Medicaid Promoting Interoperability (PI) Program
First-time registration for eligible professionals (EPs) and eligible hospitals (EHs) for the ND Medicaid PI Program ended in 2016. If you registered and attested by 2016 as an EP and have not received all 6 payments, you are still eligible to attest for program year (PYs) 2020 and 2021. If you're unsure if you have received all 6 payments, please contact the ND PI Program using the information provided at the bottom of the web page. At this time, all EHs have completed the Medicaid PI Program attestation process in ND, as EHs were required to attest for consecutive years after 2016.
CMS Promoting Interoperability Programs Registration Systems
Each program year that an EP is attesting, the EP should confirm that all registration information is up-to-date by logging into the Promoting Interoperability Programs Registration Systems provided by CMS. Please navigate to the registration system and log-in to confirm that all provider information is updated by using the following link: https://ehrincentives.cms.gov/hitech/loginCredentials.action
The PY 20 attestation period is scheduled to be open from 1/1/2021 - 3/31/2021
The PY 21 attestation period is scheduled to be open from 6/1/2021 - 7/31/2021
General Requirements for Program Year 2020:
Medicaid Patient Volume Reporting Requirements:
Any consecutive 90-day period within the calendar year (CY) prior to the payment year or within the 12-month period preceding the date the attestation is submitted.
Acceptable date ranges for program year 2020 based on above requirements:
Any 90-day period during calendar year 2019 or falling within the 12 months preceding the attestation submission date.
An excel spreadsheet of all claims for 90-day period must be uploaded to SLR.
30% Medicaid patient volume for all eligible providers must be met or 20% for pediatricians.
EHR Dashboard Reporting Requirements:
Provide an EHR generated dashboard depicting the 8 objectives and 6 electronic clinical quality (eCQM) measures.
All objectives and eCQMs must also be entered into the SLR.
Objectives can be found at: https://www.cms.gov/files/document/medicaid-ep-2020-table-contents.pdf
eCQM requirements: EPs must report on 6 of the approved available eCQMs.
EPs must report on 6 of the approved available eCQMs.
National Quality Strategy domain requirement has been removed and EPs must attest to 6 eCQMs that are relevant to the EP's scope of practice.
EPs are required to report to at least one outcome measure. If no outcome measures are relevant to the EP, they must report on at least one high-priority measure. If there are no outcome or high-priority measures relevant to an EP's scope of practice, they must report on any six relevant measures.
Program year 2020 outcome measures are listed in the table below:
|Year||Type||CMS eCQM ID||Measure Name|
|EP/EC||CMS75v8||Children Who Have Dental Decay or Cavities|
|2020||EP/EC||CMS122v8||Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)|
|2020||EP/EC||CMS133v8||Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery|
|2020||EP/EC||CMS159v8||Depression Remission at Twelve Months|
|2020||EP/EC||CMS771v1||International Prostate Symptom Score (IPSS) or American Urological Association-Symptom Index (AUA-SI) Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia|
All available eCQMs are listed in the SLR.
2020 & 2021 Program Requirements
ND PI Program Documents
CMS Program Resources
For more information please contact: