: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

$63,750 in potential funds

Page 19: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

What about Stage 2?

Page 20: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

What about Stage 2?

Federal Register: Sept. 4, 2012

Page 21: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

What about Stage 2?

Federal Register: Sept. 4, 2012

Stage 2 delayed to CY2014

Page 22: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Big changes for eligible providers (EPs) attesting in CY2014

Page 23: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Big changes for eligible providers (EPs) attesting in CY2014

(Either Stage 1 or Stage 2)

Page 24: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

CY2014: Reporting period now any quarter

Page 25: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

CY2014: Reporting period now any quarter

Not a full year

Page 26: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

CY2014

Page 27: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

CY2014

Medicare: Now a 3-month reporting period

Page 28: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

CY2014

Medicare: Now a 3-month reporting period

Medicaid: Now either 90 days or any quarter (state’s opinion)

Page 29: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Reason for the change?

Page 30: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Reason for the change?

So that everyone gets 2 years in each Stage.

Page 31: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Page 32: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Clinical Quality Measures now electronically submitted

Page 33: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Patient Engagement - HUGE

Page 34: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Patient Engagement - HUGE

Start planning now!

Page 35: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Batch (or Group) Reporting now allowed

Page 36: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Production HIE now required

Page 37: Medicaid Incentive Payouts and Stage 2 Meaningful Use

Medicaid Incentive Payouts

Other Changes in Stage 2

Production HIE now required

Transitions of Care, Referrals, etc.

Page 38: Medicaid Incentive Payouts and Stage 2 Meaningful Use

MU2 Highlights • Published in the Federal Register September 4, 2012 • Delayed Stage 2 by one year to CY2014 • CY2014 attesters (MU1 or MU2) → any quarter

o 3 month reporting period for ‘Care attesting Stage 1/2 in 2014 o First year ‘Caid EPs either any 90-days or quarters, by state option

• Everyone gets 2 years in each Stage • Changes to Quality measures with expectation they will be

electronically submitted • Patient Engagement → Big theme • Stage 2 allows for batch or group reporting • Production HIE will be required