Eligible Professionals - Attestation

Program Announcement

This page contains attestation information specific to the use of 2014 CEHRT and does not address changes from the 2014 CEHRT Flexibility Final Rule. Go to the Medicaid EHR Incentive Program Homepage for an announcement on Program Year 2014 CEHRT Flexibility Final Rule.

 

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 CEHRT and demonstrate actual implementation, installation, or utilization of CEHRT.

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

Eligible Professionals that are adopting, implementing, or upgrading CEHRT are required to attest using 2014 Edition CEHRT. For more information on CEHRT, please refer to the Certified Health IT Product List.

Meaningful Use

In order for an Eligible Professional to receive payment in the second year of participation, they will have to attest to the meaningful use of CEHRT 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 Program:

  • 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

 

2014 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 22 Meaningful Use objectives. To qualify for an incentive payment, 18 of these 22 objectives must be met:

  • There are 13 required core objectives.

  • The remaining 5 objectives may be chosen from the list of 9 menu set objectives.

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

2014 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 objectives.
  • 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 2014 Stage 2 Page on the CMS Website.

Process for Reporting Public Health Objectives

Beginning October 1, 2013, all Eligible Professionals, regardless of their stage of Meaningful Use, will be required to register with the Wisconsin Department of Health Services (DHS), Division of Public Health (DPH), to initiate an onboarding process for any of the public health objectives. Eligible Professionals are required to register with the DPH either before their EHR reporting period starts or within 60 days from the beginning of their EHR reporting period. For current registration information, Eligible Professionals should refer to the Public Health Meaningful Use Website.

2014 Clinical Quality Measures (CQMs)

In addition to meeting the core and menu objectives, Eligible Professionals are also required to report clinical quality measures (CQMs) 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 Program Year 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 in the Stage 2 rule. CQMs 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 CQMs.

Last Revised: December 22, 2014