Promoting Interoperability (PI) Incentive Program & Audit (formerly EHR Incentive Program)

​In 2011, The Centers for Medicare and Medicaid Services (CMS) established the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs to encourage eligible professionals, eligible hospitals, and critical access hospitals (CAHs), to adopt, implement, upgrade (AIU), and demonstrate meaningful use (MU) of certified electronic health record technology (CEHRT). CMS renamed the EHR Incentive Programs to the Promoting Interoperability Programs in April 2018. This change moved the programs beyond the existing requirements of meaningful use to a new phase of EHR measurement with an increased focus on interoperability and improving patient access to health information. NOTE: Only MU attestations are currently accepted. AIU attestations were no longer accepted after 2016.

Audits
The Bureau for Medical Services (BMS) is required to perform audits of  PI payments. Below is additional information, forms and checklists related to the PI audit process.

Registration
The West Virginia Medicaid PI Payment Program web portal is officially open. NOTE: Providers can only register for MU at this time; AIU registrations are no longer accepted.  Click here to register and attest for the West Virginia Medicaid PI PIP Program if registration at the National Level Repository (NLR) has been completed.  Click here to register with the National Level Repository (NLR). The process to complete registration and attestation for the WV Medicaid EHR PIP Program are:

1) Register at the National Level Repository (NLR). Wait two business days to allow the registration information to transfer to the West Virginia Medicaid EHR PIP Program web portal.

2) Register and attest at the West Virginia Medicaid PI PIP Program web portal.

Please use the Frequently Asked Questions (FAQ) and Resources links on this web page to help answer questions. For additional assistance with the West Virginia Medicaid EHR PIP Program please email edihelpdesk@molinahealthcare.com.

 

​ Total West Virginia PI PIP counts and payments as of April 30, 2020
​Hospital Count Hospital Amount EP* Count EP Amount Total Count ​Total Amount
​85 $65.5 million​ ​1919 ​$39.4 million ​2004 ​$104.9 million
 *Eligible healthcare professionals

The PI Provider Incentive Payment (PIP) is a federal program offering financial support to assist eligible providers to meaningfully use certified PI technology previously implemented by them.  The program goals are to improve outcomes, facilitate access, simplify care, and reduce costs of health care nationwide by:

  • Enhancing care coordination and patient safety
  • Reducing paperwork and improving efficiencies
  • Facilitating information sharing across providers, payers, and state lines
  • Enabling communication of health information to authorized users through state Health Information Exchange (HIE) and the National Health Information Network (NHIN).

Incentives will be available through both Medicaid and Medicare.  Eligible healthcare professionals will be required to choose between Medicaid and Medicare.  Those in border counties should choose the state from which they will receive the incentive payments.  Hospitals may be able to receive incentive funds from both programs.  The Bureau for Medical Services (BMS) will administer the Medicaid PI PIP program for West Virginia.

PI Audit Eligible Professionals (EP's) and Eligible Hospitals (EH's)

Resources
State Medicaid Health Information Technology Plan
PI FAQs Revised January 2020
PI Closeout Planning Sheet

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