Nevada Medicaid EHR Incentive Program Information for Eligible Providers

Information & Handouts Accessing Handouts and Supporting Documents Asking Questions & Getting Answers

Agenda Review Incentive Programs Payment Year 1 Requirements Calculating Patient Volume PECOS & Incentive Program Registration Brief Q&A

What Incentives are Available Year – 2016 Year 2Year 3Year 4Year 5Year 6Total $21,250$8,500 $63,750 Medicare OR Medicaid Incentives Available to Providers Eligible Providers may participate in only ONE of the two programs Medicaid Incentives may be paid out over 6 years. These years DO NOT have to be consecutive.

When are Incentives Available Nevada Medicaid EHR Incentive Program is currently scheduled to launch early August Expect Year 1 payment 4-6 weeks after attestation for Adoption Implementation or Upgrade Medicaid Incentive Payments will be made up to 2021

What is needed to Qualify for Incentives Be active and in good standing with Nevada Medicaid Be a Medicaid Eligible Provider –Not hospital-based MD, DO, PA*, NP, Certified Nurse Midwife, DDS Have a 20% - 30% Medicaid Patient Volume –30% patient volume attributable to Medicaid or needy individual –20% Medicaid for Pediatricians Adopt, Implement or Upgrade to a Certified EHR Solution Have a valid PECOS Username and Password for each provider

Calculating Patient Volume Eligible Providers must have: –30% Patient Volume attributable to Medicaid –20% Patient Volume attributable to Medicaid for Pediatricians Patient Volume is computed on a 90-day period in the prior calendar year Any encounter an eligible professional has with a Medicaid recipient (whether it’s paid through a capitated arrangement with an MCO plan or fee-for-service claim to the Medicaid System) can and should be included in the patient volume calculation –This includes Advantage Plans (such as Amerigroup) –This includes border state Medicaid (such as MediCAL)

Adopt, Implement & Upgrade Simple Definition: Sign an agreement to implement a Certified EHR (if not on an EHR) or upgrade to the Certified EHR Version (if already on an EHR) Verify your EHR is certified by visiting: Clinical Compliance is not required in Year 1

Registering for PECOS PECOS: Provider Enrollment Chain and Ownership System PECOS Username & Password is required to register for Nevada Medicaid EHR Incentives Required for EACH Eligible Provider PECOS Helpdesk:

Register for Incentive Programs Once a valid PECOS ID is obtained you will register using the Medicare and Medicaid EHR Incentive Program Site to indicate your intent to participate in Nevada Medicaid EHR Incentive Program ction

Contact Information HealthInsightState of Nevada Medicaid Erick Maddox Eileen Colen Catelyn Nguyen Nevada Medicaid Provider Support

Webinar Schedule July 11th at 12 pm – General information including requirements for qualification and computing Patient volume & registering with PECOS register at July 18th at 11am – Hospital Medicaid Information July 18th at 1pm – Frequently Asked Questions July 25th at 12 pm – Registration/Attestation Process August 1st at 1pm – Repeat of Registration/Attestation Process

Links & Resources HealthInsight: PECOS: PECOS Helpdesk: Incentive Registration: CMS Medicaid FAQ: Nevada Medicaid FAQ: EHR Certification Information: