EHR Incentive Program
Home > EHR Incentive Program
EHR Incentive Program

PROGRAM NEWS

 

April 15, 2015 – CMS Releases Two Proposed Rules for the EHR Incentive Program, Stage 3 of Meaningful Use and Modification to Meaningful Use in 2015-2017.  On March 23, 2015, CMS released a notice of proposed rulemaking (NPRM) for Stage 3 of Meaningful Use, the next step in the implementation of the Medicare and Medicaid Electronic Health Record Program.  Concurrently, ONC also announced the proposed 2015 Edition certification criteria for health IT products. The CMS NPRM specifies the Stage 3 requirements for eligible professionals, eligible hospitals, and critical access hospitals to qualify for Medicaid EHR incentive payments and avoid Medicare payment adjustments in 2018 and beyond. ONC’s proposed rule outlines the certification and standards to help providers meet the proposed Stage 3 requirements with a 2015 Edition Certified Electronic Health Record Technology (CEHRT).  On April 10, 2015, CMS issued a new proposed rule to align Stage 1 and Stage 2 objectives and measures with the long-term proposals for Stage 3, to build progress toward program milestones, to reduce complexity, and to simplify providers’ reporting.  These modifications to meaningful use, intended to take effect in the 2015-2017 attestations, would allow providers to focus more closely on the advanced use of certified EHR technology to support health information exchange and quality improvement.  Below are links and fact sheets to the proposed rules.

 

CMS EHR Incentive Program Stage 3 – Proposed Rule

ONC 2015 Edition CEHRT Certification Criteria – Proposed Rule

CMS Modification to Meaningful Use in 2015-2017 – Proposed Rule

 

CMS EHR Incentive Program Stage 3 – Press Release

ONC Stage 3 and 2015 Edition CEHRT – Fact Sheet

CMS Modification to Meaningful Use in 2015-2017 – Fact Sheet

 

March 11, 2015 – CY2014 Attestation Deadline for Eligible Professionals in the New Jersey Medicaid EHR Incentive Program.  Eligible Professionals have until 11:59 pm ET on March 31, 2015 to submit their CY2014 attestation for the New Jersey EHR Incentive Program.  After this date, on April 1, 2015, the provider incentive payment system will start to accept CY2015 attestations.

 

March 2, 2015 – CMS Extends Deadline for Eligible Professionals (EP) to Switch EHR Incentive Program (from Medicare to Medicaid, or vice versa) and for Medicare Eligible Professionals to Attest to Meaningful Use.  CMS released a notice on February 25, 2015 announcing that EPs, who have not already used their one “switch”, to switch programs (from Medicare to Medicaid, or vice versa) for the 2014 payment year will have until 11:59 pm ET on March 20, 2015 to make the program switch.  After that time, EPs will no longer be able to switch programs.  The previous deadline date to allow the program switch was February 28, 2015.  Additionally, the Medicare attestation deadline for CY2014 was also extended to March 20, 2015, from the previous deadline of February 28, 2015.  Please note that this deadline date does not apply to the New Jersey Medicaid EHR Incentive Program, the deadline for EPs to submit the attestation for a CY2014 New Jersey Medicaid EHR Incentive Program payment remains March 31, 2015.

 

February 24, 2015 – Deadline to Register Intent for a Public Health Measure is March 1, 2015 for Eligible Professionals (EP) Attesting to Stage 2 of Meaningful Use.  CMS just released a reminder announcing the deadline date for all Stage 2 EPs planning to meet the public health measures.  All Stage 2 EPs by rule at this time, are currently required to attest to a full-year meaningful use in CY2015 and would have already started their reporting period in January 1, 2015.  These providers will have up to March 1, 2015 to meet the 60 day deadline date to submit “intent to initiate ongoing submission to public health registries”.  Please refer to the CMS Stage 2 Eligible Professional Specification Sheet for more information.  Please note that on January 29, 2015, CMS announced its intent to engage in rulemaking that is considering shortening the CY2015 meaningful use reporting period to 90 days.  If this is adopted, then the 60 day deadline date will adjust corresponding to the start of the EP’s selected 90 day reporting period.  However, based on the current rule, it is recommended that all Stage 2 EPs that need to register their intent for a public health objective must do so by the March 1, 2015 deadline to meet the measure.

