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Eligible Professional User Manual - Connecticut Medical Assistance

1. Numerator Denominator February 2015 127 MAPIR User Guide for Eligible Professionals Screen 6 The following Meaningful Use Core Measure uses this screen layout Core Measure 6 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999909999090 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures Core Measure 6 Clinical Decision Support Rule iJ Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Use clinical decision support to improve performance on high priority health conditions Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period Absent four clinical quality measures related to an EP s scope of practice or patient population the clinical decision support interventions must be related to high priority health conditions Measure 1 Did you meet this measure Yes No Measure 2 Exclusion Any EP who writes fewer than 100 medication orders during the EHR reporting period Does this exclusion apply to you If No compl
2. 56 0 Exception 4 Numerator 45 Denominator 102 Performance Rate 78 0 Exclusion 2 Population 34 Observation 23 0 151 MAPIR User Guide for Eligible Professionals Stages 1 and 2 Stages 1 and 2 Meaningful Use Clinical Quality Measures There are a total of 64 Meaningful Use Clinical Quality Measures available for you to attest to To simplify the selection process for EPs with an adult population and EPs with a pediatric population the Clinical Quality Measures are grouped into sets that contain the recommended measures for these two populations You may also choose from all 64 measures by selecting the General set The following are the three available Clinical Quality Measures sets to choose from e General Lists all 64 available Clinical Quality Measures e Adult Set Lists the Clinical Quality Measures recommended for EPs with an adult population e Pediatric Set Lists the Clinical Quality Measures recommended for EPs with a pediatric population Only one Clinical Quality Measure set can be completed If you would like to switch to a different set after one is started select the Clear All button on the previously selected set Select the set that you would like to use to pick at least nine Meaningful Use Clinical Quality Measures from 152 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals This initial screen provides information about the Clinical Quality Measure set you se
3. Generate at least one report listing patients of the EP with a specific condition More than 20 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period More than 10 of all unique patients seen by the EP are provided patient specific education resources The EP performs medication reconciliation for more than 50 of transitions of care in which the patient is transitioned into the care of the EP The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 of transitions of care and referrals Return to Main Y Reset Save amp Continue February 2015 Stage 1 MAPIR User Guide for Eligible Professionals If all measures were entered and saved a check mark will display under the Completed column for the topic You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic or click Clear All to clear the topic information you entered Click Begin to start the next topic Proceed to the Meaningful Use Clinical Quality Measures Stage 1 and Stage 2 section on page 152 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 9999999009 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient
4. Practices predominantly means that more than 50 percent of your patient encounters occur at a federally qualified health center or rural health clinic The calculation is based on a period of 6 months either in the most recent calendar year or the twelve months preceding the attestation date Group Volume Calculation Incentive payments are for individual providers however individual providers practicing in clinics and group practices including FQHCs and RHCs are allowed to use the practice or clinic Medicaid patient volume or needy population patient volume insofar as it applies for their patient volume Note The group NPI must define the group and all members of the group must apply in an identical manner EPs Should enter the group NPIs in the group practice provider ID field The following conditions apply to group practice calculations 1 There must be an auditable data source to support the group s patient volume determination 2 The group methodology is not appropriate for eligible professionals who see commercial Medicare or self pay exclusively 3 EPs have the capability to enter four 4 group NPIs If there are more than four 4 group NPIs please indicate by checking the box in MAPIR described as additional group practice provider IDs You will be required to upload the documentation for all additional group NPI numbers and provider names in MAPIR 4 If you are an eligible professional in a group that
5. PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR technology i This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology EXCLUSION Based on ALL patient records Any EP who has no patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology is excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you If the exclusion does not apply please complete the following information Numerator Number of patients in the denominator who were sent the appropriate reminder Denominator Number of unique patients 65 years old or older or 5 years old or younger Numerator 25 t Denominator 100 ee _ d Save amp Continue y 234 February 2015 MAPIR User Guide for Eligible Professionals Program Year 2014 Screen 5 The following Meaningful Use Menu Measures use this screen layout Menu Measure 6 Name Or Medicaid Provider Applicant NPI 9999959955 Payee TIN ee eee ee Personal TIN SSN 999999999 Program Year 2012 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review
6. Attestation Meaningful Use Measures Submit Menu Measure 6 oe Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate Measure education resources Complete the following information Numerator Number of patients in the denominator who are provided patient specific education resources Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator 21 Denominator 122 H Save amp Continue February 2015 More than 10 of all unique patients seen by the EP during the EHR reporting period are provided patient specific 235 MAPIR User Guide for Eligible Professionals Screen 6 The following Meaningful Use Menu Measures use this screen layout Menu Measure 9 and 10 Name Or Medicaid Provider Applicant NPI BESS oeeog Personal TIN SSN 599999999 Payee TIN ggg Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Review Submit Attestation Meaningful Use Measures Menu Measure 9 io Click HERE for additional information on completing this measure
7. EPMMUO4 Record patient family health history as More than 20 percent of all unique structured data patients seen by the EP during the EHR reporting period have a structured data entry for one or more first degree relatives 140 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals The following is a list of the six Meaningful Use Menu Measures that you may attest to Click on the Screen Example to see an example of the screen layout Meaningful Use Menu Measure Screen Example Menu Measure 1 Syndromic Surveillance Data Submission Menu Measure 2 Electronic Notes Menu Measure 3 Imaging Results Menu Measure 4 Family Health History Menu Measure 5 Report Cancer Cases Menu Measure 6 Report Specific Cases There are six Meaningful Use Menu Measure screens As you proceed through the Meaningful Use Menu Measure section of MAPIR you will see two different screen layouts Instructions for each measure are provided on the screen For additional help with a specific Meaningful Use Menu Measure click on the link provided above the blue instruction box Screen layout examples are shown on the following pages February 2015 141 MAPIR User Guide for Eligible Professionals Screen 1 The following Meaningful Use Menu Measures use this screen layout Menu Measures 1 5 and 6 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year J Program Y
8. Screen 2 The following Meaningful Use Menu Measures use this screen layout Menu Measures 2 3 and 4 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 2 Electronic Notes i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Record electronic notes in patient records Measure Enter at least one electronic progress note created edited and signed by an EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period The text of the electronic note must be text searchable and may contain drawings and other content EXCLUSION Any EP who has no office visits during the EHR reporting period Does this exclusion apply to you If Yes do not complete the Numerator or Denominator If No complete the entries in the Numerator and Denominator Yes No Numerator The number of unique patients in the denominator who have at least one electronic progress note from an eligible professional recorded as text searchable data Deno
9. Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Progress Action General Requirements Core Measures Menu Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure CQM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear All button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Previous Save amp Continue 146 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Meaningful Use Measures Summary for Stage 2 This screen displays the Measures Topic List for Stage 2 with all four Meaningful Use Measure topics marked complete Click Save amp Continue to view a summary of the Meaningful Use Measures you attested to Proceed to the Meaningful Use
10. CMS144v3 Clinical Quality Measure 27 Screen 1 CMS143v3 Clinical Quality Measure 28 Screen 1 CMS167v3 Clinical Quality Measure 29 Screen 1 CMS142v3 Clinical Quality Measure 30 Screen 1 CMS161v3 Clinical Quality Measure 32 Screen 3 CMS128v3 Clinical Quality Measure 33 Screen 1 CMS136v3 Screen 3 Clinical Quality Measure 34 February 2015 159 MAPIR User Guide for Eligible Professionals Stages 1 and 2 CMS149v3 Clinical Quality Measure 57 CMS146v3 Clinical Quality Measure 1 Screen 1 Efficient Use of Healthcare Resources CMS166v4 Clinical Quality Measure 15 Screen 1 CMS154v3 Clinical Quality Measure 23 Screen 1 CMS129v4 Clinical Quality Measure 39 Screen 1 CMS157v3 Clinical Quality Measure 36 Screen 3 CMS66v3 Clinical Quality Measure 60 Screen 1 Patient and Family Engagement CMS56v3 Clinical Quality Measure 61 Screen 1 CMS90v3 Clinical Quality Measure 62 Screen 1 Clinical Quality Measure 4 Patient Safety Screen 3 0 February 2015 CMS156v3 y OD Stages 1 and 2 MAPIR User Guide for Eligible Professionals CMS147v3 Clinical Quality Measure 13 CMS50v3 Clinical Quality Measure 59 Care Coordination February 2015 Population Public 161 MAPIR User Guide for Eligible Professionals Stages 1 and 2 There are 64 Meaningful Use Clinical Quality Measure screens As you proceed through the Meaningful Use Clinical Quality Measure section of MAPIR you will see six different screen lay
11. Calculate and display body mass index BMI Plot and display growth charts for children O 20 years including BMI Record smoking status for patients 13 years old or older Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance to that rule Provide patients the ability to view online download and transmit their health information within 4 business days of the information being available to the EP Provide clinical summaries for patients for each office visit Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities More than 30 of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE The EP has enabled this functionality for the entire EHR reporting period More than 80 of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data More
12. Contact Us Please contact us with any questions or concerns you have Email ctmedicaid ehr hp com or Call toll free 1 855 315 6638 Monday Friday 8 00 a m 5 00 p m except holidays Windows Internet Explorer Most MAPIR screens display an Exit link that closes the MAPIR 6 WARNING Any unsaved changes wil be lost when eng application window If you modify any data in MAPIR without saving you will be asked to confirm if the application should be closed as shown to Select the Cancel button to contine working the right Select OK to close the application You should use the Save amp Continue button on the screen before exiting or data entered on that screen will be lost The Previous button always displays the previous MAPIR application window without saving any changes to the application The Reset button will restore all unsaved data entry fields to their original values Reset The Clear All button will remove standard activity selections for the screen in Smp Clear A which you are working 16 February 2015 Using MAPIR MAPIR User Guide for Eligible Professionals A red asterisk indicates a required field Help icons located next to certain fields display help content specific to the associated field when you hover the mouse over the icon Note Use the MAPIR Navigation buttons in MAPIR to move to the next and previous screens Do not use the browser buttons as this could re
13. Core Measures 4 and 8 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Measure 4 ePrescribing i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Measure February 2015 Generate and transmit permissible prescriptions electronically eRX More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR Technology This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology EXCLUSION 1 Any EP who writes fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does t
14. FQHC RHC Group The following formula is used to calculate the Patient Volume when the individual practitioner who practices predominantly in an FQHC submits patient volumes for the FQHC as a proxy for his her own patient volume Medicaid Patient Volume Percentage Formula FQHC RHC Group Total Needy Encounter Volume Divided by Total Encounter Volume Enter patient volumes for each location listed Medicaid encounter is defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program For Connecticut HUSKY B patients fall under the Children s Health Insurance Program CHIP Other needy individuals mean individuals that were furnished uncompensated care by the provider or were furnished services at either no cost or reduced cost based on a sliding scale determined by the individuals ability to pay Total needy individuals include HUSKY A HUSKY C HUSKY D HUSKY B and other needy individuals If you listed four Group Practice Provider IDs and the patient volume numbers at the bottom reflect more than the four IDs you listed please check the box directly below the provider IDs You will be required to upload the documentation for all additional group NPI numbers and provider names in MAPIR Enter Patient Volumes Click Save amp Continue to proceed or click Previous to go back Click Reset to restore this panel to the sta
15. Name Dr Medicaid Provider eee RETR pplican Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started REA Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Note The Alternate Core Clinical Quality Measure topic is only required if any Core Clinical Quality Measure has a denominator of zero Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics General Requirements Core Measures Menu Measures You are required to answer all three 3 Core Clinical Quality Measures You will need to select one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any
16. Numeratori 39 Denominator 76 l Fercentage of patients 18 75 Exclusion 0 NOF 0064 pa ah Density Lipoprotein LDL Management years of age with diabetes type 1 PORI 2 or type 2 who had LDL C less than 100ma dl Numerator 32 Denominator 60 Percentage of patients 18 75 NOF 0061 Diabetes Blood Pressure Management years of age with diabetes type 1 PORI 3 or type 2 who had blood pressure less than 140 90 mmHg Numerator 39 Denominator 78 Exclusion 7 Previous Proceed to the Attestation Phase Part 3 of 3 screen on page 171 of this guide February 2015 275
17. Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility E Patient Volumes Attestation Rewiew To participate in the Connecticut Medicaid Incentiwe Program you must first provide some basic information to confirm your eligibility for the program There are 2 parts in the Eligibility Section In Part 1 of 2 you will be asked If you are a hospital based provider and therefore ineligible To confirm that you are not participating in the Medicare incentive program for the current payment year and are accepting only Medicaid Electronic Health Record Incentive Payments from CT In Part 2 of 2 the following information will be required Your provider type Physician Dentist Certified Nurse Midwife Pediatrician Nurse Practitioner If you have current Medicare or Medicaid sanctions in any state If you are HIPAA compliant If you are licensed in all states in which you practice For more detailed information please refer to the Provider Manual for Eligible professionals EPs Eligible Professional User Manual Click Begin to proceed to the eligibility questions CT Begin gt February 2015 31 MAPIR User Guide for Eligible Professionals Step 3 Eligibility Select Yes or No to the eligibility questions Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel back to the starting point or the last saved data 32 Name Dr Medicaid Provider App
18. Review Application MAPIR User Guide for Eligible Professionals Step 6 Review Application The Review section allows you to review all information you entered into your application If you find errors you can click the associated tab and proceed to correct the information Once you have corrected the information you can click the Review tab to return to this section From this screen you can print a printer friendly copy of your application for review Please review all information carefully before proceeding to the Submit section After you have submitted your application you will not have the opportunity to change it Click Print to generate a printer friendly version of this information When you have reviewed all the information click the Submit tab to proceed February 2015 173 MAPIR User Guide for Eligible Professionals This is screen 1 of 3 of the Review tab display Note If you are in Program Year 2014 the CEHRT ID Information section on the following screen will also display the Meaningful Use Reporting Option and Reason for Delay if applicable Name Personal TIN SSN Payment Year Get Started R amp A Contact Info Dr Medicaid Provider Applicant NPI 999999999 Payee TIN 2 Program Year Eligibility Patient Volumes Attestation Review Step 6 Review Application 9999999999 999999999 2014 Submit The Review panel displays the information you have entered to date for your application Select Print to g
19. Applicant NPI 9999959955 Personal TIN SSN 999599995 Payee TIN 33494009 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Additional Clinical Quali i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field NOF 0043 PQRI 111 Title Pneumonia Vaccination Status for Older Adults Description Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine Complete the following information All data entered must be a positive whole number February 2015 265 MAPIR User Guide for Eligible Professionals Program Year 2014 Screen 3 The following Additional Clinical Quality Measures use this screen layout Additional Clinical Quality Measures NQF 0004 NQF 0033 and NQF 0036 Name Dr Medicaid Provider Applicant NPI 9999990999 Personal TIN SSN 999995999 Payee TIN 39999043 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaninatul Use Measures Additional Clinical Quality Measure i Click HERE for additional information on completing this measure When ready click the Sav
20. Click Submit Application to continue Name Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 e TI 999999999 TIN SSN Payee TIN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit E pplication Submission Part 2 of 2 Based on the Medicaid EHR incentive rules the following chart indicates the maximum potential amount per year The columns represent the first year of participation and the rows represent the six years of potential participation Example Professional Incentive Payment Chart First Calendar Year of Participation CY 2011 C 2012 CY 2013 CY 2014 CY 2015 CY 2016 APUERI 321 250 WRUSPM 638500 21 250 SPUSeMe 58500 8500 21 250 CY 2014 8 500 8 500 21 250 cy 2020 8 500 8 500 CY 2021 8 500 TOTAL 63 750 63 750 63 750 63 750 63 750 63 750 gt s Tee te Bi x Se 5 a tar 190 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals This is an example of an incentive payment chart for a Pediatric Professional whose patient volume meets the 20 requirement but is less than 30 No information is required on this screen Note This ts the final step of the Submit process You will not be able to make any changes to your application after submission If you do not want to submit your application at this time you can click Exit and return at any t
21. Continue You will be returned to the Meaningful Use Core Measure List Table The information you entered for that measure will be displayed in the Entered column of the table as shown in the example below please note that the entire screen is not displayed in this example You can continue to edit the measures at any point prior to submitting the application Click Edit for the next measure Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Meaningful Use Core Measures To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list Meaningful Use Core Measure List Table EPCMUO1 Use computerized provider order More than 60 percent of Measure 1 Excluded entry CPOE for medication medication 30 percent of laboratory and radiology orders laboratory and 30 percent of directly entered by any licensed radiology orders created by the EP Numerator 2 234 healthcare professional who can during the EHR reporting period are Denominator 2 803 enter orders into the medical record recor
22. Implementation Specifications and Certification Criteria for Electronic Health Record Technology Rule February 2015 203 MAPIR User Guide for Eligible Professionals Acronyms and Terms Acronyms and Terms CHIP Children s Health Insurance Program CHPL ONC Certified Healthcare IT Product List CMS Center for Medicare and Medicaid Services EH Eligible Hospital EHR Electronic Health Record EP Eligible Professional FQHC RHC Federally Qualified Health Center Rural Health Clinic MAPIR Medical Assistance Provider Incentive Repository NPI National Provider Identifier ONC Office of the National Coordinator for Health Information Technology Program Switch Incentive Application The first incentive application from an EP that has switched from Medicare to Medicaid or from Medicaid to Medicare R amp A CMS Medicare and Medicaid EHR Incentive Program Registration and Attestation System State To State Switch Incentive Application The first incentive application from an EP that has switched from one state to another TIN Taxpayer Identification Number 204 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals Program Year 2014 This section provides instructions for the steps of the incentive application process that differ for a Program Year 2014 incentive application than a Program Year 2015 incentive application For a Program Year 2014 incentive application you will have to
23. MAPIR User Guide for Eligible Professionals Upgrade Phase This screen shows an example of entering activities other than what was in the Upgrade Activity listing Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore the panel to the starting point or last saved data After saving click Clear All to remove standard activity selections Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999995 Payee TIN 999999999 Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Phase Part 2 of 3 Please select the activities where you have Planned to include In Progress or completed an upgrade It is important to know that the information you select about your Planned to include In Progress and completed upgrade tasks is optional and will not impact your ability to receive an incentive payment This information is helpful to the State Medicaid Program Office in understanding the upgrade process If there are no applicable activities to select or list please select the Other Click to Add button and enter none When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point After saving click the Clear All button to remove standard activity selections Red asterisk indicates a required
24. Payment Year 1 Program Year 2013 You will now enter patient encounter volumes for the 90 day period you selected Eligible providers who are members of a group clinic can use the group practice clinic patient volume to attest to their patient volume data on Medicaid encounters and total patient volume Group Practice Clinic s ID will be required in this step If electing to use the group clinic volume the group clinic should submit their entire organization s patient volume and not limit patient volume in any way If a group clinic is organized into clearly defined specialty groups clinics then each specialty group clinic could count as a separate group clinic for the purpose of calculating patient volume For this to happen each specialty group clinic has to be organized as a separate group clinic with a separate billing number used for all of its claims and a clearly defined staff All members of the group must apply in the identical manner Medicaid encounters are defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program both in state and out of state Total encounter volume counts encounters for all patients regardless of health insurance coverage Medicaid Patient Volume Percentage Formula Medicaid Encounter Volumes Total Encounter Volume The final panel in Part 3 of 3 of Patient Volumes will reflect all of the info
25. The Validation Messages Table lists validation messages you may receive while using MAPIR Payment Year i Program Year Dr Medicaid Provider Applicant NPI Status If you are attesting to a Meaningful Use option that is different from what you were scheduled for you will be required to supply one or more delay reasons on the next screen Note If you are attesting to Adopt Implement or Upgrade you must be adopting implementing or upgrading to a 2014 certified edition If you are attesting to Meaningful Use please enter the certification number you had during your EHR reporting period The EHR Incentive Payment Program requires the use of technology certified for this program Please enter the CMS EHR Certification ID that you have obtained from the ONC Certified Health IT Product List CHPL website Click here to access the CHPL website You must enter a valid certification number Click the Exit button to terminate your session When ready click the Next button to continue Click Reset to restore this panel to the starting point Red asterisk indicates a required field Please enter the 15 character CMS EHR Certification ID for the Complete EHR System 000000000000000 No dashes or spaces should be entered You have entered an invalid CMS EHR Certification ID February 2015 201 MAPIR User Guide for Eligible Professionals Additional User Information Validation Messages Table Validation Messages Pl
26. With thes there are two different types of denominators 1 Denominator is all patents seen dunng the EHR reporting period The denominator is al patents regardless of whether thew records are kept using a certified EHR technology Denominator is actions or subsets of patents seen dunmg the EHR reporting period whose records are kept using February 2015 certified EHR technology 85 MAPIR User Guide for Eligible Professionals Stage 1 The screen on the following page displays the Meaningful Use Core Measure List Table The first time a topic is accessed you will see an Edit option for each measure Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for a measure or click Return to Main to return to the Measures Topic List 86 February 2015 Stage 1 Name Dr Medicaid Provider Personal TIN SSN 999999999 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Meaningtul Use Core Measures To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry Applicant NPI Payee TIN Program Year of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main a
27. for Medical Assistance claim payment purposes Obtain the CMS EHR Certification ID for your Electronic Health Records System from the Office of the National Coordinator ONC Certified Health IT Product List CHPL Web site http onc chpl force com ehrcert Patient Volume Calculation In order to be eligible for the Connecticut Medical Assistance EHR Incentive Program EPs must meet eligible patient volume thresholds The basic formula for calculating the Medicaid Patient Volume is illustrated below Medical Assistance Patient Encounters includes Medicaid a encounters in and out of Connecticut Figure 1 Patient Volume Formula Total Patient R Encounter Volume EAUSO ia in and out of Volume Connecticut February 2015 Introduction to Connecticut Medicaid EHR Incentive Program MAPIR User Guide for Eligible Professionals EPs must meet annual patient volume thresholds The general rule is that EPs must meet the Medicaid patient volume thresholds which is typically a minimum of 30 percent but can be 20 percent or higher for pediatricians Medicaid patient volume is measured over a continuous 90 day period either tn the previous calendar year or the twelve months preceding the attestation date Providers only enter the start date and MAPIR will calculate the end date DEFINITION OF ENCOUNTER A Medicaid encounter is defined as any services that are rendered on any one day to an individual enrolled in an eligible Medic
28. or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2011 ntesation a Suomi Attestation Phase Part 1 of 3 Please select the appropriate EHR System Adoption Phase When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Adoption You are acquiring certified EHR Technology Implementation You are installing e rtified EHR Technology Upgrade You are expanding functionality of certified EHR Technology Meaningful Use You are capturing meaningful use measures using a certified EHR technology at locations where at least 50 of patient encounters are provided 68 February 2015 Implementation Phase MAPIR User Guide for Eligible Professionals Select your Implementation Activity by selecting the Planned or Complete button Click Other to add any additional Implementation Activities you would like to supply Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data This is an example of a completed screen Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 P
29. 1 More than 30 of all unique patients with at least one medication in their medication list seen by the EP have at least one nedication order entered using CPOE Optional Core Measure 1 l More than 30 of medication orders created by the EP during the EHR reporting period are recorded using CPOE 216 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals The following is a list of the 13 Meaningful Use Core Measures that you must attest to Core Measure 1 and Core Measure 8 have two versions to choose from Click on the Screen Example to see an example of the screen layout Meaningful Use Core Measure Core Measure 1 Original Core Measure 1 Optional Core Measure 8 Optional February 2015 217 MAPIR User Guide for Eligible Professionals Program Year 2014 Screen 1 The following Meaningful Use Core Measures use this screen layout Core Measures 1 Original 1 Optional 9 12 and 13 Name Or Medicaid Provider Applicant NPI 9999999955 Personal TIN SSN 999999899 Payee TIN ag0c0c8ss Payment Year 1 Program Year 27012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation ij Review Submit Attestation Meaningful Use Measures Core Measure 1 oO Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this pane to the starting point Red as
30. 18 75 years with E diabetes type 1 or type 2 who had hemoglobin Aic less than 8 0 p Save amp Continue Return to Main n E 260 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals The following screen displays the Meaningful Use Additional Clinical Quality Measure Worklist Table with the Additional Clinical Quality Measures you selected to attest to Click Edit to enter or edit information for a measure or click Return to Selection List to return to the Meaningful Use Additional Clinical Quality Measures Selection screen Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Name Dr Medicaid Provider Applicant NPI 99939995999 Personal TIN SSN 999999995 Payee TIN 393994493 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful Use Additional Clinical Quality Measure Worklist Table To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main attestation topic list mO e O e NQF 0059 PQRI 1 Diabetes Hemoglobin Alc Percentage of patients 18 75 years of
31. 2015 251 MAPIR User Guide for Eligible Professionals Program Year 2014 Alternate Core Clinical Quality Measure NQF 0038 Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore the panel to the starting point Name Dr Medicaid Provider Applicant NPI S99S958995 Personal TIN SSN 95999909994 Payee TIN 323929794 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Alternate Core Clinical Qualit Ci Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field NQF 0038 Title Childhood Immunization Status Description Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR two H influenza type B HIB three hepatitis B Hep EBE one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates Complete the following information All
32. 9999900995 Personal TIN SSN 359990885 Payee TIN 23939990943 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful Use Menu Measure Worksheet To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list Implement drug formulary checks The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Generate lists of patients by specific Generate at least one report listing conditions to use for quality patients of the EP with a specific improvement reduction of disparities condition research or outreach Use certified EHR technology to identify More than 10 of all unique patients Numerator 21 patient specific education resources seen by the EP during the EHR Denominator 122 and provide those resources to the reporting period are provided patient patient if appropriate specific education resources The EP who transitions their patient to The EP who transitions or refers their Numerator 93 another setting of care or provider of patient to another setting of c
33. Divided by Total Encounter Volume Enter patient volumes for each location listed Medicaid encounter is defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program For Connecticut HUSKY B patients fall under the Children s Health Insurance Program CHIP Other needy individuals mean individuals that were furnished uncompensated care by the provider or were furnished services at either no cost or reduced cost based on a sliding scale determined by the individuals ability to pay Total needy individuals include HUSKY A HUSKY C HUSKY D HUSKY B and other needy individuals Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year i Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation F F Review Submit Needy individual encounters include the following Medicaid encounters for eligible individuals Children s Health Insurance Program encounters for eligible individuals Uncompensated care encounters Sliding scale encounters When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel
34. MAPIR User Guide for Eligible Professionals Patient Volume 90 Day Period Part 2 of 3 Screen for Calendar Year Preceding Payment Year Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation F Rewiew Submit Patient Volume 90 Day Period Part 2 of 3 Please review the Start Date and End Date of your selected continuous 90 day period for patient volume When ready click the Save amp Continue button to continue or click Previous to go back Start Date Feb 05 2012 4 End Date May 04 2012 Seve amp Continue JX Screen for 12 Months Preceding Attestation Date Rine Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 9999909999 Payment Year 1 Program Year 2014 Get Started REA Contact Info JPU BA Patient Volumes W Attestation F Review Submit Patent Volume 90 Day Period Part 2 of Please review the Start Date and End Date of your selected continuous 90 day period for patient volume When ready click the Save amp Continue button to continue or click Previous to go back Start Date Mar 05 2014 lt End Date Jun 02 2014 Please note If you attempt to submit your application at a later date the dates you selected above may be invalid at that time If this occurs you will receive an error message and you will need to change the dates
35. MAPIR User Guide for Eligible Professionals Stage 2Stage 2 Stage 2 Meaningful Use Core Measures This screen provides information about the Meaningful Use Core Measures for Stage 2 Click Begin to continue to the Meaningful Use Core Measure List Table Name JEREMY MAPIR As part of the mearungful use attestation Ebgible Professionals EPs are required to complete 17 Core Measures in Stage 2 Certain objectives do provide exclusions If an EP meets the critena for that exclusion then the EP can claim that exclusion Gurng attestation HELPFLA HINTS 1 The Core Measures can be completed in any order by selecting the Begin button 2 For more details on each measure select the cick here link at the top of each screen 3 You may review the completed measures by selecting the Edit button 4 Measure results do not round up For example a numerator of 199 and a denominator of 1000 is 19 Results are omy displayed in whole numbers Measures that requre a result of greater than a grven percentage must be more than that percentage to pass For example in a measure requiring a result of greater than 80 a result of 80 1 wil pass but a result of exactly 80 0 would not pass After completing all the core measures you will receive a checkmark maicating the secbon is complete The checkmark does not mean you passed or faded the measures Evaluation of MU measures are made after the application is sub
36. Measure List Table EPCMUO1 EPCMUOS EPCMUO February 2015 MAPIR User Guide for Eligible Professionals Applicant NPI 9999999999 Payee TIN 999999999 Program Year 7013 Use computerized provider order entry CPOE for You must choose between two options for this medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines measure Select the edit button to continue Implement drug drug and drug allergy interaction The EP has enabled this functionality for the checks entire EHR reporting period Maintain an up to date problem list of current andMore than 80 of all unique patients seen by the active diagnoses Generate and transmit permissible prescriptions electronically RX Maintain active medication list Maintain active medication allergy list Record all of the following demographics Preferred language Gender Race Ethnicity Date of birth Record and chart changes in vital signs Height Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children 2 20 years including BMI Record smoking status for patients 13 years ald or older Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance to that rule Provide patients with an electronic cop
37. Measure set options Only one Clinical Quality Measure CQM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear All button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process ee Previous Save amp Continue ie 112 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals This screen displays a summary of all entered meaningful use attestation information Review the information for each measure If further edits are necessary click Previous to return to the Measures Topic List where you can choose a topic to edit If the information on the summary is correct click Save amp Continue to proceed to Part 3 of 3 of the Attestation Phase February 2015 113 MAPIR User Guide for Eligible Professionals 114 Name Dr Medicaid Provider Applicant NPI Personal TIN SSN 999999999 Payee TIN Payment Year 1 Program Year Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E 9999999999 999999999 Stage 1 At
38. Quality Measures You must submit one Alternate Clinical Alternate Clincal Quality Measure with a denominator of zero should only be selected if the remaining Alternate Clinical Quality Measures do not have a denominator value greater than zero When ready click the Save amp Continue button to review your selection or click Return to Main to go back Click Reset to restore this pane to the starting point Measure Number Weight Assessment and Counseling for Children Percentage of patients 2 17 years of age who had an and Adolescents outpatient visit with a Primary Care Physician PCP or OB GYN and who had evidence of BMI percentile for physical activity during the measurement year NQF 0O41 PQRI Preventive Care and Screening Influenza Percentage of patients aged 50 years and older who 110 Immunization for Patients greater than or equal received an influenza immunization during the flu to 50 Years Old season September through February Childhood Immunization Status Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPW one measles mumps and rubella MMR two H influenza type B HIB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates
39. Quality Measures You will need to select one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures In addition you are required to select 3 Additional Clinical Quality Measures from a list of 38 to complete the Clinical Quality Measures section of Meaningful Use Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Save amp Continue February 2015 255 MAPIR User Guide for Eligible Professionals Program Year 2014 Meaningful Use Additional Clinical Quality Measures This initial screen provides information about the Additional Clinical Quality Measures Click Begin to continue to the Meaningful Use Additional Clinical Quality Measures Selection screen JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 060663210 Payee TIN 361924026 Payment Year 1 Program Year 2012 Get Started REA Contact Info Eligibility Patient Volumes Attestation E Review Submit MEANINGFUL USE ADDITIONAL CLINICAL QUAL
40. R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures gful Use Menu Measure Worl To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list EPMMUO1 Capability to submit electronic syndromic Successful ongoing submission of surveillance data to public health electronic syndromic surveillance data agencies except where prohibited and from Certified EHR Technology to a in accordance with applicable law and public health agency for the entire EHR practice reporting period EPMMUO2 Record electronic notes in patient Enter at least one electronic progress records note created edited and signed by an EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period The text of the electronic note must be text searchable and may contain drawings and other content EPMMUO3 Imaging results consisting of the image More than 10 percent of all tests whose itself and any explanation or other result is one or more images ordered by accompanying information are accessible the EP during the EHR reporting period through CEHRT are accessible through CEHRT
41. Results i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Incorporate clinical lab test results into EHR as structured data Measure More than 40 of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR technology This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology EXCLUSION If an EP who orders no lab test whose results are either in a positive negative or numeric format during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Yes No If the exclusion does not apply to you please complete the following information Numerator Number of lab test results whose results are express
42. S Save amp Continue 242 February 2015 Program Year 2014 MAP IR User Guide for Eligible Professionals Core Clinical Quality Measure NQF 0028 PQRI 114 Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore the panel to the starting point Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999099 Payee TIN 929900929 Payment Year 1 Program Year 7012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Rewiew Submit Attestation Meaningful Use Measures i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Instructions All three Core Clinical Quality Measures must be submitted For each Core Clinical Quality Measure that has a denominator of zero an Alternate Core Clinical Quality Measure must also be submitted NOF 0028 PORI 114 Title Preventive Care and Screening Measure Pair a Tobacco Use Assessment Description Percentage of patients aged 18 years and older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months Complete the following information All data entered must be a positive whole num
43. Save amp Continue gt ee ee 218 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals Screen 2 The following Meaningful Use Core Measures use this screen layout Core Measures 2 11 15 Name Dr Medicaid Provider Applicant NPI 9899958995 Personal TIN SSN 999995695 Payee TIN agacecseaq Program Year 2012 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Measure 2 Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Implement drug drug and drug allergy interaction checks The EP has enabled this functionality for the entire EHR reporting period Complete the following information Measure LL save amp Continue i February 2015 219 MAPIR User Guide for Eligible Professionals Program Year 2014 Screen 3 The following Meaningful Use Core Measures use this screen layout Core Measures 3 5 6 and 7 Name Dr Medicaid Provider Applicant NPI 9999999995 Personal TIN SSN 999999995 Payee TIN 299990999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measure
44. Stratum 2 Numerator 2 45 Denominator 2 123 Performance Rate 2 12 0 Exception 2 5 Stratum 3 Numerator 3 45 Denominator 3 100 Performance Rate 3 4 0 CMS61 w4 Preventive Care and Screening Stratum 1 Cholesterol Fasting Low Density Process Effectiveness Numerator 1 23 Lipoprotein LDL C Test Performed Denominator 1 102 Performance Rate 1 2 0 Exclusion 1 4 Exception 1 12 Stratum 2 Numerator 2 34 Denominator 2 105 Performance Rate 2 3 0 Exclusion 2 5 Exception 2 12 Stratum 3 Numerator 3 54 Denominator 3 100 Performance Rate 3 10 0 Exclusion 3 7 Exception 3 14 February 2015 169 MAPIR User Guide for Eligible Professionals Stages 1 and 2 This is screen 2 of 2 of the Meaningful Use Quality Measures List Table CMS125 v3 Breast Cancer Screening Clinical Numerator 23 Process Effectiveness Denominator 101 Performance Rate 4 0 Exclusion 5 CMS126 v3 Use of Appropriate Medications for Clinical Stratum 1 Asthma Process Effectiveness Numerator 1 12 Denominator 1 67 Performance Rate 1 3 0 Exclusion 1 5 Stratum 2 Numerator 2 34 Denominator 2 120 Performance Rate 2 12 0 Exclusion 2 7 Stratum 3 Numerator 3 23 Denominator 3 100 Performance Rate 3 15 0 Exclusion 3 12 Stratum 4 Numerator 4 32 Denominator 4 123 Performance Rate 4 20 0 Exclusion 4 15 Stratum 5 Numerato
45. Tobacco Use Cessation Medications c Discussing Smoking and Tobacco Use Cessation Strategies Diabetes Eye Exam Diabetes Urine Screening Diabetes Foot Exam Coronary Artery Disease CAD Drug Therapy for Lowering LDL Cholesterol Heart Failure HF Warfarin Therapy patients with Atrial Fibrillation Ischemic Vascular Disease IVD Blood Pressure Management Ischemic Vascular Disease IVD Use of aspirin or another antithrombotic MAPIR User Guide for Eligible Professionals Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus at least once within 12 months Percentage of patients aged 5 through 40 years with a diagnosis of mild moderate or severe persistent asthma who were prescribed either the preferred long term control medication inhaled corticosteroid or an acceptable alternative treatment Percentage of children 2 18 years of age who were diagnosed with pharyngitis dispensed an antibiotic and received a group A streptococcus strep test for the episode Percentage of female patients aged 18 years and older with Stage IC through IIIC ER or PR positive breast cancer who were prescribed tamoxifen or aromatase inhibitor AI during the 12 month reporting p
46. Unchecking a Menu Measure will result in the loss of any data entered for that measure You must submit at least one Meaningful Use Menu Measure from the public health list even if an Exclusion is applied When ready click the Save amp Continue button to rewiew your selection or click Return to Main to go back Click Reset to restore this panel to the starting point Measure Public Heath Number Measure EPMMUO09 Capability to submit electronic data to Performed at least one test of certified EHR immunization registries or immunization information technology s capacity to submit electronic data to systems and actual submission in accordance with immunization registries and follow up submission if applicable law and practice the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically EPMMU10 Performed at least one test of certified EHR surveillance data to public health agencies and technology s capacity to provide electronic actual submission in accordance with applicable syndromic surveillance data to public health law and practice agencies and follow up submission if the test is successful unless none of the public health agencies to which an EP submits such information have the capacity to receive the information electronically You must submit additional menu measure objectives until a minimum of five Meaningful Use Menu
47. Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures COMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Progress General Requirements Core Measures Menu Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure COM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear All button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Sav
48. When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice Measure Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically EXCLUSION 1 Based on ALL patient records An EP who does not perform immunizations during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you EXCLUSION 2 Based on ALL patient records If there is no immunization registry that has the capacity to receive the information electronically an EP would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Note If you would like to upload additional information that you feel justifies this exclusion please use the upload file function found on the Submit t
49. a more than 50 of referrals Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receve the information electronically Numerator 21 Denominator 1232 Percentage 17 Numerator another setting of care or 93 Denominator summary of care record for 153 Percentage transitions of care and 60 patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits with blood pressure BP recorded a Tobacco Use Assessment Description Percentage of patients aged 18 years and older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months b Tobacco Cessation Intervention Description Percentage of patients aged 18 years and older identified as tobacco users within the past 24 months and have been seen for at least 2 office visits who received cessation intervention Percentage of patients aged 18 years and older with a calculated BMI in the past st months or during the current visit documented in the medical record AND if the most recent BMI is outside parameters a follow up plan is documented Patent Records Only EHR Patient Records All See below for additi
50. affect the processing of your application File Upload You will be required to upload documentation supporting your attestation Files must be in a pdf xls xlsx doc or docs format and no greater than 10 MB The following is a list of documentation requirements Documentation required fpr A 1 U of Certified EHR Technology CMS Certification EHR ID Cart page 2014 edition showing certification ID and certified EHR product s used this must come from the Certified Health IT Product List CHPL website e Invoices Purchase Orders for Certified Electronic Health Record Technology CEHRT License Agreement with two signatures Documentation supporting patient volume calculations e g Practice Management System reports EXCEL format preferred o All Payers List clearly showing Medicaid and non Medicaid patient containing Patients Name Date of Service Date of Birth Medicaid ID where applicable In addition to the above items EP s attesting to Meaningful Use MU must also submit the following supporting documentation Dashboard screenshots printouts or reports from the certified EHR technology supporting all Core measures attested to in MAPIR Dashboard screenshots printouts or reports from the certified EHR technology supporting all Menu measures attested to in MAPIR POF printouts or report from the certified EHR technology supporting 9 out of 64 COMs attested to in MAPIR Screenshots are NOT acceptable DPH MU Stat
51. age Poor Control with diabetes type 1 or type 2 who had hemoglobin Aic greater than 9 0 NQF 0064 PQRI 2 Diabetes Low Density Percentage of patients 18 75 years of age Lipoprotein LDL Management and Control with diabetes type 1 or type 2 who had LDL C less than 100mq dl NQF 0061 PQRI 3 Diabetes Blood Pressure Percentage of patients 18 75 years of age Management with diabetes type 1 or type 2 who had blood pressure less than 140 90 mmHg February 2015 261 MAPIR User Guide for Eligible Professionals Program Year 2014 The following is a list of the Additional Clinical Quality Measures that you must attest to Click on the Screen Example to see an example of the screen layout 262 February 2015 Program Year 2014 Additional Clinical Quality Measure NQF 0084 PQRI 200 NQF 0073 PQRI 201 NQF 0068 PQRI 204 NQF 0004 NQF 0001 PQRI 64 NQF 0012 NQF 0014 NQF 0018 NQF 0032 NQF 0033 NQF 0036 NQF 0052 NQF 0075 NQF 0575 February 2015 MAPIR User Guide for Eligible Professionals 263 MAPIR User Guide for Eligible Professionals Program Year 2014 Screen 1 The following Additional Clinical Quality Measures use this screen layout Additional Clinical Quality Measures NQF 0059 PQRI 1 NQF 0064 PQRI 2 NQF 0061 PQRI 3 NQF 0081 PQRI 5 NQF 0070 PQRI 7 NQF 0034 PQRI 113 NQF 0067 PQRI 6 NQF 0083 PQRI 8 NQF 0086 PQRI 12 NQF 0088 PQRI 18 NQF 0089 PQRI 19 NQF 0047 PQRI 53 NQF 0387 PQRI 71 NQF 038
52. and over only and or height and weight for all ages recorded as structured data PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EMR technology This data was extracted from ALL patient records not just those maintained using certified EHR technology lis data was extracted only from patient records maintained using certified EHR technology EXCLUSION1 Based on ALL patient records Any EP who sees no patients 3 years or older is excluded from recording blood pressure If this exclusion a ies to you a numerator and denominator is uired Does this exclusion apply to you EXCLUSION Based on ALL patient records Any EP who believes that all three vital signs of height weight and blood pressure have no relevance to their scope of practice is excluded from this requirement If this exclusion applies to you a numerator and denominator is not uired Does this exclusion apply to you EXCLUSIONS Based on ALL patient records Any EP who believes that height length and weight are relevant to their scope of practice but blood pressure is not is excluded from recording blood pressure If this exclusion applies to you a numerator and denominator is quired EXCLUSIONA Based on ALL patient records Any EP who believes that blood pressure is relevant to their scope of practice but height length and weight are not is excl
53. are required for the clinical quality measure displayed on this page Domain Population Public Health Measure Number CMS2 v4 Measure Title Preventive Care and Screening Screening for Clinical Depression and Follow Up Plan Measure Description Percentage of patients aged 12 years and older screened for clinical depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive a follow up plan is documented on the date of the positive screen Numerator A positive whole number including zero Use the Click HERE above for a definition Denominator A positive whole number including zero Use the Click HERE above for a definition Performance Rate A percent value between 0 0 and 100 0 Use the Click HERE above for a definition Exclusion A positive whole number including zero Use the Click HERE above for a definition Exception A positive whole number including zero Use the Click HERE above for a definition Numerator Denominator Performance Rate Exception 166 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals Screen 6 The following Measure Numbers use this screen layout CQM 63 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Attestation Meaningful Use M
54. asp file QualityMeasures Downloads EP_MeasureSpecifications zip Please review this page and accept the terms You will then be able to access all of the Clinical Quality Measures Exclusions related to the Clinical Quality Measures must be whole numbers If you do not have an exclusion enter a zero All fields need to be completed in order to continue to the next measure Por nat gt 256 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals The screens on the following pages display the Meaningful Use Additional Clinical Quality Measures Selection screen You are required to answer three Additional Clinical Quality Measures There are a total of 38 Additional Clinical Quality Measures to choose from Click on the checkbox next to the measures you want to attest to click Save amp Continue to review your selections or click Reset to restore this panel to the starting point or last saved data February 2015 257 MAPIR User Guide for Eligible Professionals Program Year 2014 Meaningful Use Additional Clinical Quality Measures Selection screen Part 1 of 3 258 Name Personal TIN SSN 99999 999 Payment Year Get Started R amp A Contact Info Cr Medicaid Provider Applicant NPI 9999999999 Payee TIN 999999899 1 Program Year 2012 Eligibility Attestation Meaningful Use Measures Instructions Patient Volumes Attestation E Review Select three 3 Additional C
55. denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures In addition you are required to select 3 Additional Clinical Quality Measures from a list of 38 to complete the Clinical Quality Measures section of Meaningful Use Additional Clinical Quality Measures Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Previous Save amp Continue February 2015 239 MAPIR User Guide for Eligible Professionals Program Year 2014 Meaningful Use Core Clinical Quality Measures This initial screen provides information about the Meaningful Use Core Clinical Quality Measures Click Begin to continue to the Meaningful Use Core Clinical Quality Measure Worklist Table Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 060663210 Payee TIN 361924026 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes i Attestation g Review Submit e MEANINGFUL USE CORE CLINICAL QUALITY MEASURES As part of the Meaningful Use attestation Eligible Professionals EPs are required to complete a minimum of six Clinical Quality Measures three Core or Al
56. depresan Medication Management incar process eteciveness E E A Ce Procesneectveness iad gt aloe I Following Cataract Surgery Heart Failure HF Angiotensin Converting Enzyme ACE Clinical Process Effectiveness Inhibitor or Angiotensin Receptor Blocker ARB Therapy for Left Ventricular Systolic Dysfunction LVSD ADHD Follow Up Care for Children Prescribed Attention Clinical Process Effectiveness Deficit Hyperactivity Disorder ADHD Medication CMS137 v3 Initiation and Engagement of Alcohol and Other Drug Clinical Process Effectiveness Dependence Treatment Breast Cancer Hormonal Therapy for Stage IC IIIC Clinical Process Effectiveness Estrogen Receptor Progesterone Receptor ER PR Positive Breast Cancer Colon Cancer Chemotherapy for AJCC Stage III Colon Clinical Process Effectiveness Cancer Patients Diabetic Retinopathy Communication with the Physician Clinical Process Effectiveness Managing Ongoing Diabetes Care Stages 1 and 2 You have chosen the general Clinical Quality Measure CQM set Select a minimum of nine 9 CQMs from at least three 3 different domains There are six 6 domains and sixty four 64 CQMs from which to choose The domain of each CQM is shown in the title bar of each individual CQM If you wish to select the adult recommended CQMs or the pediatric recommended CQMs select the Return to Main button and then choose the recommended CQM option you wish to answer Please note as a minimum
57. drug drug and drug allergy interaction checks for the entire EHR reporting period More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely available to the patient within 4 business days after the information is available to the EP online access to their health information More than 5 percent of all unique patients seen by the EP during the EHR reporting period or their authorized representatives view download or transmit to a third party their health information E ee E Etti Stage 2 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals This is screen 2 of 2 of the Meaningful Use Core Measure List Table EPCMUO8 Provide clinical summaries for Clinical summaries provided to patients for each office visit patients or patient authorized representatives within one business day for more than 50 percent of office visits Protect electronic health Conduct or review a security risk information created or maintained analysis in accordance with the by the Certified EHR Technology requirements under 45 CFR CEHRT through the 164 308 a 1 including addressing implementation of appropriate the encryption security of data technical capabilities stored in CEHRT in accordance with requirements under 45 CFR 164 312 a 2 iv and 45 CFR 164 306 d 3 and implement security updates as necessary and correct identified security deficiencies as part o
58. each specific item of aggrievement The scope of the review shall not include or consider facts or circumstances outside of the audit and the final written audit report An individual other than a person who conducted the audit or made the department s final audit determination shall conduct the review At the discretion of the person presiding over the review the person may make informal inquiries to the provider or the Department accept written statements from the provider and the February 2015 11 MAPIR User Guide for Eligible Professionals Introduction to Connecticut Medicaid EHR Incentive Program department and hold an informal conference with the department and the provider for the purpose of fact finding accepting oral statements or hearing witness testimony after giving appropriate notice thereof to the provider and the department After completing the final review the person presiding over the review shall issue a final written decision regarding what if any action will be taken including but not limited to revising the final written audit or any other action within the scope of the department s authority Overpayments MAPIR will be used to store and track records of incentive payments for all participating EPs The Department will regularly monitor payments to ensure overpayments are not made Once an overpayment is identified MAPIR will be used to determine the amount of payments that have been made and that must be returne
59. encounters that occurred at locations where certified EHR technology is available Objectives What every eligible professional is required to achieve in order to be able to show that they are meaningfully using their EHR Measures The minimum requirement to achieve each objective Every objective has an associated measure which the eligible professional must meet or Surpass Exclusions There are exclusions that exempt providers from having to meet specific objectives If the provider meets the qualifications for any exclusion then they will not have to report on that objective and can still receive a full EHR incentive payment These exclusions may be applicable to certain specialists who do not perform the actions specified in the objective as a normal scope of practice Stage 1 Criteria Stage 1 requires providers to capture health information in a structured format using the information to track key clinical conditions for care coordination purposes implementing clinical decision support tools to facilitate disease and medication management and using EHRs to engage patients and families and reporting clinical quality measures and public health information In addition to the two general requirements mentioned above eligible professionals must complete e 13 Core Objectives prior examples CPOE e prescribing record demographics etc e 5 Objectives out of 9 from menu set examples Drug formulary checks incorporate clinical lab t
60. enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider X Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation F Review Patient Volume Individual Part 3 of 3 Please enter patient volumes where indicated You must enter volumes in all fields below If volumes do nota An Encounter is defined as any services that were rendered on any one day to an individual enrolled in an eligible Medicaid program When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Medicaid Total Encounter Provider Id ocation Name Encounter eprint Encounter Volume Volume me In State Numerator Total Numerator _ otal Numerator ooo Denominator 299999999999 Drofce Office ee E so 1000 3300 N A Location 123 3 Main Street a 400 zh Soo 1500 i Pe d Save amp Continue 44 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals After selecting Save amp Continue this panel will be updated with the l
