Meaningful Use: Key Differences between the Medicaid and Medicare EHR Incentive Programs
|
|
Medicaid EHR Incentive Program (State-by-state) |
Medicare EHR Incentive Program (Federal program) |
|
Stage One Requirements for the First Payment Year |
Adopt, implement, or upgrade; or, demonstrate Stage 1 Meaningful Use of certified EHR |
Must demonstrate Stage 1 Meaningful Use of certified EHR for a continuous 90-days |
|
Stage One Requirements for the Second Payment Year |
Demonstrate Meaningful Use Stage 1 for 90 continuous days |
Demonstrate Stage 1 Meaningful Use for a full calendar year |
|
Stage One Requirements for Payment Years 3 and beyond |
Demonstrate Stage 1 Meaningful Use for a full calendar year |
Demonstrate Stage 1 Meaningful Use for a full calendar year |
|
Last year to initiate program |
2016 |
2014 |
|
Reporting period |
None for 1st payment year, 90-days for 2nd payment year, full calendar year for 3rd payment year and beyond |
90 continuous days for first payment year, entire year for second payment year and beyond |
|
Number of years over which payment is made |
6 |
5 |
|
Meaningful Use Requirements |
15 Core Measures and 5 of the 10 Menu Measures; Variance by State inasmuch as states can add up to 4 of the following menu measures as core requirements: • Generate a List of Patients for outreach, research or disparity reduction • Send immunization data to the immunization registry • Send lab results to a public health agency • Submit electronic syndromic surveillance data to public health agencies |
15 Core Measures and 5 of the 10 Menu Measures |
|
Exclusion Clauses Available |
Up to 13 exclusion clauses for Stage 1 |
Up to 13 exclusion clauses for Stage 1 |
|
Eligible Providers |
EPs (including MD, DO, Dentists, Midwives, Nurse Practitioners, PAs if working in a FQHC/RHC lead by a PA), acute care hospitals (including CAHs) and children's hospitals |
EPs (including MD, DO, DPM, DC, DDS, DMD, OD), acute care hospitals and CAHs |
|
Maximum Incentive |
$63,750 |
$44,000 (Additional 10% bonus available for EPs in HPSAs) |
|
Payment Adjustment for non-adoption |
No payment reduction |
Reductions begin in 2015 at 1% of Medicare allowable, escalating 1% each, capped at 5% reduction |