Reporting Period in 2018
Wyoming Medicaid would like to notify all Eligible Professionals and Eligible Hospitals that we will be ready to accept your program year 2018 attestations beginning January 1st, 2019! The tail period will be through March 31, 2019, if we receive an extension on the tail period we will let everyone know ahead of time. If you have any questions or need assistance please reach out to Andrea Bailey at andrea.bailey@wyo.gov.
All providers who have not successfully demonstrated meaningful use in a prior year and are seeking to demonstrate meaningful use for the first time in 2018 must attest to Modified Stage 2 objectives and measures. Click HERE to got to SLR.

$
Total Incentives Paid
Number of Hospital Participants
Number of Provider Participants
- Year 1 to 2 Eligible Professionals that returned . (National Avg 56.49%) 40%
- Year 2 to 3 Eligible Professionals that returned . (National Avg 75.86%) 70%
- Year 3 to 4 Eligible Professionals that returned . (National Avg 77.03%) 80%
- Year 1 to 2 Eligible Hospitals that returned . (National Avg 92.97%) 80%
- Year 2 to 3 Eligible Hospitals that returned . (National Avg 95.02%) 80%
%
Incentives Paid
2017 Modified Stage 2 Program Requirements for Providers Attesting to their State’s Medicaid EHR Incentive Program
In October 2015, CMS released a final rule that modified the requirements for participation in the Electronic Health Record (EHR) Incentive Programs for years 2015 through 2017 as well as in 2018 and beyond. This page provides information on requirements for Modified Stage 2 in 2017.
Medicaid providers who are only eligible to participate in the Medicaid EHR Incentive Program are not subject to the Medicare payment adjustments.
States will continue to determine the form and manner of reporting CQMs for their respective state Medicaid EHR Incentive Programs subject to CMS approval.
NOTE: All providers who have not successfully demonstrated meaningful use in a prior year and are seeking to demonstrate meaningful use for the first time in 2017 to avoid the 2018 payment adjustment must attest to Modified Stage 2 objectives and measures.
Objectives and Measures
- All providers are required to attest to a single set of objectives and measures.
- For eligible professionals (EPs), there are 10 objectives, and for eligible hospitals there are 9 objectives.
- In 2017, all providers must attest to objectives and measures using EHR technology certified to the 2014 Edition. If it is available, providers may also attest using EHR technology certified to the 2015 Edition, or a combination of the two.
- Please note there are no alternate exclusions or specifications available.
- There are changes to the measure calculations policy, which specifies that actions included the numerator must occur within the EHR reporting period if that period is a full calendar year, or if it is less than a full calendar year, within the calendar year in which the EHR reporting period occurs. Specific measures affected are identified in the Additional Information section of the specification sheets.
Changes to Specific Objectives
EPs
- Objective 8, Measure 2, Patient Electronic Access: For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period.
- Objective 9, Secure Messaging (EPs only): For an EHR reporting period in 2017, for more than 5 percent of unique patients seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the EHR reporting period.
Eligible Hospitals
- Objective 8, Measure 2, Patient Electronic Access: For an EHR reporting period in 2017, more than 5 percent of unique patients discharged from the inpatient or emergency department (POS 21 or 23) of an eligible hospital or CAH (or patient authorized representative) view, download or transmit to a third party their health information during the EHR reporting period.
Wyoming Medicaid Meaningful Use User Manuals
Requirements for Medicaid EHR Incentive Program in 2017 Resources
What is Meaningful Use?
In October 2015, CMS released a final rule that modified the requirements for participation in the Electronic Health Record (EHR) Incentive Programs for years 2015 through 2017 as well as in 2018 and beyond.
Medicaid providers who are only eligible to participate in the Medicaid EHR Incentive Program are not subject to the Medicare payment adjustments.
Changes to Specific Objectives
EPs
- Objective 8, Measure 2, Patient Electronic Access: For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period.
- Objective 9, Secure Messaging (EPs only): For an EHR reporting period in 2017, for more than 5 percent of unique patients seen by the EP during the EHR reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the EHR reporting period.
Eligible Hospitals
- Objective 8, Measure 2, Patient Electronic Access: For an EHR reporting period in 2017, more than 5 percent of unique patients discharged from the inpatient or emergency department (POS 21 or 23) of an eligible hospital or CAH (or patient authorized representative) view, download or transmit to a third party their health information during the EHR reporting period.
EHR Reporting Period in 2017
- For all returning participants and all new participants, the EHR reporting period is a minimum of any continuous 90-days between January 1 and December 31, 2017.
Hospitals
Eligibility Requirements
For a hospital to be eligible for the Wyoming Medicaid Electronic Health Record (EHR) Incentive Program they must adopt, implement, upgrade, or demonstrate Meaningful Use of certified EHR technology in their first year of participation, and successfully demonstrate meaningful use for subsequent participation years.