61. exclusion then the EP can claim that exclusion during attestation HELPFUL HINTS 1 The Core Measures can be completed in any order by selecting the Begin button For more details on each measure select the chick here link at the top of each screen 2 3 You may review the completed measures by selecting the Edit button 4 Measure results do not round up For example a numerator of 199 and a denominator of 1000 is 19 Results are omy displayed im whole numbers Measures that require a result of greater than a given percentage must be more than that percentage to pass For example in a measure requiring a result of greater than 80 a result of 80 1 will pass but a result of exactly 80 0 would not pass After completing all the core measures you will recerve a checkmark indicating the secton is complete The checkmark does not mean you passed or failed the measures Evahuaton of MU measures are made after the appkcatbon is submutted To return to the Attestation Meaningful Use Measures selection screen select the Return to Maun button at the bottom of the page Instructions Users must adequately answer each measure they intend to meet by either correctly filling in the numerator and denominator values or selecting an exclusion if you meet the requirements for that exclusion Two types of percentage based measures are included in demonstrating Meaningful Use With thes there are two diffe
62. field Upgrade Activity Upgrading Software Version Upgrading Hardware or Peripherals Clinical Decision Support Electronic Prescribing Computerized Provider Order Entry Adding Functionality Modules personal health record mental health dental Other Reviewed EHR Certification Information Other Click to Add Previous Reset Clear All Save amp Continue _ 74 February 2015 Upgrade Phase MAPIR User Guide for Eligible Professionals Review the Upgrade Activities you selected Click Save amp Continue to continue or click Previous to go back Proceed to page 171 in this guide to continue Dr Medicaid Provider i Applicant NPI 9999999999 Personal 909999099 999999565 N SSN Payee TIN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation i Review Upgrade Activity Planned Upgrading Software Version D Clinical Decision Support Other Reviewed EHR Certification Information Submit _Previou Save amp Continue cs February 2015 75 MAPIR User Guide for Eligible Professionals Meaningful Use Phase Meaningful Use Phase For Meaningful Use select the Meaningful Use button Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 99999999
63. for Eligible Professionals Program Year 2014 Screen 2 The following Meaningful Use Menu Measures use this screen layout Menu Measure 2 Or Medicaid Provider Name Applicant NPI 9999998995 Personal TIN SSN 999999099 Payee TIN 999995955 Program Year 2012 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 2 i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Incorporate clinic lab test results into EHR as structured data More than 40 of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data EXCLUSION Based on ALL patient records Any EP who orders no lab test whose results are either in a positive negative or numeric format during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Measure Does this exclusion apply to you If the exclusion does not apply please complete the following information Numerator
64. for a definition Denominator A positive whole number including zero Use the Click HERE above for a definition Performance Rate A percent value between 0 0 and 100 0 Use the Click HERE above for a definition Exclusion A positive whole number including zero Use the Click HERE above for a definition Numerator Denominator Performance Rate Exclusion Reset Save amp Continue 162 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals Screen 2 The following Measure Numbers use this screen layout CQM 2 5 9 11 and 54 Name Dr Medicaid Provider Applicant NPI Personal TIN SSN 999999999 Payee TIN Payment Year 1 Program Year Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures 9999999999 999999999 2014 Clinical Quality Measure 2 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Responses are required for the clinical quality measure displayed on this page Domain Clinical Process Effectiveness Measure Number CMS137 v3 Measure Title Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Measure Description Percentage of patients 13 years of age and older w
65. greater than or equal to 20 to meet the Medicaid patient volume requirement Pediatricians who do not meet the 30 Medicaid patient volume but meet the 20 Medicaid patient volume will not receive the full incentive payment amount Click Save amp Continue to proceed or click Previous to go back Proceed to page 64 of this guide to continue with the application Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year i Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation F Submit Patient Volume Group Part 3 of The patient volumes and certified EHR technology site usage selections you entered are depicted below Please review the current information to verify what you have entered is correct When ready click the Save amp Continue button to continue or click Previous to go back Utilizing Certified Provider ID Location Name EHR Technology 123 First Street Yes 999999999999 Anytown PA 12345 1234 N A New Location 123 Main Street Anytown AL 12345 Group Practice ID s 1234567890 2345678901 3456789012 4567890123 Sum Medicaid only Encounter Sum Medicaid Encounter Volumes Total Denominator Total Volume Numerator Yo 300 1250 30 Previous K Save amp Continue p le February 2015 51 MAPIR User Guide for Eligible Professionals Patient Volume FQHC RHC Individual Patient Volume FQHC RHC Individual The fol
66. higher and you have previously attested to Meaningful Use you must attest to Meaningful Use Full Year therefore only this option will display Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 7014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Phase Part 1 of 3 Please select the appropriate EHR System Adoption Phase below The selection that you make will determine the questions that you will be asked on subsequent pages When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Meaningful Use 90 days E You are capturing meaningful use measures using certified EHR technology at locations where at least 50 of the patient encounters are provided Reset d Save amp Continue February 2015 77 MAPIR User Guide for Eligible Professionals Meaningful Use Phase Depending on the selection made on the previous screen the Attestation EHR Reporting Period Part 1 of 3 screen will display with the 90 day period or the full year period The example below displays the 90 day period for an incentive application in Program Year 2014 Enter a Start Date or use
67. if the inthermediary of the recipient of the transihoen or referral is expenencing delays in the ability to fully implement 2014 Editon CEHRT Tf the reason for your delay is not one of the five listed above or if you want to add more details to the reason you chose please explain im the text box below fup fo 500 characters Previous Reset Mest February 2015 207 MAPIR User Guide for Eligible Professionals Program Year 2014 Review your CMS EHR Certification ID Meaningful Use Reporting Option and Reason for Delay if applicable Click Next to continue or click Previous to go back If you were not required to enter a delay reason the Reason for Delay field will be blank Payment Year 1 Program Year 2014 Dr Medicaid Provider Applicant NPI 99999999099 Status Not Started Please review the current information to verify what you have entered is correct When ready click the Next button to continue or click Previous to go back CMS EHR Certification ID AQDI4E01EPAKIEAS Meaningful Use Reporting Option 2014 Stage 1 objectives measures and CQMs Reason for Delay Software development delays Proceed to page 26 of this guide 208 February 2015 2013 Stage 1 objectives measures and CQM The screen on the following page displays the Measures Topic List The Attestation Meaningful Use Measures are divided into six distinct topics General Requirements Core Measures Menu Measures Core Clinical Quality M
68. known as MLIA program Other needy individuals mean individuals that were furnished uncompensated care by the provider or were furnished services at either no cost or reduced cost based on a sliding scale determined by the individuals ability to pay Total needy individuals include HUSKY A HUSKY C previously known as Medicaid FFS HUSKY D previously known as MLIA HUSKY B and other needy individuals Total encounter volume counts encounters for all patients regardless of health insurance coverage Medicaid Patient Volume Percentage Formula Total Needy Encounter Volume Total Encounter Volume The final panel in Part 3 of 3 of Patient Volumes will reflect all of the information you entered for your practice location s patient encounters and certified EHR technology use MAPIR calculates and displays your Medicaid encounter percentage At least one practice location must meet Medicaid Patient Volumes and be utilizing Certified EHR Technology For more detailed information please refer to the Provider Manual for Eligible Professionals EPs Eligible Professional User Manual February 2015 55 MAPIR User Guide for Eligible Professionals Patient Volume FQHC RHC Individual The following formula is used to calculate the Patient Volume when the individual practitioner who practices predominantly in an FQHC submits his her own patient volumes Medicaid Patient Volume Percentage Formula FQHC RHC Individual Total Needy Encounter Volume
69. list ee i NOF 0024 Weight Assessment and Percentage of patients 2 17 years of age who EDIT Counseling for Children and Adolescents had an outpatient visit with a Primary Care Physician PCP or OB GYN and who had evidence of BMI percentile documentation counseling for nutrition and counseling for physical activity during the measurement year NOF 0041 PQRI 110 Preventive Care and Percentage of patients aged 50 years and Screening Influenza Immunization for older who received an influenza immunization Patients greater than or equal to 50 Years during the flu season September through Old February NQF 0038 Childhood Immunization Status Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR two H influenza type B HIB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates Return to Selection List February 2015 249 MAPIR User Guide for Eligible Professionals Program Year 2014 Alternate Core Clinical Quality Measure NQF 0024 Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore the pan
70. of all unique patients seen by the EP during the EHR reporting period are provided timely available to the patient within 4 business days after the information is available to the EP online access to their health information Numerator The number of patients in the denominator who have timely within 4 business days after the information is available to the EP online access to their health information Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator Denominator Exclusion Measure 2 Any EP who conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period may exclude only the second measure Yes No Measure 2 More than 5 percent of all unique patients seen by the EP during the EHR reporting period or their authorized representatives view download or transmit to a third party their health information Numerator The number of unique patents for their authorized representatives in the denominator who have viewed online downloaded or transmitted to a third party the patient s health information Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator Denominator Previous Reset Save amp Continue February 2015 129 MAPIR User G
71. of the application and attestation process Complete your R amp A registration You must register at the CMS Medicare and Medicaid EHR Incentive Program Registration and Attestation System also known as R amp A before accessing MAPIR If you access MAPIR and have not completed this registration you will receive the following screen Name Not Available Applicant NPI Not Available Status Not Registered at R amp A Our records indicate that you have not registered at the CMS Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A You must register at the R amp A prior to applying for the Medicaid EHR Incentive Program Please dick here to access the R amp A registration website If you have successfully completed the R amp A registration please contact the lt state gt for assistance Please access the federal Web site below for instructions on how to do this or to register For general information regarding the Incentive Payment Program http www cms gov EHRIncentivePrograms To register https ehrincentives cms gov hitech login action You will not be able to start your MAPIR application process unless you have successfully completed this federal registration process When MAPIR has received and matched your provider information you will receive an email to begin the MAPIR application process Please allow at least two days from the time you complete your federal registration befor
72. or the last saved data Dr Medicaid Provider i Applicant NPI 9999999999 Personal 999999999 TIN SSN Payment Year 1 Program Year 2011 Payee TIN 999999999 Get Started R amp A Contact Info Eligibility Patient Volumes C Review Patient Volume Practice Type Part 1 of 3 Please answer the following questions so that we can determine the appropriate method for collecting patient volumes When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Do you practice predominantly at an FQHC RHC over 50 off yas your total patient encounters occur over a 6 month period in an i FQHC RHC Please indicate if you are submitting volumes for Select one p Group Clinic Practitioner Panel Save amp Continue 36 February 2015 Patient Volume 90 Day Period Part 2 of 3 MAPIR User Guide for Eligible Professionals Patient Volume 90 Day Period Part 2 of 3 For all practice types MAPIR will ask you to enter the start date of the 90 day patient volume reporting period in which you will demonstrate the required Medicaid patient volume participation level Select if you would like your 90 day patient volume reporting period to be from either the Calendar Year Preceding the Payment Year or the 12 Months Preceding Attestation Date Enter a Start Date or selec
73. page 2014 edition showing certification ID and certified EHR product s used this must come from the Certified Health IT Product List CHPL website e Invoices Purchase Orders for Certified Electronic Health Record Technology CEHRT e License Agreement with two signatures e Documentation supporting patient volume calculations e g Practice Management System reports Excel Format preferred o All Payers List clearly showing Medicaid and non Medicaid patients containing Patients Name Date of Service Date of Birth Medicaid ID where applicable In addition to the above items EP s attesting to Meaningful Use MU must also submit the following supporting documentation e Dashboard screenshots printouts or reports from the certified EHR technology supporting all Core measures attested to in MAPIR e Dashboard screenshots printouts or reports from the certified EHR technology supporting all Menu measures attested to in MAPIR e PDF printouts or report from the certified EHR technology supporting 9 out of 64 CQMs attested to in MAPIR Screenshots are not acceptable e DPH MU State Testing Certificate MUST Portal Immunization Test e Public health meaningful use measure exclusion letter if applicable e Security Risk Analysis Prepayment Checklist Preparer Information Providers attesting to the EHR Incentive program have two options for completing the electronic signature portion of the application The provider can perfo
74. pediatric populations The 9 CQMs for the Pediatric set are preselected on the CQM list and display This measure has been preselected as part of the Pediatric set list under the Domain column The preselected CQMs do not have a check box under the Selection column The CQMs in the recommended Pediatric set focus on high priority health conditions and best practices for care delivery and cover at least 3 National Quality Strategy domains The data for these measures must be obtained directly from the certified EHR System HELPFUL HINTS 1 The Clinical Quality Measures can be completed in any order by selecting the Begin button 2 You may review the completed measures by selecting the Edit button 3 When all measures are complete you will receive a checkmark indicating the section is complete The screens on the following pages display the Meaningful Use Clinical Quality Selection screen for the set you selected In this example the General set was selected Each Clinical Quality Measure is associated to one of the six domains Select a minimum of nine Meaningful Use Clinical Quality Measures from at least three different domains Click Save amp Continue to proceed or click Return to Main to go back Click Reset to restore this panel to the starting point February 2015 155 MAPIR User Guide for Eligible Professionals 156 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TI
75. practice where 90 percent of the practice is comprised of patients age 18 and under and who e Holds board certification by the American Board of Pediatrics in pediatrics or a pediatric Subspecialty e in the opinion of the department has training and or experience comparable to that required for board certification by the American Board of Pediatrics in pediatrics or a pediatric Subspecialty e holds board certification by the American Board of Medical Specialties in a recognized specialty and serves a pediatric patient population or e in the opinion of the department provides what is generally accepted to be specialty care to a pediatric patient population Overview of the EHR Incentive Program Process The following steps describe the Connecticut Medical Assistance EHR Incentive Program application process 1 Applicants must register with the Centers for Medicare amp Medicaid Services CMS at the CMS Medicare and Medicaid EHR Incentive Program Registration and Attestation System also known as the R amp A website https www cms qov EHRIncentivePrograms 20 RegistrationandAttestation as 2 February 2015 Introduction to Connecticut Medicaid EHR Incentive Program MAPIR User Guide for Eligible Professionals Applicants will need to provide information such as e Individual and Payee NPI and Tax Identification Number TIN e Incentive Program option of Medicare or Connecticut Medical Assistance referred to as Medicaid in the R
76. process Status ple Com ted lt e Your MAPIR user session ends if there is no user activity longer than 60 minutes You will receive timeout warnings e Please note that whoever begins the MAPIR application must be the same person who completes the application e When a MAPIR electronic tab is completed a check mark will appear in the corner of the tab e You can go back in the application tabs to review information content but not forward Note You will be able to review and edit all entered information before submitting Once your application has been processed by Connecticut Medicaid program office you can click the Submission Outcome tab to view the results of submitting your application Or Medicaid Provider 2 Applicant NPI Personal TIN SSN Payee TIN Payment Year Program Year 2012 Curent Status Rewiew Application Submission Outcome Document Upload The MAPIR Review panel displays the information that you have entered to date for your application Select Print to generate a printer friendly version of this information Payment Amount You have been approved to receive a payment in the amount of 14 167 00 Provider Information Name Dr Medicaid Provider Applicant NPI February 2015 195 MAPIR User Guide for Eligible Professionals Post Submission Payment Post Submission Payment After the attestation is Payment Approved payment will be made during th
77. recommended a core set of 9 CQMs for the adult populations The 9 CQMs for the Adult set are preselected on the COM list and display This measure has been preselected as part of the Adult set list under the Domain column The preselected COMs do not have a check box under the Selection column The CQMs in the recommended Adult set focus on high priority health conditions and best practices for care delivery and cover at least 3 Nationa Quality Strategy domains The data for these measures must be obtained directly from the certified EHR System HELPFUL HINTS 1 The Clinical Quality Measures can be completed in any order by selecting the Begin button 2 You may review the completed measures by selecting the Edit button 3 When all measures are complete you will receive a checkmark indicating the section is complete 154 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals The following screen is an example of the Pediatric set Click Begin to continue to the Meaningful Use Clinical Quality Selection screen JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN ___ eee Payee TIN Ss Payment Year 1 Program Year 2014 Get Sterted RAA Contect Info Higidelity Patient Volumes i Aitestetron a Subat MEAN F A MEA There are 64 available Clinical Quality Measures CQMs To simplify the selection process for EPs with a pediatric population CMS has recommended a core set of 9 CQMs for the
78. required field NQF 0004 Title Initiation and Engagement of Alcohol and Other Drug Dependence Treatment a Initiation b Engagement Description Percentage of adolescent and adult patients with a new episode of alcohol and other drug AOD dependence who initiate treatment through an inpatient AOD admission outpatient visit intensive outpatient encounter or partial hospitalization within 14 days of the diagnosis and who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit Complete the following information All data entered must be a positive whole number Numerator 1 Population Criteria 1 Numerator 2 Numerator 1 Population Criteria 2 Numerator 2 Numerator 1 Population Criteria 3 Numerator 2 Save amp continue J February 2015 267 MAPIR User Guide for Eligible Professionals Program Year 2014 Once you attested to all the measures for this topic click Return to Selection List to return to the Meaningful Use Additional Clinical Quality Measures Selection screen Name Or Medicaid Provider Personal TIN SSN 999999694 Payment Year 1 Get Started R amp A Contact Info Attestation Meaningful Use Measures ingtul Use Additional Clinical Quali Eligibility Applicant NPI 9999990995 Payee TIN 999999999 Program Year 2012 Patient Volumes Attestation E Review Measure Worklist Table To edit information sele
79. tab of the attestation Click Next to review your entry Click Previous to return to the stage of attestation selection page Click Reset to restore this panel back to the starting point Payment Year l Program Year 2014 HEFE Applicant APT 2011062801 States Select one of more reasons for the delay in implementing 2014 Cerbfied EHR Technology If the reason for your delay is neat one of the five listed ophens or if you want to add more details to the reason you chose please use the text Box beka For your explana ior Please upload documentation for reasona the Provider canmot fully implement 2014 Etien CEHRT under the Submit tab of thet attedtatean The mchides Letter from vendor motfyng provider of non certficaton of prodest of delays m software development Imaga of contract proweding date of dekvery instalabon was late or delayed Software development delays Missing or delayed software updates Bem able to implement 2014 CEHRT for part of the reporting pernod mot the full reporting penod Unable bo tram staff best the updates system of put new workflows in place cue to delay with installabon of 2014 CEHRT Cannot meet Stage 2 Summary of Care mesures due to the recipeent of ther Summary of Care transmittal being impacted by 7014 CEHRT issues The sending provider may experience segnificant difficulty meeting the 10 threshold for electromedc Pansmsgienms deste the refernng providers abihty to send the elec tromec document
80. than 50 of all office visits within 3 business days Conduct or review a security risk analysis per 45 CFR 164 308 a 1 and implement security Updates as necessary and correct identified security deficiencies as part of its risk management process 215 MAPIR User Guide for Eligible Professionals Program Year 2014 Measure Selection for Core Measure 1 Measure Code EPCMUOQ1 Choose if you would like to attest to the Original Core Measure 1 or the Optional Core Measure 1 If you return at a later time and change your selection any information entered for the measure prior to that point will be removed Click Save amp Continue to proceed to the appropriate core measure screen for the option you selected or click Previous to go back Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures Measure Selection for Core Measure 1 Please choose from the following options to attest to this measure If you return at a later time and change your selection any information entered for the measure prior to that point will be removed When ready click the Continue button to review your selection or click Previous to go back Red asterisk indicates a required field Please select from the following options Original Core Measure
81. the calendar located to the right of the Start Date field For Program Year 2014 the 90 day EHR reporting period must fall within the Program Year begin and end date range and not include days in a grace period Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Tiana ___ Attestation EHR Reporting Period Part 1 of 3 Please enter the Start Date of the EHR Reporting Period The EHR Reporting Period is any continuous period within a payment year in which an Eligible Professional demonstrates meaningful use of certified EHR technology Note The end date of the continuoug 90 day period will be calculated based on the start date entered When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field start Date 01 01 2014 mm dd yyyy Save amp Continue 78 February 2015 Meaningful Use Phase MAPIR User Guide for Eligible Professionals This screen displays an example of a Start Date of January 1 2014 and a system calculated End Date of March 31 2014 Click Save amp Continue to review your s
82. the option to delete the file Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore the panel to the starting point or last saved data Name JEREMY MAFIA 4ppicant NPI 2011062801 Personai TIN SSN Payee TIN U S S es ol Payment Year Program Year 2014 i pplication Submission Part i of 2 You wi mow Se as kes to upload any Soc TS ESt1O7 TRA YOu wish to provide az werr catien Or the ifer Bt emteres in MAPIR You may uSicas mutipie Mes Fee USOS You wi Se eoulires fo USCS COCUTM OE STON SUSSSTIING your Strestation ses must Se in Ss 5c xs Sx SOC OF Joc ormat and no Greste then 10 MB The Showing is 8 Est Of CocUTMOESTION Soure e s Documentation required for A I U of Certified EHR Technology e CMS Ce te catios B ID Cast once 2014 esto Snowing Cott cation ID ass cet tes BR oroouctis wees 8 Must come fom me Ce tes Sear iT Procuct Uist CHAL wensete e invoices Purcmece Orcas Sr Cantec Sectrocnc Seat fecocrs Teco cosy CE 47T gt e Utes e Agreemet wih two siornetures e SocwMme tation supsoctine ostiet volu calculations le 6 Practice Maenscetmeost System repots EXCEL format preferred O AM Payers List chearty showing Medicaid and non Medicald patient containing e fotens heme e Oste cof Senice e 5ste cof aina e Mescaic ID where spocone In addition to the above Rems EP s attesting to Meaningful Use MU must also submit the folowing supp
83. this exclusion apply to you yes No If No complete entries in the Numerator and Denominator Numerator 3 Denominator 3 previous February 2015 123 MAPIR User Guide for Eligible Professionals Stage 2 Screen 2 The following Meaningful Use Core Measure uses this screen layout Core Measure 2 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures Core Measure 2 ePrescribing i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset fo restore this panel to the starting point Red asterisk indicates a required field Objective Generate and transmit permissible prescriptions electronically eRx Measure More than 50 percent of all permissible prescriptions or all prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using Certified EHR Technology This data was extracted from ALL patient records not just those maintained using Certified EHR Technology This data wa
84. to ctmedicaid ehr hp com MAPIR Attestations Professionals will need to verify the information displayed in MAPIR and will also need to enter additional required data elements and make attestations about the accuracy of data elements entered in MAPIR For example applicants will need to demonstrate that they meet Medicaid patient volume thresholds that 10 February 2015 Introduction to Connecticut Medicaid EHR Incentive Program MAPIR User Guide for Eligible Professionals they are adopting implementing or upgrading federally certified EHR systems and that they meet all other federal program requirements The MAPIR system design is based on the CMS Final Rule for the EHR Incentive Program and Connecticut s specific eligibility criteria A series of reviews will identify applicants who do not appear to be eligible for example e Hospital based providers e Applicants who do not meet patient volume thresholds e Ineligible provider type e Current sanctions These MAPIR system reviews will help to identify potential overpayments before they occur Audits The Department may access all relevant records and documentation and take any other appropriate quality assurance measures it deems necessary to verify provider attestations or conduct pre payment or post payment audits to assure compliance with the provisions of sections 17b 34 1 to 17b 34 9 inclusive of the Regulations of Connecticut State Agencies and other regulatory and statu
85. to the starting point Red asterisk indicates a required field Provider ID Location Name i Encounter Volume Encounter Volume Encounter Volume Volume PAT Numerator Numerator Total Numerator i Baaai 999999999999 Dr Office Poni a 1000 1800 3300 Anytown AL 12345 Bia ee 56 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals This screen displays the locations you are utilizing certified EHR technology patient volumes you entered all values summarized and the Medicaid Patient Volume Percentage Review the information for accuracy Note the Total patient volume field This percentage must be greater than or equal to 30 to meet the Medicaid patient volume requirement For pediatricians the percentage must be greater than or equal to 20 to meet the Medicaid patient volume requirement Pediatricians who do not meet the 30 Medicaid patient volume but meet the 20 Medicaid patient volume will not receive the full incentive payment amount Click Save amp Continue to proceed or click Previous to go back Proceed to page 64 of this guide to continue with the application Name Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 N 999999999 TIN SSN Payee TIN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Review Submit Patient Volume FQHC RHC Individual Part 3 of 3 The pat
86. volume the group clinic should submit their entire organization s patient volume and not limit patient volume in any way If a group clinic is organized into clearly defined specialty groups clinics then each specialty group clinic could count as a separate group clinic for the purpose of calculating patient volume For this to happen each specialty group clinic has to be organized as a separate group clinic with a separate billing number used for all of its claims and a clearly defined staff Click Begin to proceed to the screens where you will enter patient volumes Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN ti Payee TIN Payment Year 1 Program Year 2013 You will now enter patient encounter volumes for the 90 day period you selected Eligible providers practicing in an FQHC can use the FQHC patient volume to attest to their patient volume data on Medicaid patients HUSKY B Encounter Volume other needy individual patients total needy patients and total patient volume FQHC s ID will be required in this step If electing to use the group clinic volume the clinic should submit ther entre organization s patient volume and not limit patent volume in any way If a clinic is organized into clearly defined specialty clinics then each specialty clinic could count as a separate clinic for the purpose of calculating patient volume For this to happen each specialty clinic has to be organized as a separate clinic with a se
