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UpdateFebruary 2012No. 2012-05Affected Programs: BadgerCare Plus, MedicaidTo: Hospital Providers, HMOs and Other Managed Care ProgramsEligible Hospitals Reporting Meaningful Use forthe Wisconsin Medicaid Electronic Health RecordIncentive Program and Other ProgramInformationpayment. Eligible Hospitals participating for their firstThis ForwardHealth Update includes the followinginformation regarding the Medicare and MedicaidElectronic Health Record (EHR) Incentive Programs:payment year in 2012 may attest to either adopt, implement, New features on the Wisconsin Medicaid EHRmeaningful use. Eligible Hospitals should note that they areIncentive Program application.not required to participate in consecutive Program Years. or upgrade certified EHR technology or to stage oneAdditional information for all Eligible Hospitalsparticipating in the Wisconsin Medicaid EHRRefer to the Online Handbook for complete information onIncentive Program.the Wisconsin Medicaid EHR Incentive Program and moreReporting meaningful use for dual-eligible hospitals.information on adopting, implementing or upgradingReporting meaningful use for Eligible Hospitals onlycertified EHR technology.participating in the Wisconsin Medicaid EHRIncentive Program.The 2012 Wisconsin Medicaid EHR Incentive Program Yearfor Eligible Hospitals will end September 30, 2012. After2012 Program Year of the WisconsinMedicaid EHR Incentive Programadditional 90-day grace period after the end of the paymentThe 2011 Wisconsin Medicaid Electronic Health Recordyear to apply for an incentive payment for the 2012 Program(EHR) Incentive Program Year for Eligible HospitalsYear. The payment year for Eligible Hospitals is based onconcluded on September 30, 2011. The Wisconsin Medicaidthe Federal Fiscal Year (FFY) (i.e., October 1 throughSeptember 30, 2012, Eligible Hospitals will have anEHR Incentive Program is no longer accepting applicationsSeptember 30). The last day to apply for a 2012 payment isfor 2011. The 2012 Program Year for Eligible HospitalsDecember 29, 2012.began on October 1, 2011. Eligible Hospitals will be able tobegin their Wisconsin Medicaid EHR Incentive ProgramInpatient Bed Days Informationapplication for the 2012 Program Year on February 20, 2012.The payment amount Eligible Hospitals receive is calculatedduring the first year of participation. To assist EligibleEligible Hospitals participating in their second payment yearHospitals with the information needed within the applicationin 2012 must attest to stage one meaningful use to be eligibleto determine the payment amount, Wisconsin Medicaid willfor a Wisconsin Medicaid EHR Incentive Program incentiveprovide each hospital their Medicaid Inpatient Bed Days forDepartment of Health Services

their first year of participation by e-mail. Eligible HospitalsProgram Year 2012, the timeline will show a three-monthwho have not submitted their application for their first yeargrace period after the FFY during which the Eligibleof participation should look for an e-mail from theHospital can still apply.Wisconsin Medicaid EHR Incentive Program e-mail addressof dhsehrincentive@wi.gov/. Eligible Hospitals that completedSave Functionalitytheir first year application in 2011 will not require theirEligible Hospitals do not have to complete the entireMedicaid Inpatient Bed Days information in 2012 for theirapplication in one session. The application will allow users tosecond year of participation.save the information entered and return later to continuePatient Volumecompleting an application.The Wisconsin Medicaid EHR Incentive Program willAbort Functionalityanalyze a Wisconsin hospital’s patient volume on a quarterlyNew functionality has been added to the Wisconsin Medicaidbasis and communicate qualification under patient volumeEHR Incentive Program application to “Abort” an Eligiblerequirements and the FFY quarter the hospital qualifiedHospital application and eliminate all progress. The newthrough e-mail from the Wisconsin Medicaid EHR Incentive"Abort" button allows providers to eliminate incompleteProgram e-mail address of dhsehrincentive@wi.gov/. Patientapplications and remove that application from theirvolume requirements must be met for the Program Year indashboard. Eligible Hospitals may abort an application at anywhich the hospital is participating in order to participate.point up until the application is submitted.Qualification under patient volume requirements will bedistributed to the address provided on the Medicare andDuring a grace period, Eligible Hospitals may elect toMedicaid EHR Incentive Program Registration andcomplete an application for the previous Program Year orAttestation System (R&A).abort the previous Program Year application and apply forthe current