Welcome to the State Level Registry (SLR) for the Medi-Cal Electronic Health Record
Medicare Payment Adjustments
Providers who attested to meaningful use (MU) with the Medi-Cal EHR Incentive Program
for program year 2015 are exempt from Medicare Payment Adjustments in 2017. Because
of the late closure of applications for MU for the 2015 program year on December
13, 2016, DHCS was not able to send information to CMS regarding 2015 MU attestations
until late in December 2016. For this reason, some Medi-Cal providers are now erroneously
receiving letters from CMS warning that they are subject to Medicare Payment Adjustments
in 2017 because of not attesting to MU in 2015. These letters offer providers the
option of filling out and sending in a “reconsideration form” to CMS to avoid the
payment adjustments. DHCS has received assurance from CMS that all providers who
attested to MU with the Medi-Cal EHR Incentive Program for 2015, even as late as
December 13, 2016, will not be subject to Medicare payment withholds in 2017. Submission
of the “reconsideration form” should not be necessary because CMS has now removed
the names of all providers who had attested to MU for 2015 with the Medi-Cal EHR
Incentive Program from the list of providers subject to payment adjustments in 2017.
Click here for the names and NPIs of providers who attested
to MU in 2015.
Professionals and hospitals that successfully attest to MU for the 2016 program
year will avoid Medicare payment adjustments for 2017 (if they are first time MU
attesters) or 2018 (if they are return MU attesters). Medi-Cal providers that are
ineligible for the Medi-Cal EHR Incentive Program in 2016 (because of not meeting
the 30% Medi-Cal volume requirement or other reasons) may avoid the payment adjustments
through an “alternate” MU attestation with the Medicare Incentive Program between
January 3, 2017 and February 28, 2017 at https://ehrincentives.cms.gov. After registering with CMS
for this purpose the provider will need to wait to complete the attestation until
CMS receives an electronic message back from the Medi-Cal EHR Incentive Program.
For this reason, it is important that all providers who have registered with CMS
for this purpose to send an e-mail to DHCS at
firstname.lastname@example.org requesting that this confirmatory message be sent
to CMS. This will be completed in 1-2 days. Providers can obtain information about
“alternate” MU attestation by contacting the CMS Help Desk/EHR Information Center
for assistance: (888) 734-6433/ TTY: (888) 734-6563 and select option 1 during the
Monday to Friday between 8:30 a.m. and 7:30 p.m. EST.
2016 MU attestations under the new federal regulations will open in the SLR on the
evening of December 13, 2016 and will remain open until March 31, 2017. 2016 AIU
attestations are currently open and will remain open until March 31, 2017.
2016 is the Last Year to Start the Program
2016 is the last program year for professionals and hospitals to start the Medi-Cal
EHR Incentive Program. Applications from hospitals that have not successfully participated
in the program in 2016 will not be accepted for 2017 and subsequent years. Applications
from professionals who have not successfully participated in program year 2016 or
a prior program year will not be accepted for 2017 and subsequent years. Professionals
and hospitals are urged to be aware of these deadlines and to submit applications
to the 2016 program year to continue participation in the program.
• Professionals, groups/clinics, and hospitals can choose
to use a 90-day representative period in the 12 months prior to attestation or in
the last calendar year (2015).
• Professionals can qualify for the program using the
eligibility of a group/clinic if the professional delivered at least one Medicaid
patient encounter with the group/clinic in either the 12 months prior to attestation
or in the previous calendar year (2015).
• Contracts and other binding agreements for adopting,
implementing, or upgrading certified EHR technology do not need to be signed by
December 31, 2016, and can be signed as late as March 31, 2017 as long as they are
signed before attestation in the SLR for AIU.
• The meaningful use reporting period for all professionals
and hospitals will be 90 continuous days within the 2016 calendar year.
DHCS is required to conduct audits of hospitals and professionals who receive EHR
incentive payments for adopt, implement, or upgrading (AIU) or meaningful use (MU).
Hospitals and professionals should retain documentation supporting their attestations
for at least 7 years to be used in case of audit.
Hospitals: DHCS began auditing eligible hospital
AIU incentive payments in September, 2015. DHCS is scheduling these EHR audits in
the same manner as the Medi-Cal cost report audits. To the extent possible, the
EHR audits will be combined with the cost report audits to minimize disruption to
the hospital’s operations and staff.
Professionals: DHCS is currently conducting ongoing
audits of a sample of eligible professionals who have received incentive payments
Medi-Cal EHR Incentive Program--As a result of the American Recovery and Reinvestment
Act of 2011, Medi-Cal is able to offer eligible professionals and hospitals in California
substantial financial incentives to adopt, implement, upgrade, and meaningfully
use certified electronic health record technology. Professionals can receive $21,250
in the first year and $8,500 in five subsequent years. Hospital incentive payments
vary between $0.5 to 8 million over 4 years. The last year for professionals and
hospitals to start the program is 2016. As of November, 2015, the program has distributed
over $1 billion to professionals and hospitals in California. For detailed information
you may access CMS’s website by clicking here or by clicking on the links to guidance
documents in the right hand column of this page
California Technical Assistance Program (CTAP)--In November, 2015 the California
Technical Assistance Program was launched with $37.5 million in federal and state
funds. This program is designed to continue the work of the Regional Extension Center
Program which has provided assistance to over 12,000 professionals in adopting,
implementing, upgrading and meaningfully using certified electronic health record
technology. The CTAP program is designed to deliver free services to assist an additional
7,500 professionals, with special emphasis on solo practitioners and specialists.
The four CTAP organizations can be accessed by clicking on the links below..
Important Web Resources (all links open in new window)
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