Promoting Interoperability Program

(formerly known as the Medicaid EHR Incentive Program, aka Meaningful Use)

2018 Program Requirements for Kansas Medicaid Promoting Interoperability Program

The Centers for Medicare & Medicaid Services (CMS) is renaming the EHR Incentive Programs to the Promoting Interoperability (PI) Programs to continue the agency’s focus on improving patients’ access to health information and reducing the time and cost required of providers to comply with the programs’ requirements. CMS is also in the process of finalizing updates to the programs through rulemaking. For more information, visit the landing page where CMS will publish updates and additional resources as soon as they are available.

In October 2015, CMS released a final rule that specified criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule’s provisions encompass 2015 through 2017 (Modified Stage 2) as well as Stage 3 in 2018 and beyond.

On August 14, 2017, CMS published the Fiscal Year 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Final Rule, which contains several changes that directly affect the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (now called Promoting Interoperability Programs). Click here for an overview of the changes to the incentive programs as a result of this Rule.

What you should know about 2018 Promoting Interoperability

  • 2016 was the last year to begin your participation and earn incentives. EPs can earn incentives for a total of six years through 2021; the participation years do NOT have to be consecutive. EPs who have not previously participated in the Medicaid EHR Incentive Program prior to 2017 are not eligible to earn the incentives.
  • Providers may attest to either the Modified Stage 2 or Stage 3 objectives and measures for 2018.
    • Providers attesting to the Modified Stage 2 objectives and measures have the option to use 2014 Edition Certified EHR technology (CEHRT), 2015 Edition CEHRT, or a combination of the two.
    • Providers attesting to Stage 3 objectives and measures have the option to use 2015 Edition CEHRT or a combination of the 2014 and 2015 CEHRT editions, as long as their EHR technology can support the functionalities, objectives, and measures for Stage 3.
  • For 2018, the EHR reporting period for all participants is a minimum of any continuous 90 days from January 1 through December 31, 2018.
  • EPs must also report a minimum of 6 Clinical Quality Measures. As stated in CMS’s Overview of CQM Reporting Requirements, EPs must use the full calendar year for the reporting period for Clinical Quality Measures.