CMS recently released an updated final rule that specifies the criteria eligible professionals (EPs) must meet in order to participate in the PI Program. These changes apply to Meaningful Use attestations in program years 2015 through 2018 as well as Stage 3 in 2019 and beyond. Meaningful Use in program years 2015 through 2018 has been restructured to align the objectives and measures with Stage 3.
For Program Year 2018, providers have the option of attesting to either Modified Stage 2 or to Stage 3 Objectives. Anyone can attest to Modified Stage 2, but to attest to Stage 3, the EHR system must be certified to 2015 standards, or the EP must be using some combination of 2015 and 2014 certified systems that still allow them to attest to all of the requirements in Stage 3.
Under the Medicaid PI Program, the reporting period for Meaningful Use is 90 days and Clinical Quality Measures (CQMs) for all participants is 365 days (except for first time Meaningful Users). All EPs in their first year of Meaningful Use have a CQM reporting period of any continuous 90 days.
Meaningful Use Objectives
In Modified Stage 2, EPs must attest to 10 Objectives, including one consolidated Public Health Measure.
In Stage 3, EPs must attest to 8 Objectives, including one consolidated Public Health Measure.
Clinical Quality Measures
Clinical quality measures, or CQMs, are tools that help measure and track the quality of health care services provided by eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) within our health care system. These measures use data associated with health care providers’ ability to deliver high-quality care or relate to long-term goals for quality health care. To participate in the Connecticut Medicaid Electronic Health Record (EHR) Incentive Programs and receive an incentive payment, health care providers are required to submit CQM data from certified EHR technology.
The Connecticut Medicaid EHR Incentive Program will now offer the option for providers to submit CQM data electronically.
- Use of QRDA Category I or Category III for CQM electronic submissions
- EHR technology certified to the 2014 or 2015 Edition
- Required to have the EHR technology certified to all 16 available CQMs
- Would not require recertification each time updated to the most recent version of CQMs and continues to meet 2015 Edition certification criteria
- Use of eCQM specifications published in the 2017 eCQM annual update for CY 2018 reporting and any applicable addenda; available on the eCQI Resource Center website at https://ecqi.healthit.gov/eh
- 2018 CMS Implementation Guide for QRDA I for Hospital Quality Reporting; available at https://ecqi.healthit.gov/qrda
CQM reporting requirements for Medicaid health care providers in 2018:
|# of CQMs||Manual Attestation||6|
|Reporting Period||Manual Attestation||Full Year|