Eligible Hospitals
Hospitals eligible for participation in the Wyoming Medicaid EHR Incentive Program include:
- Acute Care Hospitals (including Critical Access Hospitals and Cancer Hospitals) with at least 10% Medicaid patient volume for any representative 90-day period in the preceding fiscal year.
- Children’s hospitals (no Medicaid patient volume requirements).
CMS EH Table of Contents / Core and Menu Set Objectives EHR
CMS Stage 2 Core & Menu Information for EH’s
Below is the Eligible Hospital Meaningful Use Table of Contents Core and Menu Set Objectives.
Each link on the page gives an over view of each objective for the Core and Menu Set of Meaningful Use, Stage 2 for eligible hospitals.
Providers
CMS Modified Stage 2 Core & Menu Information for EPs
The button below is to the Eligible Professional Meaningful Use Table of Contents Core and Menu Set Objectives.
Each link on the page gives an over view of each objective for the Core and Menu Set of Meaningful Use, Modified Stage 2 for eligible professionals.
Required documents for EHR attestation
Proof of EHR
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1. Contract between entities
2. Invoice showing payment (actual number blacked out)
3. Purchase Order (A vendor letter is not acceptable)
Exact Name and Version of EHR system
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Meaningful Use Documentation
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Patient Volume Methodology, Final Rule 42 CFR §495.306
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A. For Eligible Providers
- Date range must be from any continuous 90-day period from the prior calendar year.
- Medicaid Patient Encounter volume equals:
- Total Medicaid encounters divided by total encounters during same time period.
- Providers may include hospital encounters that are billed through clinic
- Encounters may be broken out from bundled charges.
- Method used to determine Medicaid patient volume must be same the method used to determine total patient volume.
B. Needy Individual Patient Volume (applied to RHC’s/FQHC’s only)
- Date range must be from any, continuous, 90-day period from the prior calendar year.
- Medicaid Patient Encounter volume equals
- Total needy individual patient encounters divided by total patient encounters during same time period. (Proof of sliding fee scale with methodology required.)
C. Group Practice Volume can be used to calculate patient volume IF:
- Clinic or Group patient volume is appropriate as a patient volume methodology calculation for the EP.
- An auditable data source can support the clinic/group practice patient volume determination.
- ALL EPs in the group practice or clinic use the same methodology for payment year.
- The clinic or group practice uses the ENTIRE practice or clinic’s patient volume and does not limit patient volume in any way.
D. For Eligible Hospitals
- Date range must be from any continuous 90-day period from the FISCAL year preceding the hospitals’ payment year.
- Includes Medicaid patients who are in-patients discharged from acute care AND Medicaid Emergency Department encounters.
- Medicaid Patient Encounter volume equals the total Medicaid encounters divided by total encounters during same time period
Meaningful Use FAQs
Federal law mandates that Medicare Eligible Professionals, Eligible Hospitals and Critical Access Hospitals that do not successfully demonstrate Meaningful Use in 2015 and later will incur a payment adjustment in their Medicare reimbursement. In accordance with the HITECH Act of 2009, failure of these providers to adopt Meaningful Use of a certified EHR technology will result in cuts in Medicare reimbursement payments by 1% in 2015, 2% in 2016, and 3% for 2017 and beyond. The EHR Incentive Program was included in the HITECH Act to
1. How are Medicaid Meaningful Use Requirements met?
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- Medicaid EHR Incentive Program – Eligible Professionals and Eligible Hospitals may qualify for incentive payments if they adopt, implement, upgrade or demonstrate meaningful use in their first year of participation. They must successfully demonstrate meaningful use for subsequent participation years.
- Adopted: Acquired and installed certified EHR technology. (For example, can show evidence of installation.)
- Implemented: Began using certified EHR technology. (For example, provide staff training or data entry of patient demographic information into EHR.)
- Upgraded: Expanded existing technology to meet certification requirements. (For example, upgrade to certified EHR technology or add new functionality to meet the definition of certified EHR technology.)
The definition of ‘Needy Patient Encounters’ is:
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- Received medical assistance from Medicaid or the Children’s Health Insurance Program. (or a Medicaid or CHIP demonstration project approved under section 1115 of the Act).
- Were furnished uncompensated care by the provider.
- Were furnished services at either no cost or reduced cost based on a sliding scale determined by the individual’s ability to pay.
According to the Final Rule: In determining the ‘‘needy individual’’ patient volume threshold that applies to EPs practicing predominantly in FQHCs or RHCs, section 1902(t)(2) of the Act authorizes the Secretary to require the downward adjustment to the uncompensated care figure to eliminate bad debt data. We interpret bad debt to be consistent with the Medicare definition, as specified at § 413.89(b)(1). In order to remain as consistent as possible between the Medicare and Medicaid EHR incentive programs, States will be required to downward adjust the uncompensated care figure. Under Medicare, bad debts are amounts considered to be uncollected from accounts and notes receivable that were created or acquired in providing services. ‘‘Accounts receivable’’ and ‘‘notes receivable’’ are designations for claims arising from the furnishing of services, and are collectible in money in the relatively near future.”