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Wisconsin Medicaid EHR Incentive >> Eligible Professionals >> Attestation

Eligible Professionals — Attestation

Adopt, Implement, Upgrade (AIU)

Eligible Professionals participating in their first year do not have to attest to Meaningful Use; rather, they may demonstrate that they have Adopted, Implemented, or Upgraded Certified EHR Technology (CEHRT).

  • Adopt: Eligible Professionals must demonstrate acquisition, installation, or contractual proof of an acquisition or future acquisition of Certified EHR Technology in the first payment year.

  • Implement: Eligible Professionals must meet the criteria for adopting certified EHR technology and demonstrate actual implementation, installation, or utilization of certified EHR technology.

  • Upgrade: Eligible Professionals must meet the criteria for adopting and implementing and demonstrate expansion of the certified EHR technology’s functionality such as the addition of an e-prescribing functionality or Computerized Physician Order Entry.

For more information on Certified EHR Technology, please refer to the Certified Health IT Product List (exit DHS).

Meaningful Use

In order for an Eligible Professional to receive payment in the second year of participation, they will have to attest to Meaningful Use of Certified EHR technology for a continuous 90-day period. In subsequent years, the Meaningful Use reporting period is the entire calendar year.

  • Note: The reporting period for Program Year 2014, regardless of attestation stage, will be 90 consecutive days for all Providers.

The last year for an Eligible Professional to initiate participation in the Medicaid EHR Incentive Program is 2016. Calendar year 2021 is the last year a participant may receive incentive payments.

The criteria for Meaningful Use will be staged in three steps over the course of the next five years:

  • Stage 1 (PDF 14 MB) sets the baseline for electronic data capture and information sharing.

  • Stage 2 (PDF 1.19 MB) advances clinical processes.

  • Stage 3 improves outcomes. Stage 3 is expected to be implemented in Program Year 2017.

First Payment Year
Program Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2011
Stage 1 Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 3 TBD TBD TBD TBD
2012
  Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 3 TBD TBD TBD TBD
2013
    Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 3 TBD TBD TBD
2014
      Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 3 TBD TBD
2015
        Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 3 TBD
2016
          Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 3
2017
            Stage 1 Stage 1 Stage 2 Stage 2 Stage 3

 

Stage 1 Meaningful Use

Stage 1 Meaningful Use includes both a core set and a menu set of objectives that are specific to Eligible Professionals. For Eligible Professionals there are a total of 25 Meaningful Use objectives. To qualify for an incentive payment, 20 of these 25 objectives must be met:

  • There are 15 required core objectives.

  • The remaining 5 objectives may be chosen from the list of 10 menu set objectives.

For more information on the Eligible Professional Meaningful Use Measures review the Eligible Professional Stage 1 EHR Meaningful Use Specification Sheets (exit DHS).

Stage 2 Meaningful Use

For Stage 2 Meaningful Use, there are a total of 23 Meaningful Use objectives for Eligible Professionals. To qualify for an incentive payment, 20 of the 23 objectives must be met:

  • There are 17 required core measures
  • The remaining 3 objectives may be chosen from the list of 6 menu set objectives.

For more information on Stage 2 requirements, please refer to the Stage 2 Page (exit DHS) on the CMS Website.

Clinical Quality Measures

In addition to meeting the core and menu objectives, Eligible Professionals are also required to report clinical quality measures in order to successfully participate in the program. For Program Year 2014, Wisconsin Medicaid recommends Eligible Professionals report on the priority CQMs identified in Attachment 5 (exit DHS).

Reporting in 2013

Eligible Professionals must report on 6 total clinical quality measures: 3 required core measures (or 3 alternate core measures) and 3 additional measures - selected from a set of 44 clinical quality measures.

Review the finalized list of CQMs (exit DHS) to learn more. CMS has also provided information on what to report in 2013 (exit DHS).

Reporting in 2014

Beginning in Program Year 2014, all Eligible Professionals, regardless of whether they are in the Stage 1 or Stage 2 of Meaningful Use, will be required to report on 9 of the 64 CQMs finalized in 2014 (exit DHS) in the Stage 2 rule (exit DHS). Clinical quality measures will be reported separately from Meaningful Use measures.

Although CQMs will be reported separately from Meaningful Use measures, all Eligible Professionals are still required to report CQMs in order to demonstrate Meaningful Use. The reporting period for CQMs is the same as the Meaningful Use EHR reporting period for that Program Year.

CMS has provided information on how to begin the transition for reporting in 2014 (exit DHS).

See Clinical Quality Measures (exit DHS) and the CQM tip sheet (exit DHS) to learn more about Clinical Quality Measures.

 

Last Revised: May 05, 2014