Vermont Medicaid EHR Incentive Payment Program

1. Vermont Medicaid EHR Incentive Payment Program MAPIR Launch Update October 20, 2011 VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette 1

2. Today’s agenda • Vermont’s Incentive Payment Program • Reminder of previous presentations • MAPIR launch update • Medical Assistance Provider Information Repository • Problem areas with attestation • Website materials and contact information • Q&A VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette 2

3. Previous Presentations • VITL has now held several webinars on the Meaningful Use incentive program • Overview presentations and Vermont specific presentations are available on the VITL website: http://www.vitl.net/media • Also: Resources page: http://www.vitl.net/resources • Presentations from the VITL Summit (September 7, 2011) related to MU and the VT Medicaid incentive payment program are also available on the VITL website, on the same media page VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette

4. MAPIR Launch Update • The road to MAPIR • ARRA/HITECH; Final Rule (2009 and 2010) • SMHP – State Medicaid HIT Plan (9/03/2011) • Funding request (9/18/2011) • MAPIR launch (closed to attestation, but open for registration at the Federal website) – 10/03/2011 • MAPIR open for attestation – 10/17/2011 VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette

5. MAPIR Activity – Current • Three entities participated in live tests during the week of 10/10/2011, and attested • A Hospital • A Practice practice (4 providers) • An FQHC (many providers) • Three hospitals are registered, presumably planning to attest • Approximately 140 eligible providers have registered • 25 providers have attested and are queued for review • Many New Hampshire providers are registered • Summary: the response for the first few weeks of operation have far exceeded our expectations VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette

6. Problem Areas with Attestations • Getting into MAPIR: • You must have a User ID for the VT Medicaid Portal • The User ID you use must be associated somehow with the Provider’s Medicaid ID whose attestation is under consideration • In the VT Medicaid procedures, this is the concept of a “Trading Partner ID” as you or your practice, hospital or group is establishing a Trading Partner relationship for purposes of Electronic Data Interchange (EDI). • Review the web document that discusses this issue: • http://1.usa.gov/ozXl0m VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette

7. Problem areas (continued) • Administrative challenges • Association of group identification and group data to providers being grouped together in MAPIR • This is our (VT’s) problem, not yours (Providers) • Proceeding with caution to make certain our processes and the data that results is accurate and appropriate • But we do expect to approve our first payments next week • Staffing issues • Funding came late; haven’t hired for positions • Chose to not delay the launch VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette

8. Website Materials • http://hcr.vermont.gov/EHRIP • Link to a page of introductory material • Which has additional links to a page of overview information including CMS links • Links to provider manuals: • Hospital Provider Manual • Eligible Professional Manual (In two parts) • Link to a document discussing the provider access issues • Contact information VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette

9. Helpful Links • ONC (Office of the National Coordinator): • http://healthit.hhs.gov • CMS pages: • EHR Incentive Payments: http://www.cms.gov/EHRIncentivePrograms/ • CMS EHR FAQs: • http://www.cms.gov/EHRIncentivePrograms/95_FAQ.asp#TopOfPage • VITL: http://www.vitl.net/medicaid • Vermont pages: • Health Care Reform: http://hcr.vermont.gov/ • Specifically: http://hcr.vermont.gov/EHRIP • DVHA: http://ovha.vermont.gov/ • GMC Provider Portal: http://www.vtmedicaid.com/ VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette 9

10. Terry Bequette Assoc. State HIT Coordinator Department of Vermont Health Access 289 Hurricane Lane Williston VT 05495 Terry.bequette@ahs.state.vt.us 802.879.5996 Paul Forlenza Vice President, Policy and Special Projects Vermont Information Technology Leaders, Inc. Vermont’s Regional Extension Center 144 Main Street, Suite 1 Montpelier VT 05602 pforlenza@vitl.net 802.839.1942 Carol Kulczyk Director of Program Implementation Vermont Information Technology Leaders, Inc. Vermont’s Regional Extension Center 144 Main Street, Suite 1 Montpelier VT 05602 ckulczyk@vitl.net 802.839.1957 FIRST CHOICE: Send Email query to ahs.mapir.vt@state.vt.us Call the MAPIR support line: 802.879.2377 (leave a message; this line is monitored several times a day) Contact Information VITL Meaningful Use Webinar 10/20/2011 - Terry Bequette 10

11. Questions?