state medicaid hit plan cabinet for health and family services kathy frye, deputy executive director...
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State Medicaid HIT PLAN
Cabinet for Health and Family ServicesKathy Frye, Deputy Executive Director and CIO
Sandeep Kapoor, CTO
SMHP
• Assessment of the ‘As-Is’ HIT Landscape
• Development of the To-Be HIT Landscape
• EHR Incentive Program Development Plan
• Roadmap• RFP released 5/25 closing 6/29
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Eligible Professionals (EPs)Physicians (Pediatricians have special eligibility & payment rules)Nurse Practitioners (NPs)Certified Nurse-Midwives (CNMs)DentistsPhysician Assistants (PAs) who lead a Federally Qualified Health Center (FQHC) or rural health clinic (RHC) that is directed by a PA
Eligible HospitalsAcute Care HospitalsChildren’s Hospitals
Eligible providers for Medicaid
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Meaningful Use – Waiting on final rule
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Meaningful Use – Waiting on final rule
- ePrescribing
- Lab interface
-Continuity of Care Document
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Medicaid only AIU
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Kentucky e-Health Network BoardSlide #9
Kentucky e-Health Network BoardSlide #10
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The Basic Equation
REC HIE
EHR Incentive Pay
ment
AIU or MUMedicaid Activities
National Level Repository
• CMS proposed a national-level repository in order to accomplish three statutory goals:– Ensure that there is no duplication of
payments between Medicare and Medicaid and between states;
– Ensure accurate and timely payments; and – Allow Medicare to meet its mandate for
online posting requirements.
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The Medicaid EHR Incentive Timeline
• 2011- 2021• Providers cannot initiate after 2016• Incentive amounts are linked to
providers’ participation year, not the calendar year
• No fee schedule reductions like Medicare
• AIU in first participation year, MU in 2nd and subsequent years
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More information on the KHIE can be found on the Governor’s Office of Electronic Health Information
website at http://chfs.ky.gov/os/goehi/
Contact information