FAQs
FAQs

Below are some selected frequently asked questions about the Medicaid EHR Incentive Program.  A more exhaustive listing of FAQs on both the Medicare and Medicaid EHR Incentive Programs can be found at https://www.cms.gov/EHRIncentivePrograms/Downloads/FAQsRemediatedandRevised.pdf

  • Why are we investing in Health Information Technology?

    “Our recovery plan will invest in electronic health records and new technology that will reduce errors, bring down costs, ensure privacy and save lives.”
    - President Obama, Address to Joint Session of Congress, February 2009

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  • Where can I get information on NJ’s HIT Program?

    There are several sources available:

    • New Jersey has developed an HIT website.
    • NJ-HITEC Regional Extension Center is providing Training programs. See the NJ-HITEC website for a calendar of training classes. http://www.njhitec.org/events.
    • NJ HIT Commission meets on a monthly basis and is open to the public. http://www.state.nj.us/health/bc/hitc.shtml
    • Many of the Medical Associations are holding seminars on HIT. See your Medical Association for more details.

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  • What is the EHR Incentive Program?

    Under the Health Information Technology for Economic and Clinical Health Act (HITECH), federal incentive payments will be available to doctors and hospitals when they adopt EHRs and demonstrate use in ways that can improve quality, safety and effectiveness of care. Medicaid providers can receive their first year’s incentive payment for adopting, implementing or upgrading certified EHR technology but must demonstrate meaningful use in subsequent years in order to qualify for additional payments.

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  • How much incentive money is available to me?

    Eligible professionals can receive as much as $44,000 over a five-year period through the Medicare EHR Incentive Program or $63,750 over six years through the Medicaid EHR Incentive Program. Eligible Professionals may only receive incentive payments from one program.

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  • I am a provider. Do I qualify for the Medicaid EHR Incentive Program?

    • Eligible professionals (EPs) with 30% or more Medicaid (Title XIX) patient volume, including:
      • Physicians; Dentists; Certified nurse mid-wives; Nurse practitioner; and
      • Physician assistants practicing in an FQHC that is led by a physician assistant
    • Pediatricians with 20-30% Medicaid patient volume (2/3 payment only)
    • Eligible professionals who provided 50% or more of their services over a six month period in a Federally-qualified health center or rural health clinic with 30% or more Needy Individual (Medicaid, CHIP, Uncompensated or free or reduced rate) patient volume
    • For initial payments, Medicaid patient volume is determined over any continuous 90-day period within the most recent completed calendar year
    • You are not participating in the Medicare EHR Incentive Program.

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  • How do I sign up for the EHR Incentive Program?

    Effective November 7, 2011, eligible professionals can register with the Centers for Medicare & Medicare Services (CMS) National Level Repository (NLR) website.

    • Click here for detailed instructions about the CMS NLR registration process.
    • Click here for a tutorial on how to register with the Medicaid and Medicare EHR Incentive Program.

    Starting in December 2011, eligible professionals will be able to enter the necessary provider type, patient volume, and other information needed to receive an inital Medicaid incentive payment through a specially desgined section of the www.njmmis.com Provider Portal.  Providers that only see Medicaid managed care clients may have to establish an njmmis.com user ID and password to complete their attestation.

    In January or February 2012, initial incentive payments will be electronically distributed to eligible providers.


    What can I do now? - Hospitals, Physicians/Clinicians

    In the meantime, to prepare for the registration process you can make sure you have a National Provider Identifier (NPI) and can take initial steps to prepare for attestation.

    While only the CMS registration site is available now, please be advised that there is plenty of time to complete the registration process. Eligible professionals will have until February 29, 2012  to register and attest for an incentive payment related to services provided in calendar year 2011.

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  • What is Meaningful Use?

    There are different meaningful use criteria for Eligible Professionals vs. Hospitals. The final rule for Stage 1 Meaningful Use was published by CMS on July 13, 2010. Stage 2 is anticipated to be published in 2013 and Stage 3 is anticipated to be published in 2015. Answers to more specific EHR questions can be found at
    https://www.cms.gov/EHRIncentivePrograms/95_FAQ.asp#TopOfPage.

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  • Should I participate in the Medicaid or Medicare EHR Incentive Program?

    Click on this link to see the Medicaid vs. Medicare? comparison

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  • What is the EP Medicaid Payment Schedule?

    Click on this link to see the Medicaid Payment Schedule

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  • I am a provider that practices in multiple locations. Not all those locations have certified EHR technology. Can I still qualify?

    Yes, as long as 50% of total patient encounters is at locations where there is certified EHR technology. All meaningful use measures must only be based on the encounters that occurred at locations where certified EHR technology is available.

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