Program Year 2017 – What to Know – Changes for 2017

Visit the CMS Website to Review Resources on 2017 Program Requirements

Preparing to Participate in the EHR Incentive Program for years 2015 – 2017.These checklists will help providers prepare, register and attest in the EHR Incentive Program.

 


 

2017 Modified Stage 2 Program Requirements for Providers Attesting to their State’s Medicaid EHR Incentive Program

In October 2015, CMS released a final rule that modified the requirements for participation in the Electronic Health Record (EHR) Incentive Programs for years 2015 through 2017 as well as in 2018 and beyond. This page provides information on requirements for Modified Stage 2 in 2017.

Medicaid providers who are only eligible to participate in the Medicaid EHR Incentive Program are not subject to the Medicare payment adjustments.

States will continue to determine the form and manner of reporting CQMs for their respective state Medicaid EHR Incentive Programs subject to CMS approval.

NOTE: All providers who have not successfully demonstrated meaningful use in a prior year and are seeking to demonstrate meaningful use for the first time in 2017 to avoid the 2018 payment adjustment must attest to Modified Stage 2 objectives and measures.


 

Objectives and Measures

  • All providers are required to attest to a single set of objectives and measures.
  • For eligible professionals (EPs), there are 10 objectives, and for eligible hospitals there are 9 objectives.
  • In 2017, all providers must attest to objectives and measures using EHR technology certified to the 2014 Edition. If it is available, providers may also attest using EHR technology certified to the 2015 Edition, or a combination of the two.
  • Please note there are no alternate exclusions or specifications available.
  • There are changes to the measure calculations policy, which specifies that actions included the numerator must occur within the EHR reporting period if that period is a full calendar year, or if it is less than a full calendar year, within the calendar year in which the EHR reporting period occurs. Specific measures affected are identified in the Additional Information section of the specification sheets.

Changes to Specific Objectives

  • Objective 8, Measure 2, Patient Electronic Access: For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period.
  • Objective 9, Secure Messaging (EPs only): For an EHR reporting period in 2017, for more than 5 percent of unique patients seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the EHR reporting period.

EHR Reporting Period in 2017

  • For all returning participants and all new participants, the EHR reporting period is a minimum of any continuous 90-days between January 1 and December 31, 2017.
  • For the 2017 EHR reporting period, the attestation, the EHR Attestation submission period in Mississippi is between February 1, 2018 and April 30, 2018.

Clinical Quality Measures (CQMs) Reporting for Program Year 2017

Changes implemented for Program Year 2017 reporting to better align with the reporting requirements for Medicare providers under the MIPS program:

  • For 2017, providers will select 6 CQMs from a list of 53  (previously – 9 CQMS from a list of 64)
  • Domain restrictions have been removed.  Providers are not required to select CQMs from a National Quality Standard Domains as they did in previous years
  • Mississippi allows for manual attestation of CQMs (data taken from the EHR for each individual participating provider from selected 90 day CQM reporting period – between January 1 and December 31, 2017).

 


 EHR Software Certification Requirements for Program Year 2017

Providers may use any of the following EHR Software Certification options
  • 2014 – Modified Stage 2
  • 2015 – Modified Stage 2 and/or Stage 3
  • Combination of 2014 and 2015 – Modified Stage 2 and/or Stage 3 (if they have the capability)


The Centers for Medicare & Medicaid Services (CMS) has created the following materials to help providers attest successfully to the Medicare and Medicaid EHR Incentive Programs in 2017.

 


Important Notice:

Providers that also serve Medicare patients may (in addition to the MS Medicaid EHR Incentive Program) be required to participate with the Quality Payment Program (QPP)  for 2017 to avoid negative Medicare claims adjustments for the following year.

For additional information, or to see if a particular provider is required to submit EHR data under the Quality Payment Program, please follow this link to the Quality Payment Program website.


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