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Medicaid Incentive Program

About the Program

The Medicaid Electronic Health Record (EHR) Incentive Program provides incentive payments to Medicaid Eligible Professional (EP) who adopt, implement, upgrade or meaningfully use certified EHR technology in their first year of participation in the program, and successfully demonstrate MU in subsequent years. Eligible hospitals and EP’s must attest to the measures and objectives finalized by CMS  in order to prove they are meeting the requirements of the program. Click here to see if you are eligible.

The last year to begin participating in the Medicaid EHR Incentive Program was 2016.

NJII offers free assistance to Medicaid-participating providers in the Medicaid Provider Program (MPP) to help them achieve HIE milestones for Meaningful Use in fulfilling certain Transitions of Care objectives.

Attestation Deadline for 2017 – March 31st, 2018.

Click here for more information.

Payment

EPs who adopt, implement, upgrade or meaningfully use certified EHR technology in their first year of participation in the program may be eligible for an incentive payment of $21,250. In subsequent years of payment, a Medicaid EP’s incentive payment will be limited to $8,500.

Pediatricians who meet the 30 percent patient-volume requirement may qualify to receive the maximum incentive payments. Incentive payments for pediatricians who meet the 20 percent Medicaid patient volume, but fall short of the 30 percent Medicaid patient volume, are reduced to two-thirds of the incentive payment. This means some pediatricians may receive $14,167 in the first year and $5,667 in subsequent years.

If you would like our assistance with Meaningful Use, you can find our agreement here.

Primary-care providers can earn up to $63,750 in incentive funding. The last year to begin participating in the Medicaid EHR Incentive Program was 2016.

Patient-Volume Calculation

The Medicaid patient-volume calculation method is designated by the State Medicaid Agency and approved by CMS. In general, patient volume is calculated by dividing the provider’s encounters with Medicaid-enrolled patients by the provider’s total number of service encounters.

Note: EPs should include individuals enrolled in Medicaid managed-care organizations, prepaid inpatient-health plans, prepaid ambulatory-health plans, and Medicaid medical-home programs or primary care case management.

Timeframe

The last year to begin participating in the Medicaid EHR Incentive Program was 2016. EPs may receive Medicaid EHR incentive payments for up to six years; 2021 is the final year for Medicaid EHR incentive payments. For more information, visit the Medicaid State Information page here.

New Jersey Innovation Institute
NJIT 400 Fenster Hall
323 Dr Martin Luther King Jr Blvd
Newark, NJ 07102

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mu@njii.com
973-642-4055, Option 2