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Medicaid EHR Incentive Program
Overview of the MAPIR Application
March 19, 2015
Kim Davis-Allen,
Outreach Coordinator
Program Updates
• Program Year 2014 Grace Period - June 30, 2015
• Certification Flexibility Option – March 21, 2015
– Documentation Form on Website
• CMS Proposed Rule Making
– Shorten reporting period to 90 days for 2015
– Align hospital reporting period to calendar year
– Agency cannot make policy or program changes until final
• Stage 2 Patient Reminders
March 19, 2015 2
Getting Ready • Gather system certification data
• Run volume reports
• Run meaningful use reports including Clinical Quality Measures (CQMs)
• Complete Additional Documentation form
• If attesting to a Certification Flexibility Option - complete Certification Flexibility Option Documentation Form
• Have documents ready to upload
March 19, 2015 3 March 19, 2015
Attestation Options
March 19, 2015 4
Certification Flexibility Rule Eligibility
• An Eligible Professional (EP) may be able to attest to a flexibility
option if they were unable to fully implement 2014 Certified
Electronic Health Record Technology (CEHRT) due to:
– Software development delays
– Missing or delayed software updates
– Being able to implement 2014 CEHRT for only part of the reporting period not
the full reporting period
– Unable to train staff, test the updated system, or put new work flows in place
because of delays associated with installation of 2014 CEHRT
– Unable to meet Stage 2 summary of care measures due to the recipient of
transmittals impacted by 2014 CEHRT issues
March 19, 2015 5 March 19, 2015 6
• EPs may not be able to attest to a flexibility option for delays in
fully implementing 2014 CEHRT due to:
– Financial issues
– Inability to meet one or more measures
– Staff turnover and changes
– Provider waited too long to engage a vendor
– Refusal to purchase the requisite software updates
• Providers who fully implemented 2014 edition CEHRT and can
report in 2014 may not attest to a flexibility option.
Certification Flexibility Rule Eligibility
March 19, 2015 6 March 19, 2015 7
Web Portal Redesigned
March 19, 2015 4
Navigating the Application
• User Guide Available at http://portal.flmmis.com/flpublic/
– Provider Services
March 19, 2015 March 19, 2015 8 March 19, 2015
Dashboard
March 19, 2015 9
Enter Certification Number
March 19, 2015 10
Numbering Scheme
March 19, 2015 11
Algorithm Based on Number Entered
March 19, 2015 12
Entered 2011 Certification Number
March 19, 2015 13
Option Allowed with 2011 CEHRT Number
March 19, 2015 14
Scheduled for Stage 2; Enters a 2011/2014
Combo Certification Number
March 19, 2015 15
Explanations
March 19, 2015 16
Entries Confirmed
March 19, 2015 17
Proceed to Application
March 19, 2015 18
Contact Information
March 19, 2015 19 March 19, 2015
Section Explained
March 19, 2015 20 March 19, 2015
Section Complete
March 19, 2015 21 March 19, 2015
Patient Volume
March 19, 2015 22 March 19, 2015
Volume Period
March 19, 2015 23 March 19, 2015
Locations and Use of CEHRT
March 19, 2015 24 March 19, 2015
Individual Volume
March 19, 2015 25 March 19, 2015
FQHC/RHC Volume
March 19, 2015 26 March 19, 2015
Group Volume
March 19, 2015 27 March 19, 2015
Validation of Volume
March 19, 2015 28 March 19, 2015
EHR Reporting Period
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Meaningful Use Measures
March 19, 2015 30 March 19, 2015
Clinical Quality Measures
March 19, 2015 31 March 19, 2015
General Requirements
March 19, 2015 32 March 19, 2015
Measure Specific Information
March 19, 2015 33 March 19, 2015
Yes/No Measure
March 19, 2015 34 March 19, 2015
Numerator/Denominator Measure
March 19, 2015 35 March 19, 2015
Review of Information Entered
March 19, 2015 36 March 19, 2015
Review of Application
March 19, 2015 37 March 19, 2015
Check Errors
March 19, 2015 38 March 19, 2015
Upload Attachments
March 19, 2015 39 March 19, 2015
Meaningful Use Application Documentation
• Dashboard or summary report Meaningful Use report from
your CEHRT
• Core measures
• Menu measures
• CQMs
Documents must contain numeric measures
• Add numerators/denominators for application If reporting from multiple
systems – have documentation from the systems
• Sections A and B not required if only practicing at one location or using same system at different locations
• Section C is based on location AD Form – specific to stage
March 19, 2015 40
Preparer
March 19, 2015 41 March 19, 2015
Provider
March 19, 2015 42 March 19, 2015
Application Will Fail Warning
March 19, 2015 43 March 19, 2015
Application Submitted
March 19, 2015 44 March 19, 2015
Additional Contacts and Resources
www.ahca.myflorida.com/medicaid/ehr
EHR Incentive Program Call Center:
(855) 231-5472
www.Florida-HIE.net
Florida HIE Help Desk:
850-412-3752
March 19, 2015 45