Notice of change to attestation deadline for 2020: Eligible providers will once again have a 90-day grace period to submit attestations for program year (PY) 2019. The deadline for submission is Mar. 31, 2020.
What stage am I in? All providers and hospitals are now required to attest to Stage 3 Meaningful Use (MU) objectives and measures for PY 2019. Beginning with the EHR reporting period in calendar year 2019, all participants in MPIP are required to use 2015 Edition CEHRT. Note: The 2015 Edition CERHT did not have to be implemented on Jan. 1, 2019. However, the functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period
Rule change for Stage 3 Objective 5 Measure 1 API: CMS will allow flexibility on requirements to meet this measure for 2019, while clarifying the requirement for 2020.
Measure 1: For more than 80 percent of all unique patients seen by the EP:
CMS has clarified the intent of this measure, and the use of the word “timely” applies to the availability of data via an API as well as VDT as mentioned in the first bullet in Measure 1. The intent of this measure is that EPs must make a patient’s health data available and must offer all four functionalities (VDT and access through an API) within 48 hours of the information being available to the EP.
CMS will allow flexibility on meeting the second part of this measure for 2019 only. EPs may meet this measure if they:
Promoting interoperability (PI) reporting period: For PY 2019, all returning providers are required to attest to a 90-day MU reporting period, regardless of MU reporting year within the program. The 90 days must be continuous, and must occur within calendar year 2019. For specific requirements for numerator and denominator counts, check the spec sheets provided by Centers for Medicare & Medicaid Services (CMS).
Clinical Quality Measures (eCQM) reporting period: EPs are required to attest to a full year (365 days) of clinical quality measures for PY 2019.
Exception: for first-time meaningful users, the reporting period for eCQMs is any continuous 90-day period within calendar year 2019.
eCQM reporting period for Program Year 2020: The eCQM reporting period for EPs in MPIP will be a minimum of any continuous 90-day period within calendar year 2020 for EPs who have demonstrated meaningful use in a prior year.
Program year 2019 attestation: To attest to PY 2019, eligible providers must have successfully attested at least once in a previous program year.
Reminder: Eligible hospitals are no longer allowed to skip years of attestation in MPIP.
EPs who wish to attest in PY 2019 and in subsequent years must have attested successfully at least once in prior program years. The deadline for beginning MPIP has passed. EPs who have attested at any point in the past can participate in the program, even if they have only attested once. EPs who will attest for the fourth time in PY 2019 can still receive all six years of incentive payments if they continue to attest every year through PY 2021. EPs may still skip years in the program for any reason, but you must have all six years of attestation completed by PY 2021 to receive the full allotment of incentive funds.
NOTE: Participation in an alternative program, including the Merit-based Incentive Payment System (MIPS) or other quality payment programs, does not exclude you from participation in MPIP.
To be eligible for MPIP payments, EPs must meet a minimum Medicaid patient volume (MPV) threshold. MPV thresholds are as follows:
EPs who practice predominantly (50 percent or more) in a Federally Qualified Health Center (FQHC), Rural Health Center (RHC) or a tribal or urban facility can include “needy individual” patient encounter services, which encompasses Medicaid, Children’s Health Insurance Program (CHIP) and sliding scale or uncompensated care.
EPs must not be hospital based. Hospital based means an EP who furnishes 90 percent or more of their Medicaid-covered services in an inpatient or emergency department setting. Inpatient services include those with place of service (POS) code 21. Emergency department services include those with POS code 23.
MPIP allows an eligible professional to use group MVP to meet or exceed the patient volume requirements.
Refer to the MPIP Adopt, Implement or Upgrade Guidance Manual (DHS-6667D) (PDF) for instructions and assistance about:
The 2019 eCQM reporting period for EPs is the full 2019 CY, except for first time meaningful users, for whom the reporting period is any continuous 90-day period within CY 2019. All participating EPs are required to report on any 6 eCQMs relevant to their scope of practice from the set of 50 available. In addition, EPs must report on at least one outcome measure. If no outcome measure is relevant to his or her scope of practice, the EP must report on one high priority measure. If no high priority measures are relevant to their scope of practice, they may report on any six relevant measures. The list of available eCQMs, including which qualify as outcome or high-priority can be found here.
Use the following documents to review the slides and script from the video presentations:
Eligible hospitals (EH) for MPIP are those whose last four digits of their Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN) fall into one of the following ranges:
To be eligible for a MPIP payment, acute care and critical access hospitals must have at least a 10 percent Medicaid patient volume (MPV). Children's hospitals have no MPV requirements.
EHs are required to calculate and attest to their estimated EHR incentive payment. Use the MPIP Hospital Calculation worksheet (XLS) to estimate EH payments. Complete the worksheet using an auditable data source, such as the Medicare cost report and the Hospital Annual Report (HAR). The worksheet identifies which data elements from the Medicare cost report and the HAR Minnesota uses to verify hospital payment data. Save a copy of the completed worksheet to use during the MPIP enrollment process.
Specify the following calculation criteria to ensure that your calculations are accurate on your report:
The MPIP Hospital Calculation Sample (DHS-6667F) (PDF) provides EHs with an example of a completed estimated EHR incentive payment.
NOTE: A multi-site hospital with one CMS Certification Number (CCN) is considered one hospital for purposes of payment.
For hospitals reporting meaningful use for the first time, and who submit eCQMs electronically, the reporting period is any continuous 90-day period, these participants are required to report on four measures. For first-time hospitals who submit eCQMs via attestation, the reporting period is the full 2019 CY data. These participants are required to report on all 16 eCQMs.
For returning hospitals who submit eCQMs via attestation, the reporting period is any continuous 90-day period and requires reporting on all 16 eCQMs is required. The reporting period is the same for those who submit electronically, but this form of submission only requires reporting on four eCQMs.
Use the MPIP Payment Notification File Instructions (DHS-6667G) (PDF) for help finding and viewing incentive payment information.
Use the following documents for a detailed explanation of the MPIP portal and a walkthrough of the attestation process.
Refer to the following for history and reference information for post payment audit questions:
Minnesota’s State Medicaid HIT Plan (SMHP) provides the state Medicaid agency (SMA) and the CMS with a common understanding of the activities the SMA will be engaged in over the next five years in implementing the MEIP. The SMHP also identifies state-level actions to expedite health information exchange (HIE) deployment and assure that health care providers and organizations have one option for achieving CMS’ Stage 3 meaningful use.
Refer to the following SMHP documents for more information:
National EHR Information Center hours of operation: 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays, 888-734-6433 (primary number) or 888-734-6563 (TTY number).
Refer to the Centers for Medicare & Medicaid Services website for more information.
This is a free email subscription service offered by MPIP that allows you to receive a one-way email notification when new information is available. With a subscription, you automatically get the updated information on the items of interest to you.
Your email address is only used to deliver the information you requested.
Contact EHR Email List if you have any problems with this form.