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PROGRAM NEWS

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.

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 backgroun 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.

January 8, 2014 - The deadline for eligible professionals to submit calendar year 2013 New Jersey Medicaid EHR Incentive Program attestations is March 31, 2014.

May 31, 2013 - Eligible Professionals are able to attest for calendar year 2013 New Jersey Medicaid EHR Incentive Program payments.  Starting with calendar year 2013 attestation, eligible professionals can count ANY encounter with a Medicaid enrolled inidividal towards their required Medicaid patient volume.  Providers wishing to attest to meaningful use for their initial New Jersey Medicaid EHR Incentive Program payment may do so.

To begin the New Jersey Medicaid EHR Incentive Program attestation process:

1. Go to www.njmmis.com - login with your NJMMIS user name and password via the sixth option down on the left-hand side of the screen. The credentials used to login to www.njmmis.com are DIFFERENT than those used for CMS NLR registration. 

2. After successfully logging-in, there will be an “EHR Incentive Program” link near the bottom of the left-hand side of the screen.  Click this link to begin the attestation process

February 28, 2013 - All providers attesting for meaningful use are reminded that several Stage 1 meaningful use measures require that EHR systems have entries for "more than 80% of all unique patients" have at least one EHR entry recorded as structured data.  Failure to meet this criteria could result in recoupment of meaningful use EHR Incentive Program funding.

February 8, 2013 - Eligible Hospitals are able to attest for federal fiscal year 2013 New Jersey Medicaid EHR Incentive Program payments.  To login to the attestation application:

1. Go to www.njmmis.com - login with your NJMMIS user name and password via the sixth option down on the left-hand side of the screen. The credentials used to login to www.njmmis.com are DIFFERENT than those used for CMS NLR registration. 

2. After successfully logging-in, there will be an “EHR Incentive Program” link near the bottom of the left-hand side of the screen.  Click this link to begin the attestation process.

January 10, 2013 - Effective for federal fiscal year 2013 attestations for eligible hospitals (available now) and calendar year 2013 attestations for eligible professionals (available April 1, 2013), any encounter with a Medicaid eligible individual can be included in provider patient encounter count. This includes encounters where no Medicaid payment was received but the recipient was Medicaid eligible at the time the service was rendered.

 January 1, 2013 - A revised workbook to assist eligible professionals through the attestation process for meaningful use is now available below. The same worksheet can be used for adopt, implement, or upgrade attestations. A new Attestation Application user guide for eligible professionals is also available below. Similar products for hospital attestations will be available shortly. An introduction to the Medicaid EHR Incentive Program for eligible professionals is now available here and below.

June 1, 2012 - Providers are reminded that the "Medicaid" patient volume included in their attestation should ONLY include encounters in which Title XIX "Traditional Medicaid" paid for all or part of the service.  Encounters paid in all or in part by Title XXI "CHIP" funding CANNOT be included in patient volume calculations. 

Since it is difficult for individual providers or group practices to differentiate a Title XXI "CHIP" encounter from a Title XIX "Traditional Medicaid" encounter, the New Jersey Medicaid EHR Incentive Program has calculated a "CHIP proxy" percentage that can be used to accomplish this differentiation.  The proxy value is based on paid claims and managed care encounters in MMIS for the most recently completed calendar year and will use either the individual attesting provider's NPI or the NPI of the group practice entered into the "Organization NPI" field on a provider's attestation. This percentage is automatically populated into the attestation application and then applied to a provider's overall Medicaid and CHIP encounter count.  As a reminder, the “CHIP Proxy” percentage is based on paid claims and managed care encounters in MMIS for the most recently completed calendar year and is based on the billing provider NPI on these claims and encounters.

 

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

 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.