Program Year.Eligible Hospitals may expect an e-mail regarding patientvolume qualification in February 2012.New Features on the Wisconsin MedicaidEHR Incentive Program ApplicationDashboard FeatureA new dashboard feature on the Wisconsin Medicaid EHRIncentive Program application allows Eligible Hospitals togauge their status in the program. The dashboard will beviewable on the first page after logging into theMeaningful UseThe Medicare and Medicaid EHR Incentive Programsprovide a financial incentive for the meaningful use ofcertified EHR technology to achieve health and efficiencygoals. By implementing and using EHR systems, EligibleHospitals can also expect benefits beyond financialincentives such as reduction of clerical errors, immediateavailability of records and data, clinical decision support ande-prescribing, and refill automation.ForwardHealth Portal and selecting the link to the WisconsinMedicaid EHR Incentive Program. The dashboard will giveEligible Hospitals access to all of the previous year’sapplications.The dashboard will also include a timeline that will show theallowable grace periods for each payment year. For example,if an Eligible Hospital is attesting to meaningful use forForwardHealth Provider Information February 2012 No. 2012-052

The American Recovery and Reinvestment Act of 2009approve an Eligible Hospital’s application until CMSspecifies three main components of meaningful use:communicates approval of the meaningful use measures The use of a certified EHR in a meaningful manner,reported. It may take up to 45 days for CMS to approve thesuch as e-prescribing.reported meaningful use information and communicate thatThe use of certified EHR technology for electronicapproval to the Wisconsin Medicaid EHR Incentiveexchange of health information to improve quality ofProgram. health care. The use of certified EHR technology to submit clinicalImportant steps for Dual Eligible Hospitals include thequality and other measures.following: In short, meaningful use means Eligible Hospitals need todemonstrate that they are using EHR technology in waysFirst register and attest for the 2012 Medicare EHRIncentive Program payment. that can be measured in quality and quantity.Complete attestation and submission of meaningful usemeasures to the Medicare EHR Incentive Program. After completion of the 2012 Medicare EHR IncentiveMeaningful Use Criteria OverviewProgram application, begin the Wisconsin MedicaidThe Centers for Medicare and Medicaid Services (CMS) haveEHR Incentive Program application.split the meaningful use criteria into three stages that will be Once CMS has determined if meaningful userolled out over the course of the next five years. As of now,requirements are met, CMS will communicatethe stages are identified as such:meaningful use determination (eligible or ineligible) to Stage one (Program Year 2011 and/or 2012) sets thethe Wisconsin Medicaid EHR Incentive Program withinbaseline for electronic data capture and information45 days of determination.sharing. Only after receipt of confirmation that meaningful useStages two and three (at this time expected to berequirements have been met will the Wisconsinimplemented in Program Year 2013) will continue toMedicaid EHR Incentive Program begin to process theexpand on this baseline and be developed throughapplication.future rule making. Eligible Hospitals should note that if an EligibleHospital is not deemed a meaningful user of certifiedRefer to the Attachment of this ForwardHealth Update for aEHR technology by the Medicare EHR Incentivetable that demonstrates what stage of meaningful use mustProgram, the Eligible Hospital cannot be deemed abe reported based on the first Program Year an Eligiblemeaningful user by the Wisconsin Medicaid EHRHospital begins participating in the Wisconsin MedicaidIncentive Program. This will result in a denial of theEHR Incentive Program.2012 Wisconsin Medicaid EHR Incentive Programapplication.Meaningful Use for Dual-Eligible HospitalsDual Eligible Hospitals, which are hospitals participating inboth the Medicare EHR Program and the WisconsinMedicaid EHR Incentive Program, must report meaningfuluse to CMS; therefore, they do not need to reportMeaningful Use for Wisconsin MedicaidOnly Eligible HospitalsRequirements for Stage One of Meaningful Usemeaningful use to the Wisconsin Medicaid EHR IncentiveThe requirements for stage one of meaningful use includesProgram. The CMS will communicate the reported measuresboth a “core set” and a “menu set” of objectives that areto the Wisconsin Medicaid EHR Incentive Program. Thespecific to Eligible Hospitals. There are a total of 24Wisconsin Medicaid EHR Incentive Program will notmeaningful use objectives. To qualify for a WisconsinForwardHealth Provider Information February 2012 No. 2012-053