Step 2 is where you will establish your Medicaid Patient Encounter. Having a Medicaid Patient Encounter greater than 30% allows the Eligible Professional (EP) to participate in the EHR Provider Incentive Program. This is a required update each year.
There are two sets of numbers that are part of the yearly EHR Attestation:
- Medicaid Patient Encounter Volume (taken from your billing system – from the previous program year)
- EHR Meaningful Use (Summary Reports of Meaningful Use objectives – taken from the EHR in the current program year)
For more information about the Medicaid Patient Encounter Reporting Requirements for PY 2018, please follow this link to download the webinar training slides
Medicaid Encounter information is summarized for the entire Practice. Everyone in the clinic or Practice gets to use this ‘Group-Proxy‘, regardless of their individual Medicaid Encounters.
We define an encounter as:
A unique patient seeing a provider on a particular date at a location.
Remember that a unique patient can produce multiple encounters over the Representative Period. These would be counted in the Total number and in the Medicaid number (if they are active Medicaid patients).
Medicaid Encounters include any patient that MS Division of Medicaid carries any fiscal responsibility for. This means that you should use all encounters from
- MS CAN
- Medicare/Part B *Naming Medicaid as a Secondary Payer
- Medicaid named as a Secondary Payer
- MS CAN named as a Secondary Payer
If you attesting for Program Year 2018, You will select a 90-day Patient Encounter period from 2017. You will go to your Practice’s billing or patient management system. You will produce a summary report (statistical numbers only). Get the total number of All-Payer Encounters (every time a patient completes an appointment is considered an encounter). Remember, unique patients can produce multiple encounters during the Representative Period. This number will become the denominator.
Pull out the encounters that you will use as your Medicaid subset (see above list). This number will become the numerator.
Divide the number of Medicaid Encounters by the number of Total (All-payers) to determine your Medicaid Encounter Eligibility. This number should be at least 30% or greater. This Group-Proxy will be used for all Medicaid EPs participating in the EHR Provider Incentive Program.
There are several reporting options to choose from in the MS State Level Registry (MS SLR):
- 90-days in previous calendar year (Any continuous 90 days, from 2017,) **We suggest this yearly option
- Full Year (365 days beginning January 1, 2017 though December 31, 2017)
- Other Period (more than 90 days and less than 365 days from Calendar Year 2017)
- 90-days in the twelve months preceding attestation (This date range can occur within a period less than (and up to the date) 365 from the date the attestation is begun). Remember, once you use a date range, it can not be used again in subsequent years.
NOTE: ALL MEDICAID REPRESENTATIVE PERIODS MUST BEGIN ON THE FIRST DAY OF A MONTH, REGARDLESS OF REPORTING OPTION SELECTED.
The Billing Encounter Report can be exported to as a summary level report for the entire clinic or practice. This is what we call the Supporting Management Report (a required attachment). Numbers from this summary report will be added into the MS Medicaid Patient Volume Calculator (a required attachment).
Now you are ready to attach your supporting documents for Step 2.
You will need two documents (mentioned above):
- Supporting Management Report
- MS Medicaid Patient Volume Calculator
These will be attached through the SLR Attach Documentation widget. Click on the ‘Add Files’ Button as shown below.
Make sure that you have both supporting documents loaded. Once you are satisfied, click the ‘Attach’ button, as shown below.
You will see both documents listed when you return to the Step 2 screen. Click “Save & Continue” at the bottom of each screen to save your work and advance you to the next screen in the attestation process.
Quick Links to All SLR Steps:
- Step One – About you
- Step Two – Establishing Medicaid Eligibility
- Step Three – Attestation of Your EHR – Meaningful Use
- Step Four – Signing the Attestation Agreement
- Step Five – Submitting the EHR Attestation to the State