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NC Medicaid Electronic Health Record Incentive Program

Tuesday, November 5, 2019

The NC Medicaid Electronic Health Record (EHR) Incentive Payment System (NC-MIPS) is only accepting Program Year 2019 Stage 3 Meaningful Use (MU) attestations.

To participate in Program Year 2019, all eligible professionals (EPs) must meet the following eligibility criteria:

  1. Have a 2015 Edition of certified EHR technology (CEHRT).
  2. Meet the required Medicaid patient volume (PV) threshold of 30 percent, pediatricians may qualify for a reduced payment with 20 percent Medicaid PV. Note: EPs who were paid for Program Year 2018 using a 90-day patient volume reporting period from calendar year 2018 have the option to use the same patient volume reporting period to attest for Program Year 2019.
  3. Meet MU and Clinical Quality Measures (CQM) requirements. In Program Year 2019, EPs will be attesting to Stage 3 MU and 2019 CQMs.

EPs who successfully attested at least once by Apr. 30, 2017 and have not received all six incentive payments may be eligible to apply for Program Year 2019. A list of all EPs who have participated at least once, but less than six years, in the NC Medicaid EHR Incentive Program is available under the “Are You Eligible” tab on the Program website. If a practice is unsure of an EP’s past participation and that EP is not on the list, please email the EP’s NPI to NCMedicaid.HIT@dhhs.nc.gov and program staff will determine if the provider previously attested in another state.

EPs can get free on-site assistance in their office from a coach from their regional area health education center (AHEC). The NC Medicaid EHR Incentive Program contracts with AHEC to provide technical assistance on meaningful use and the attestation process, so there is no cost to the EP or practice.

Attestation assistance is also available through detailed attestation guides, an extensive library of answers to Frequently Asked Questions (FAQs), a series of short webinars explaining different aspects of the attestation process and a dedicated help desk.

Two-Part Attestation Process

All EPs who have 90 days of MU objective data that meets the Centers for Medicare and Medicaid Services’ (CMS) requirements may submit their demographic, license, patient volume and MU objective data in NC-MIPS.

In Program Year 2019, EPs who have successfully attested to MU in a previous program year will be required to use a full calendar year CQM reporting period. Returning meaningful users who would like an early review of requirements, excluding CQMs, may submit their attestation in two parts. Part 1 of the attestation may be submitted now through Dec. 31, 2019. Submitting in two parts also allows ample time for EPs to address any attestation discrepancies. These EPs will return to NC-MIPS after Jan. 1, 2020 to submit their CQM data.

EPs who have only attested to adopt, implement, upgrade (AIU), may use a 90-day CQM reporting period and may submit a complete attestation in NC-MIPS now.

EPs will be automatically directed to the appropriate page in NC-MIPS.

For more information on the two-part attestation process, please email NCMedicaid.HIT@dhhs.nc.gov.

General Reminders

EPs who attested with another state should email NCMedicaid.HIT@dhhs.nc.gov prior to attesting with North Carolina for Program Year 2019.

Author: 
GDIT, (800) 688-6696