 

February 12, 2015 – Last Year for Eligible Hospitals to Begin Participation and Receive Payments in the Medicaid and Medicare EHR Incentive Program.  CMS released an announcement on February 11, 2015 for eligible hospitals who have not started participation in the EHR Incentive Programs. For the Medicare EHR Incentive Program, the last year to begin and still earn incentive payments is FY2015.  For the Medicaid EHR Incentive Program, the last year to begin and still earn incentive payments is FY2016.  Medicaid eligible hospitals must receive an incentive in FY2016 to receive an incentive in FY2017 and later years. Starting in FY2016, incentive payments must be made every year in order to continue participation in the program.

 

January 28, 2015 - Hospital Attestation Deadline for 2014 Reporting Period in the Medicaid EHR Incentive Program.  Eligible hospitals who have not completed the attestation for fiscal year 2014 have until Saturday, January 31, 2015, to submit their attestations in the New Jersey Medicaid EHR Incentive Program.

 

December 31, 2014 – New Jersey Medicaid EHR Incentive Program Payments.  As of today’s date, more than $156.8 million in incentive payments had been distributed to eligible hospitals ($102.1 million) and eligible providers ($54.7 million).

.

December 31, 2014 – 2014 Meaningful Use Reporting Period Ends for Eligible Professionals on December 31, 2014.  Today marks the end of the meaningful use reporting period for all calendar year 2014 attestations for eligible professionals participating in the EHR Incentive Program.  Participating providers in the New Jersey Medicaid EHR Incentive Program have until March 31, 2015 to submit and attest that they are demonstrating meaningful use during the EHR reporting period for the 2014 calendar year.

 

December 8, 2014 – Hospital Attestation Deadline Extension for 2014 Reporting Period in the Medicare and Medicaid EHR Incentive Program.  CMS recently announced a one month extension for eligible hospitals to attest to meaningful use for the Medicare EHR Incentive Program reporting period 2014 to December 31, 2014.  According to CMS, the extension will allow more time for hospitals to submit their meaningful use attestation data for incentive payments and avoid the 2016 Medicare payment adjustments.  This information is now reflected on the CMS EHR Incentive Programs website (http://www.cms.gov/EHRIncentivePrograms).

 

Based on the revised Medicare attestation deadline, the New Jersey Medicaid EHR Incentive Program extended hospital attestations in reporting period 2014 to January 31, 2015.  The corresponding extension in the Medicaid program will allow for the completed Medicare meaningful use attestation data to be sent to Medicaid and, subsequently, allow dually eligible hospitals to complete their Medicaid attestations.

 

For eligible professionals in reporting period 2014, the attestation deadline date of March 31, 2015 in the New Jersey Medicaid EHR Incentive Program remains unchanged.  The attestation deadline for eligible professionals in the Medicare EHR Incentive Program is February 28, 2015.

 

November 24, 2014 – Hardship Exception Applications to Avoid the 2015 Medicare Payment Adjustment Due November 30, 2014.  CMS released an announcement reminding eligible professionals and eligible hospitals that the reopened submission period for hardship exception application to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use is ending at 11:59 PM EST on November 30, 2014.

 

IMPORTANT NOTE: The New Jersey Division of Medical Assistance and Health Services is NOT responsible for administering the Medicare payment adjustment and cannot grant exemptions from the payment adjustment.  All requests for additional information on the payment adjustment should be directed to CMS.

 

Additional details as well as application instructions regarding this update may be obtained from the Payment Adjustments and Hardship Exceptions webpage.

 

November 5, 2014 – New Jersey Medicaid EHR Incentive Program Attestation Website Scheduled Maintenance.  The Medicaid EHR Incentive Program website will undergo a scheduled system maintenance from November 10, Monday, at 4:00pm through November 12, Wednesday, at 6:00pm.  Although the website will remain up, Medicaid patient volume data entry functionality will not be available prohibiting attestations to proceed.  We apologize for any inconvenience and we expect normal attestation process to resume after the scheduled maintenance is completed.

 

October 20, 2014 – New CMS FAQ on "How can a provider meet the Protect Electronic Health Information core objective...?".  CMS released this FAQ to provide updated guidance on meeting this objective.  The FAQ states that the steps required to conduct or review security risk analysis may be completed outside or the EHR reporting period timeframe but must take place no earlier than the start of the reporting year and end of the reporting year.  Additional details may be obtained from the CMS FAQ10754.   

