State Medicaid HIT PLAN

1. State Medicaid HIT PLAN Cabinet for Health and Family Services Kathy Frye, Deputy Executive Director and CIO Sandeep Kapoor, CTO

2. SMHP • Assessment of the ‘As-Is’ HIT Landscape • Development of the To-Be HIT Landscape • EHR Incentive Program Development Plan • Roadmap • RFP released 5/25 closing 6/29 Slide #2

3. Eligible providers for Medicaid • Eligible Professionals (EPs) • Physicians (Pediatricians have special eligibility & payment rules) • Nurse Practitioners (NPs) • Certified Nurse-Midwives (CNMs) • Dentists • Physician Assistants (PAs) who lead a Federally Qualified Health Center (FQHC) or rural health clinic (RHC) that is directed by a PA • Eligible Hospitals • Acute Care Hospitals • Children’s Hospitals Slide #3

4. Slide #4

5. Meaningful Use – Waiting on final rule Slide #5

6. Meaningful Use – Waiting on final rule • ePrescribing • Lab interface • Continuity of Care Document Slide #6

7. Medicaid only AIU Slide #7

8. Slide #8

9. Kentucky e-Health Network Board Slide #9

10. Kentucky e-Health Network Board Slide #10

11. The Basic Equation Medicaid Activities AIU or MU

12. National Level Repository • CMS proposed a national-level repository in order to accomplish three statutory goals: •  Ensure that there is no duplication of payments between Medicare and Medicaid and between states; • Ensure accurate and timely payments; and • Allow Medicare to meet its mandate for online posting requirements.

13. The Medicaid EHR Incentive Timeline • 2011- 2021 • Providers cannot initiate after 2016 • Incentive amounts are linked to providers’ participation year, not the calendar year • No fee schedule reductions like Medicare • AIU in first participation year, MU in 2nd and subsequent years

14. More information on the KHIE can be found on the Governor’s Office of Electronic Health Information website at http://chfs.ky.gov/os/goehi/ Contact information khie@ky.gov