87. 01 MAPIR JEREMY Ge TOTAL PAYOUTS 21 250 00 196 February 2015 MAPIR User Guide for Eligible Professionals The following table lists some of the statuses your application may go through Not Registered at Incomplete Submitted Payment Approved Payment Disbursed Partial Recoupment Received Partial Remittance Received Aborted Appeal Initiated Appeal Approved Appeal Denied Denied Completed Cancelled Future Not Eligible Not Started Expired February 2015 MAPIR has not received a matching registration from both the R amp A and the state MMIS The application is in a working status but has not been submitted and may still be updated by the provider The application has been submitted The application is locked to prevent editing and no further changes can be made A determination has been made that the application has been approved for payment The financial payment data has been received by MAPIR and will appear on your remittance advice An adjustment has been requested and the total amount has not been recouped An adjustment has been processed and a partial recoupment has been made and will appear on your remittance advice When in this status all progress has been eliminated for the incentive application and the application can no longer be modified or submitted An appeal has been lodged with the proper state authority by the provider The appeal has been approved The appeal has been den
88. 012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Instructions Select three 3 Additional Clinical Quality Measures from the list below You will be prompted to enter numerator s denominator s and exclusion s if applicable for all three Additional Clinical Quality Measures after you select the Save amp Continue button below e me tint NOF 0059 PQRI 1 Diabetes Hemoglobin Alc Poor Control Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had hemoglobin Alc greater than 9 0 NOF 0064 PQRI 2 Diabetes Low Density Lipoprotein LDL Percentage of patients 18 75 years of age with Management and Control diabetes type 1 or type 2 who had LDL C less than 100mgq dl NQF 0061 PQRI 3 Diabetes Blood Pressure Management Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had blood pressure less than 140 90 mmHg NQF 0081 PQRI 5 Heart Failure HF Angiotensin Converting Percentage of patients aged 18 years and older al Enzyme ACE Inhibitor or Angiotensin Receptor with a diagnosis of heart failure and LVSD LVEF Blocker ARB Therapy for Left Ventricular less than 40 who were prescribed ACE Systolic Dysfunction LVSD inhibitor or ARB therapy Ischemic Vascular Disease IVD Complete Lipid Percentage of patients 18 years of age and Panel and LDL Control older who were dischar
89. 015 Program Year 201400 MAPIR User Guide for Eligible Professionals If all measures were entered and saved a check mark will display under the Completed column for the topic as displayed in the example below You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic click Clear All to clear all topic information you entered or click Begin to start the next topic Name Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started RB amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningtul Use Measures The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Comp
90. 09 15 PM If you answered Yes to Was the test successful you must answer the following Was a follow up submission done Yes No Previous Reset Save amp Continue February 2015 107 MAPIR User Guide for Eligible Professionals Stage 1 After you enter information for a measure and click Save amp Continue you will return to the Meaningful Use Menu Measure Worksheet The information you entered for that measure will be displayed in the Entered column of the table as shown in the example below You can continue to edit the measures at any point prior to submitting the application Click Edit for the next measure Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Mean ngful Use Measures Mean ngful Use Menu Measure Worksheet To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list Measure Number EPMMUO1 Implement drug formulary checks The EP has enabled this functionality and has access to at least one internal or external drug formular
91. 1 CPOE for Medication Orders Original i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Use computerized provider order entry CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure More than 30 of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR Technology This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology EXCLUSION Any EP who writes fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Yes No If the exclusion does not apply to you please complete the following information Numerator
92. 1L More than 30 of all unique Pe a Use computerized provider order entry CPOE patients with at least one 55 i for medication orders directly entered by any medication in their a pa licensed healthcare professional who can enter medication list seen by the n tana All orders into the medical record per state local EP have at least one ig nde a and professional guidelines medication order entered 65 ag using CPOE m ee r l The EP has enabled this Implement drug drug and drug allergy functionality for the oad yi r N A interaction checks EMR reporting period EPCMUO2 February 2015 271 MAPIR User Guide for Eligible Professionals This is screen 2 of 5 of the Meaningful Use Measures Summary EPCMUO3 EPCMUO4 EPCMUOS EPCMUO6 EPCMUD EPCMUO08 EPCMUO9 EPCMU11 EPCMU12 EPCMU13 EPCMU15 272 Maintain an up to date problem list of current and active diagnoses Generate and transmit permissible prescriptions electronically eRX Maintain active medication list Maintain active medication allergy list Record all of the following demographics Preferred language Gender Race Ethnicity Date of birth Record and chart changes in the following vital signs Height Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children including BMI Record smoking status for patients 13 years old or older Implement one cl
93. 2015 Stage 1 MAPIR User Guide for Eligible Professionals Screen 4 The following Meaningful Use Menu Measures use this screen layout Menu Measures 4 6 and 7 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year Program Year 2014 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation ij Review Submit Attestation Meaningful Use Measures Menu Measure 4 Patient Reminders Click HERE for additional information on completing this measure Red asterisk indicates a required field Objective Send reminders to patients per patient preference for preventive follow up care Measure More than 20 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR technology This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology EXCLUSION If an EP who has no patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology is excluded from this requirement Exclusion from this requirement does not prevent an EP from a
94. 5 PQRI 72 NQF 0389 PQRI 102 NQF 0055 PQRI 117 NQF 0062 PQRI 119 NQF 0056 PQRI 163 NQF 0074 PQRI 197 NQF 0084 PQRI 200 NQF 0012 NQF 0014 and NQF 0575 Name Dr Medicaid Provider Applicant NPI 9999990999 Personal TIN SSN 999999995 Payee TIN 33034493 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Additional Clinical Quali i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field NOF 0059 PQRI 1 Title Diabetes Hemoglobin Alc Poor Control Description Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had hemoglobin Alc greater than 9 0 Complete the following information All data entered must be a positive whole number Numerator 38 Denominator 76 Exclusion 2 264 February 2015 Program Year 2014 TT MAPIR User Guide for Eligible Professionals Screen 2 The following Additional Clinical Quality Measures use this screen layout Additional Clinical Quality Measures NQF 0043 PQRI 111 NQF 0031 PQRI 112 NQF 0002 PQRI 66 NQF 0073 PQRI 201 NQF 0068 PQRI 204 NQF 0001 PQRI 64 NQF 0018 NQF 0032 and NQF 0052 Name Dr Medicaid Provider
95. 62801 Personal TIN SSN i Payee TIN Dire Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit In this section of MAPIR you will need to attest to various participation requirements including your EHR system adoption phase and payment designation There are 3 parts in the Attestation Section In Part 1 of 3 You will be asked to provide information about your EHR System Adoption Phase Adoption phases include Adoption Implementation Upgrade and Meaningful Use In Part 2 of 3 If you selected implement or upgrade in Part 1 of 3 you will need to describe whether tasks are Planned In Progress or Complete In Part 3 of 3 If you assigned your payment when you registered with the R amp A System then you will need to confirm that the assignment was voluntary You will also need to confirm the address of the payee that you designated Once your attestation is complete you will go to the Review tab You stil have the opportunity to review and revise your application until you submit Please refer to the Provider Manual for Eligible Providers EPs for additional guidance on adopt implement upgrade and meaningful use at Eligible Professional User Manual Tecan gt February 2015 65 MAPIR User Guide for Eligible Professionals Attestation Phase Part 1 of 3 Attestation Phase Part 1 of 3 The Attestation Phase Part 1 of 3 screen asks for the EHR System A
96. 67890 Personal TIN 999999999 When ready click the Sign Electronically button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point 186 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals This screen depicts the signature screen for a Preparer on behalf of the provider As the preparer of this application on behalf of the provider please attest to the accuracy of all information entered Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit E Application Submission Part 1 of 3 Payee TIN 999999999 Please answer the following questions When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Provider Preparer ve amp Continue February 2015 187 MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application As the preparer of this application on behalf of the provider please attest to the accuracy of all information entered
97. 9 Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Phase Part 1 of 3 Please select the appropriate EHR System Adoption Phase When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Adoption You are acquiring certified EHR Technology Implementation You are installing certified EHR Technology Upgrade You are expanding functionality of certified EHR Technology Meaningful Use You are capturing mpaningful use measures using a certified EHR technology at locations where at least 50 of patient encounters are pre Reset Save amp Continue gt 76 February 2015 Meaningful Use Phase MAPIR User Guide for Eligible Professionals Select an EHR System Adoption Phase for reporting Meaningful Use of certified EHR technology The selections available to you will depend on the Program Year you are in If you are in Program Year 2014 you must attest to Meaningful Use 90 days therefore the Meaningful Use Full Year option will not display The screen below is an example of this scenario If you are in Program Year 2015 or higher and have previously attested to Adoption Implementation or Upgrade you may attest to Meaningful Use 90 days or Meaningful Use Full Year If you are in Program Year 2015 or
98. 999900999 Personal 999999999 Payee TIN 999999999 TIN SSN y Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Patient Volume Individual Part 3 of 3 CO has the following information on the locations in which you practice Please select the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or site that is not listed click Add Location When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Medicaid Patient Utilizing Certified Available Volumes EHR Technology Provider ID Location Name Address A an a Must Select One Must Select One No ee ee 123 First Street 999999909999 Doctor Office N A New Location 123 Main Street Anytown AL 12345 42 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals Click Begin to proceed to the screens where you will enter patient volumes Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN eo Payee TIN ei Payment Year Program Year 2014 1 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Review Submit You will now enter patien
99. 999999999 Program Year 7014 Payment Year Get Started R amp A Contact Info Eligibility Patient Volumes O Attestation Attestation Meaningful Use Measures Review Submit Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures COMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return ompleted Topics Progress General Requirements Core Measures Menu Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure COM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear All button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked a
100. AFIA POF ovirmouts or repost Mom the cectites EHA tecmmology supporting S out of 66 CQMs sttestes to in MAFIA Screenshots are NOT acceptabdic Oe MU State Testing Ceti cate MUST Aonta Immurization Test Pupic heann Mes wns use Measure exciusion letter f aoolicapie Security Risk Analyst Prepayment Checkiict this pana to the starting poine To upload a Sie type the SU path or click the Browse Dutton Pies must de in 8 pc 0s Osx doz OF doc format sna no greater than 10 MB in ste File name must be less than or equal to 100 characters File Location C Documentsandsettings MAPIR File Upload pdf Browse C Upload File gt Previous Reset Save amp Continue 182 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals Note the File has been successfully uploaded message Review the uploaded file list in the Uploaded Files box If you have more than one file to upload repeat the steps to select and upload a file as many times a necessary All of the files you uploaded will be listed in the Uploaded Files section of the screen The Upload Files screen may also display files that were uploaded by an Administrative User and made available for you to view To view the uploaded file click View in the Available Actions column To delete an uploaded file click Delete in the Available Actions column If a file is uploaded by an Administrative User you will not have
101. Attestation E Review Attestation Meaningful Use Measures Core Measure 3 Record Demographics i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Record the following demographics preferred language sex race ethnicity date of birth Measure More than 80 percent of all unique patients seen by the EP have demographics recorded as structured data Numerator The number of patients in the denominator who have all the elements of demographics or a specific notation if the patient declined to provide one or more elements or if recording an element is contrary to state law recorded as structured data Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator Denominator February 2015 125 MAPIR User Guide for Eligible Professionals Screen 4 The following Meaningful Use Core Measure uses this screen layout Core Measure 4 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year J3 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Measure 4 Record Vital Signs i Clic
102. Available Volumes EHR Technology Provider ID Actions Must Select One Must Select One 123 First Street _ Anytown PA 12345 1234 Doctor Office Reset Save A Continue 52 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals If you clicked Add Location on the previous screen you will see the following screen Enter the requested practice location information Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider g Applicant NPI 9999999999 Personal 999999999 TIN SS SSGG99065 N SSN Payee TIN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Review Patient Volume FQHC RHC Individual Part 3 of 3 Please provide the information requested below to add a location to MAPIR for this Payment Incentive Application use only When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Location Name7 New Location Address Line 1 123 Main Street Address Line 2 Address Line 3 City Anytown State Alabama Zip 5 4 4 12345 February 2015 53 MAPIR User Guide for Eligible Professionals Patient Volume FQHC RHC Individual For each location c
103. Contact Info section Note the check box located in the R amp A Contact Info tab You can return to this section to update the Contact Information at any time prior to submitting your application Click Continue to proceed to the Eligibility section Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 TIN SSN Payment Year 1 Program Year 2011 Payee TIN 999999999 Get Started R amp A Contact Info Eligibility E Patient Volumes Attestation Review You have now completed the R amp A Contact Information section of the application You may revisit the section at any time to make the corrections until such time as you actually Submit the application The Eligibility section of the application is now available Before submitting your application please review the information that you have provided in this section and all previous sections 30 February 2015 Step 3 Eligibility MAPIR User Guide for Eligible Professionals Step 3 Eligibility The Eligibility section will ask questions to allow the Connecticut Medicaid program to make a determination regarding your eligibility for the Medicaid EHR Incentive Payment Program You will also enter your required CMS EHR Certification ID The initial Eligibility screen contains information about this section Click Begin to proceed to the Eligibility Questions Part 1 of 2 Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN al Payee TIN ee
