Promoting Interoperability Program

(formerly known as the Medicaid EHR Incentive Program, aka Meaningful Use)

2021 Program Requirements for Kansas Medicaid Promoting Interoperability Program

The Centers for Medicare & Medicaid Services (CMS) renamed the EHR Incentive Programs to the Promoting Interoperability (PI) Programs in April 2018, to continue the agency’s focus on improving patients’ access to health information and reducing the time and cost required of providers to comply with the programs’ requirements. CMS finalizes updates to the programs through rule making. The CMS Interoperability and Patient Access Final Rule was released in March 2020. For more information, visit the landing page where CMS publishes updates and additional resources as soon as they are available.

Background

In October 2015, CMS released a final rule that specified criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule’s provisions encompass 2015 through 2017 (Modified Stage 2) as well as Stage 3 in 2018 and beyond.

On August 14, 2017, CMS published the Fiscal Year 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Final Rule, which contained several changes that directly affected the Medicare and Medicaid Electronic Health Record (EHR) Promoting Interoperability Programs. On August 16, 2019, CMS published a Final Rule for the IPSS and LTCH Prospective Payment System with changes affecting the fiscal year 2020 Promoting Interoperability Programs.

An overview of the objectives and measures for the 2021 Medicaid Promoting Interoperability program and 2021 Medicaid Program Requirements are available on the CMS website.

What you should know about 2021 Promoting Interoperability

  • 2016 was the last year to begin your participation and earn incentives. EPs can earn incentives for a total of six years through 2021; the participation years do NOT have to be consecutive. EPs who have not previously participated in the Medicaid EHR Incentive Program prior to 2017 are not eligible to earn the incentives.
  • Providers must attest to Stage 3 objectives and measures for 2021 using 2015 Edition CEHRT.
  • For 2021, the EHR reporting period for all participants is a minimum of any continuous 90 days from January 1 through December 31, 2021.
  • EPs must also report a minimum of 6 Clinical Quality Measures.

Medicaid EHR Incentive Program Basics