Medicaid Electronic Health Record (EHR) Incentive Program Resources

ForwardHealth Online Handbook

The Online Handbook contains a complete index of policies and procedures applying to the Wisconsin Medicaid EHR Incentive Program published in ForwardHealth Updates. This up-to-date source of program information can be used to gather additional details on topics including (but not limited to) eligibility, patient volume, CEHRT, meaningful use criteria, and supporting documentation.

ForwardHealth Updates

Official publications on the Medicaid EHR Incentive Program can be found below. The Updates below may contain obsolete information. They are to be used for reference or research purposes only. Refer to the Online Handbook for current policy.

Eligible Hospitals

Eligible Professionals

Frequently Asked Questions and Tip-sheets

The following questions and answers are provided by the Wisconsin Medicaid EHR Incentive Program and pertain only to the EHR Incentive Program administered by Wisconsin Medicaid.

  • Eligible Professional FAQ, P-00358A
  • Eligible Hospital FAQ, P-00358B
  • Eligible Professionals interested in participating in the Wisconsin Medicaid EHR Incentive Program  may refer to 2016: Last Year to Initiate Participation, P-00358 to learn more about the benefits of adopting certified EHR technology (CEHRT) and the path to payment.

User Guides

Below are step-by-step guides to help you navigate the process of applying for a Wisconsin Medicaid EHR Incentive Program. Please choose the guide that fits your needs:

Webinars

Watch the Introduction to Eligible Professional Patient Volume Webinar for information on how to calculate Medicaid patient volume.

Watch Program Year 2015 Application Requirements Webinar for information about Eligible Professional documentation submission requirements for Program Year 2015 and details on our new Application Process Guide. PDF copy of the presentation shared during the webinar.

State Medicaid Health Information Technology (HIT) Plan

The State of Wisconsin Medicaid Health Information Technology Plan (SMHP), P-01106, is the governing document for the Medicaid EHR Incentive Program. The original SMHP was approved by the Centers for Medicare and Medicaid Services (CMS) on September 20, 2010. The State of Wisconsin continues to refine the SMHP and will post updated versions as they are available.

Health Information Technology Landscape Assessment

In 2014, the Wisconsin eHealth Program analyzed data from the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs to develop prescriptive recommendations for increasing provider adoption and Meaningful Use of certified EHR technology (CEHRT). Related objectives of the assessment also included:

  • Analyze Medicaid enrolled provider adoption and Meaningful Use of CEHRT based on participation in the Medicare and Medicaid EHR Incentive Programs to identify provider populations that may require assistance with the adoption and Meaningful Use of CEHRT and to inform future Medicaid program and policy initiatives.
  • Analyze the CEHRT vendor and broadband landscapes to identify opportunities and challenges for Health Information Exchange (HIE) in Wisconsin.
  • Assess the population of Wisconsin Medicaid members served by providers that adopt and Meaningfully Use CEHRT to identify disparities.

To view this report, follow this link: Health Information Technology Landscape Assessment (August 2011 – June 2014).

Centers for Medicare and Medicaid (CMS) Resources

Federal Rules and Regulations Related to the EHR Incentive Program

Stage 1: Final Rule for the Medicare and Medicaid EHR incentive programs. Published to the Federal Register on July 28, 2010. CMS announced their final rule for the Medicare and Medicaid EHR Incentive Programs, including the definition of Meaningful Use. Under the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, eligible health care professionals and hospitals can qualify for Medicare and Medicaid incentive payments when they adopt CEHRT and use it to achieve specified objectives.

Stage 2: Final Rule for the Medicare and Medicaid EHR incentive programs. Published to the Federal Register on 09/04/12. CMS released their final rule for Stage 2 of the Medicare and Medicaid EHR incentive programs, including changes to Stage 1 meaningful use, expansions of eligibility requirements, and definition of additional meaningful use requirements.

2014 CEHRT Flexibility Final Rule. On 09/04/14, CMS released a final rule that grants flexibility to providers who are unable to fully implement 2014 Edition CEHRT for an EHR reporting period in 2014 due to delays in 2014 Edition CEHRT availability.

Stage 3 and Modifications to Meaningful Use in 2015 through 2017 Final Rule. On October 6, 2015, CMS published a final rule introducing new criteria Eligible Professionals must meet in order to participate in the Wisconsin Medicaid EHR Incentive Program in Program Year 2015 and all subsequent Program Years. Changes include:

  • The removal of redundant, duplicative, or topped out measures.
  • The modification of patient engagement objectives requiring patient action.
  • A consolidated public health reporting objective with measure options.
Certified Health IT Product List

The Certified Health IT Product List provides the authoritative, comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT. In order to complete an application for the Medicaid EHR Incentive Program applicants will need the CMS EHR Certification ID provided through this website: http://onc-chpl.force.com/ehrcert.

If you need assistance obtaining your CMS EHR Certification ID, use this walk-through document to understand how to generate a CMS EHR Certification ID using the ONC Certified Health IT Product List.

Program Timeline

For information about the program timeline, refer to the CMS Medicare and Medicaid EHR Incentive Programs Milestone Timeline. Eligible Professionals can also use the interactive EHR Participation Timeline (exit DHS).

Eligible Hospital Information
Eligible Professionals Information
Medicare and Medicaid Electronic Health Records Incentive Program Payment and Registration Reports
More Information

For more CMS resources, refer to the Medicare and Medicaid EHR Incentive Program website. To stay up-to-date on the latest federal news related to the EHR Incentive Programs, subscribe to the CMS EHR Listserv.

Wisconsin eHealth Initiative Resources

The mission of the Wisconsin Department of Health Services (DHS) eHealth Program is to facilitate improvements in Wisconsin’s health care quality, safety, transparency, efficiency, and cost effectiveness through statewide adoption and use of EHRs and health information exchange (HIE). Access to the right health care information at the right time by providers and patients will promote the delivery of safe, optimum health care in Wisconsin.

Read more here: Wisconsin eHealth Initiative

Last Revised: May 10, 2016