 

October 8, 2014 - Hardship Exception Applications to Avoid the 2015 Medicare Payment Adjustment Extended for Eligible Providers and Eligible Hospitals.  CMS released an announcement Tuesday, October 7, that they are reopening the submission period for hardship exemption applications for eligible professionals and eligible hospitals to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use of certified electronic health record technology.  The new deadline will be 11:59 PM EST November 30, 2014.  The extension is only for eligible professionals and eligible hospitals who have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability AND for eligible professionals who were unable to attest by October 1, 2014 and eligible hospitals that were unable to attest by July 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.  Additional details as well as application instructions regarding this update may be obtained from the CMS Payment Adjustments & Hardship Exceptions website.

 

August 20, 2014 - New CMS rule allows flexibility in certified EHR technology for 2014.  The Department of Health and Human Services (HHS) published a final rule that allows health care providers more flexibility in how they use certified electronic health record (EHR) technology (CEHRT) to meet meaningful use for an EHR Incentive Program reporting period for 2014.  Additional details on this Final Rule may be obtained from the EHR Incentive Programs 2014 CEHRT Rule: Quick Guide provided through the CMS.gov webpage. 

 

June 25, 2014 - Eligible Professionals looking for information on the Medicare payment adjustments that will be applied in 2015 for Medicare providers that have not attested to meaningful use through either the Medicare or Medicaid EHR Incentive Programs should access the CMS Payment Adjustments & Hardship Exemptions website and review the CMS Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals.

 

This tip sheet provides an overview of the payment adjustment, including background information on the adjustment, deadlines for EPs to complete attestations in order to avoid being subject to the adjustment, and instructions for applying for hardship exemptions. 

 

IMPORTANT NOTE: The New Jersey Division of Medical Assistance and Health Services is NOT responsible for administering the Medicare payment adjustment and cannot grant exemptions from the payment adjustment.  All requests for additional information on the payment adjustment should be directed to CMS.

 

 

Frequently Asked Questions related to the New Jersey Medicaid EHR Incentive Program can be found below.

 

·     New Jersey Medicaid FAQs

·     CMS Medicaid and Medicare Incentive Program FAQs

 

Medicaid Eligible Professionals: To register for the Medicaid EHR Incentive Program, eligible professionals must register with the CMS National Level Repository (NLR) and elect to enroll in the New Jersey Medicaid EHR Incentive Program. Upon successfully registering with the NLR, providers will receive an e-mail from the State informing them that the State has received their registration information and will be able to begin the attestation process once the State's attestation system is available.

 

Note: Eligible professionals will have until March 31, 2013 to register and attest for a Medicaid EHR Incentive Program payment related to calendar year 2012.

 

Additional information about the registration and attestation processes can be found below:

 

Introduction to the Medicaid EHR Incentive Program for Eligible Professionals

NLR Registration User Guide for Medicaid Eligible Professionals

New Jersey Medicaid EHR Incentive Program Attestation Workbook for Eligible Professionals

New Jersey Medicaid EHR Incentive Program Attestation Application Manual for Eligible Professionals

 

Hospitals: Hospitals that have registered with the National Level Repository (NLR) for both the Medicare and Medicaid EHR Incentive Payment Programs should choose New Jersey as the state from which they will receive their Medicaid EHR Incentive Payment.  Hospitals that have not registered for a Medicare incentive payment are able to register for both the Medicare and Medicaid programs and choose New Jersey as their Medicaid state.  Hospitals can begin the registration process here. Upon successfully registering with the NLR and choosing New Jersey as their Medicaid state, hospitals will receive an e-mail from the State informing them that their registration information has been received and that they will be able to begin the attestation process once the State's attestation system is available.

 

Additional information about the registration and attestation processes can be found below:

 

NLR Registration Guide for Hospitals (covers both the Medicare and Medicaid Incentive Payment Programs)

New Jersey Medicaid EHR Incentive Payment Program Attestation Worksheet for Eligible Hospitals

New Jersey Medicaid EHR Incentive Payment Program Attestation User Guide for Eligible Hospitals

 

Medicare Eligible Professionals: New Jersey Medicare health care practitioners who are eligible for incentive payments for adopting and implementing an electronic health records system, and becoming a meaningful EHR user, can now register for the program via the Centers for Medicare and Medicaid Services website.

Click here for detailed instructions about the CMS NLR registration process for Medicare Eligible Professionals.




Click here for a tutorial on how to register with the Medicare EHR Incentive Program.

 

Note: Eligible professionals have until March 31, 2013 to register and attest to receive a Medicare incentive payment for calendar year 2012.

 

Note: Eligible hospitals will have until December 31, 2013 to register and attest for a Medicaid EHR Incentive Program payment related to federal fiscal year 2013.

 

Program News Archive:

June 2014