104. Enter your Preparer Name and Preparer Relationship to the provider Click Sign Electronically to review your selection or click Previous to return Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit E Application Submission Part 7 of 7 Payee TIN 999999999 As the preparer of this location on behalf of the provider please attest to the accuracy of all information entered and to the following This is to certify that the foregoing information is true accurate and complete State specific text to support the attestation Red asterisk indicates a required field Electronic Signature of Preparer Preparer Name Professional Preparer Preparer Relationship Preparer When ready click the Sign Electronically button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Reset sign Electronically gt 188 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals After electronically signing the application MAPIR determines if the Meaningful Use attestation data you attested to is accepted or rejected If your Meaningful Use attestation data is rejected the following screen will display If y
105. I 9999999999 Personal TIN SSN 9999999009 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures _ Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures CQMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Progress General Requirements Menu Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure COM set can be completed If you would like to switch to a different CQM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear Al button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Cli
106. ITY MEASURES As part of the Meaningful Use attestation Eligible Professionals EPs are required to complete six Clinical Quality Measures three Core or Alternate Core measures and three Additional The EP must report results for up to three Alternate Core Measures if the EP reports a zero for the Core Measure denominator The EP must report a minimum of three Additional Clinical Quality Measures The data for these measures must be obtained directly from the certified EHR system If a Clinical Quality Measure does not apply to the EP the EP would not have any eligible patients or actions for the Additional Measure denominator The EP should select the measures that best apply to the EP s scope of practice The following screens will allow you to attest to the Additional Clinical Quality Measures HELPFUL HINTS The Clinical Quality Measures can be completed in any order by selecting the Begin button For Clinical Quality Measures with multiple numerators and denominators all fields must be completed for the Clinical Quality Measure to be validated A provider may enter a zero if it is applicable to the measure You may review the completed measures by selecting the Edit button After completing the required number of Core Clinical Quality Measures a green checkmark is displayed indicating the section is complete More information about the Clinical Quality Measures is available at https www cms gov apps ama license
107. Limka None af Ghis tine Providers wil not be able to select the Stage Adepton Implementaton Upgrade or Meaningful Use staga EHR reporting pernod from the M4PIR dashboard Linco None at fhe ome Stage 1 A aap en Meaningful Use Submitted 2014 8 500 00 siege al velo 7 70 Days application For an appiceton m a Wot Started status provaters wel Select She Stage ar attesteoon by Soepctnng fhe Appircation and chong Continwne The MAPIR Dashboard displays the Stage on previously submitted applications 194 February 2015 Post Submission Activities MAPIR User Guide for Eligible Professionals The screen below shows an application in a status of Completed You can click the Review Application tab to review your application however you will not be able to make changes If your application is in a Submitted Pended for Review or a Completed status you will have the option to upload additional documentation on the Document Upload tab however if your application is not in one of the statuses previously mentioned the Document Upload tab will not display JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 646660046 Payee TIN meeen Payment Year 1 Program Year Current Status Review Application Document Upload Name Welcome to Connecticut s Medical Assistance Provider Incentive JEREMY MAPIR Repository MAPIR A few key points to assist you in navigating MAPIR as you complete Applicant NPI 2011062801 the registration
108. Lipoprotein LDL Management Clinical Process Effectiveness Ischemic Vascular Disease IVD Use of Aspirin or Another Clinical Process Effectiveness Antithrombotic 165 v3 Controlling High Blood Pressure Clinical Process Effectiveness S167 v3 Diabetic Retinopathy Documentation of Presence or Clinical Process Effectiveness Absence of Macular Edema and Level of Severity of Retinopathy Bipolar Disorder and Major Depression Appraisal for alcohol Clinical Process Effectiveness or chemical substance use S182 v4 Ischemic Vascular Disease IVD Complete Lipid Panel and Clinical Process Effectiveness LDL Control S129 v4 Prostate Cancer Avoidance of Overuse of Bone Scan for Efficient Use of Healthcare Resources Staging Low Risk Prostate Cancer Patients Appropriate Testing for Children with Pharyngitis Efficient Use of Healthcare Resources S154 v3 Appropriate Treatment for Children with Upper Respiratory Efficient Use of Healthcare Resources Infection URI S166 v4 Use of Imaging Studies for Low Back Pain Efficient Use of Healthcare Resources S56 v3 _ Functional status assessment for hip replacement Patient and Family Engagement S66 v3 Functional status assessment for knee replacement Patient and Family Engagement S90 v4 Functional status assessment for complex chronic Patient and Family Engagement conditions CMS157 v3 Oncology Medical and Radiation Pain Intensity Patient and Family Engagement Quant
109. MAPIR User Guide for Eligible Professionals Medical Assistance Provider Incentive Repository Connecticut Department of Social Services Making a Onrfference User Guide For Eligible Professionals February 2015 i MAPIR User Guide for Eligible Professionals Document Control Revision History Version pate __ Modiied by contrar _ Revision Description _ Version Modified By Control Revision Description va fm _ tat ne Menuai va revo aan va anaaoe Pm Sota va errno meee r a eee Efe r mS pornos Sm e a ce E References MAPIR Detailed Requirements and Specifications HP 2 5 2011 2 0 Document MAPIR Technical Specifications Release A 3 2 2011 1 1 li February 2015 MAPIR User Guide for Eligible Professionals Table of Contents Introduction to Connecticut Medicaid EHR Incentive Progralm cccscscscssssccccsccccccccccecscscscscscscscsceces 1 Purpose of the Eligible Provider User Guide scasscvconcdedsnciecodvansatousscavtuusasastonaisundsaeuaueesdseguancsauuabed neasouedsessavekvartenbayeenest 1 Whois elebe cleats ces suet wht scrie acl ad ula ca ealealelaasid vad nas T dead onions 1 Overview of the EAR Incentive Program PROCESS osissa sarsaeeerobelued sos auvineedoniueveossiunchodeddad sanmateveadanaws 2 Patent Voume Calc Ula LION xcdenshars staat ccasceennoacenekiadas samnoets bonauees sa Mince pau acthaueneeee r ea nateaeusaded 4 Provider incentive Payment Sarreren oina A a A tdi
110. Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process T O O O O O OOOO TmT d Save amp Continue b February 2015 147 MAPIR User Guide for Eligible Professionals Stage 2 This screen displays a summary of all entered meaningful use attestation information Review the information for each measure If further edits are necessary click Previous to return to the Measures Topic List where you can choose a topic to edit If the information on the summary is correct click Save amp Continue to proceed to Part 3 of 3 of the Attestation Phase Name Dr Medicaid Provider Applicant NPI Personal TIN SSN 999999999 Payee TIN Payment Year 2 Program Year Patient Volumes Attestation E Eligibility Get Started R amp A Contact Info Attestation Meaningful Use Measures entered is correct Meaningful Use General Requirements Review Review 9999999999 999999999 2014 Submit The Meaningful Use Measures you have attested to are depicted below Please review the current information to verify what you have Please demonstrate that at least 50 of all your encounters occur in a location s where certified EHR technology is being utilized Please demonstrate that at least 80 of all unique patients have their data in the certified EHR
111. Measures Objectives have been selected even if an exclusion applies to all of the menu measure objectives that are selected Measure EPMMUO1 Implement drug formulary checks The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Incorporate clinic lab test results into EHR as More than 40 of all clinical lab test results structured data ordered by the EP during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data Generate lists of patients by specific conditions to Generate at least one report listing patients of the use for quality improvement reduction of EP with a specific condition EPMMUO4 Send reminders to patients per patient preference More than 20 of all unique patients 65 years or for preventive follow up care older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period Provide patients with timely electronic access to At least 10 of all unique patients seen by the EP their health information including lab results are provided timely available to the patient within problem list medication lists and allergies within 4 four business days of being updated in the certified business days of the information being available to EHR technology electronic access to their health the EP information s
112. Measures Summary screen on the following page Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN oo9999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation m Review Submit Attestation Meaningful Use Measures Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures CQMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Progress Action General Requirements Core Measures Menu Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure CQM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear All button is selected Clinical Quality
113. N 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful Use Clinical Quality Measure Worklist Table Please Note Clinical quality measures are sorted by Domain category and then by Measure Number clinical Quality Measure list Table Measures ome Domom selection Closing the referral loop receipt of specialist report sova HIV AIDS Pneumocystis jiroveci pneumonia PCP Clinical Process Effectiveness Prophylaxis CMS61 v4 Preventive Care and Screening Cholesterol Fasting Low Clinical Process Effectiveness Density Lipoprotein LDL C Test Performed CMS62 v3 HIV AIDS Medical Visit Clinical Process Effectiveness CMS64 v4 Preventive Care and Screening Risk Stratified Cholesterol Clinical Process Effectiveness Fasting Low Density Lipoprotein LDL C CMS65 v4 Hypertension Improvement in blood pressure Clinical Process Effectiveness om Primary Caries Prevention Intervention as Offered by ee Primary Care Providers including Dentists S75 v cieren who ave dental decay or cavtes cinica process etecsveness esr va__ MIV AIDS RNA control for Patents wih IV___ ialProcessefectveness 5122 va Dabetes Hemoglobin Arc Poor Gontol _ _ al Processefectveness B estas va pases roren i Prceseeectvenens B ensiaeva conica concer sereen OOOO onerose estas va ant
114. NGFUL USE MENU SET MEASURES Stage 1 As part of the meaningful use attestation process Eligible Professionals EPs are required to complete 5 out of 9 Menu Set Measures in Stage 1 5 out of 10 Menu Set Measures for 2013 MU Stage 1 HELPFUL HINTS 1 The Menu Measures can be completed in any order by selecting the Begin button 2 For more details on each measure select the click here link at the top of each screen 3 You may review the completed measures by selecting the Edit button Measure results do not round up For example a numerator of 199 and a denominator of 1000 Is 19 Results are only displayed in whole numbers Measures that require a result of greater than a given percentage 0 must be more than that percentage 9 to pass For example in a measure requiring a result of greater than 10 a result of 10 1 will pass but a result of exactly 10 0 would not pass After completing the required number of menu measures you will receive a checkmark indicating the section is complete The checkmark does not mean you passed or failed the measures Evaluation of MU measures are made after the application is submitted To return to the Attestation Meaningful Use Measures selection screen select the Return to Main button at the bottom of the page February 2015 97 MAPIR User Guide for Eligible Professionals Stage 1 From the Meaningful Use Menu Measures Selection screen displayed on the following pa
115. Number of lab test results whose results are expressed in a positive or negative affirmation or as a number which are incorporated as structured data Denominator Number of lab tests ordered during the EHR reporting period by the EP whose results are expressed in a positive or negative affirmation or as a number Numerator 40 Denominator 63 Seve amp Continus ee 232 February 2015 Program Year 2014 0 MAPIR User Guide for Eligible Professionals Screen 3 The following Meaningful Use Menu Measures use this screen layout Menu Measure 3 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN aagagcaaq Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 3 Ocick HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Measure Generate at least one report listing patients of the EP with a specific condition PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL pati
116. OS EPCMUO4 EPCMUOS EPCMU06 EPCMUO EPCMU08 February 2015 Use computerized provider order entry CPOE for medication laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Generate and transmit permissible prescriptions electronically eRx Record the following demographics preferred language sex race ethnicity date of birth Record and chart changes in the following vital signs Height Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children including BMI Record smoking status for patients 13 years old or older Use clinical decision support to improve performance on high Provide patients the ability to view online download and transmit their health information within four business days of the information being available to the EP Provide clinical summaries for patients for each office visit More than 60 percent of medication 30 percent of laboratory and 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using CPOE More than 50 percent of all permissible prescriptions or all prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT More than 80 percent of all unique patients seen by the EP have demog
117. PIR User Guide for Eligible Professionals Patient Records All Patient Records All Patient Records All Additional Information See below for additional information 115 MAPIR User Guide for Eligible Professionals Stage 1 This is screen 3 of 4 of the Meaningful Use Measure Review Meaningful Use Clinical Quality Measure Review Entered Numerator 25 Denominator 100 Performance Rate Closing the referral loop receipt of CMSS0 v3 Care Coordination specialist report Stratum 1 Numerator 1 34 Denominator 1 100 Performance Rate 1 Exception 1 3 Stratum 2 Numerator 2 45 CMS52 w3 pneumonia PCP Prophylaxis Denominator 2 123 Performance Rate 2 Exception 2 5 Stratum 3 Numerator 3 45 Denominator 3 100 Performance Rate 3 Stratum 1 Numerator 1 23 Denominator 1 102 Performance Rate 1 Exclusion 1 4 Exception 1 12 Stratum 2 Numerator 2 34 Denominator 2 105 Performance Rate 2 Exclusion 2 5 Exception 2 12 Preventive Care and Screening Cholesterol Fasting Low Density CMS61 w4 Clinical Process Effectiveness Lipoprotein LDL C Test Performed Stratum 3 Numerator 3 54 Denominator 3 100 Performance Rate 3 Exclusion 3 7 Exception 3 14 Numerator 23 Denominator 101 Performance Rate 4 Exclusion 5 CMS125 v3 Clinical Process Effectiveness Bess ae Sere Stratum 1 Numerator 1 12 Denominator 1 67 Perfor
118. Previous to go back Click Reset to restore the panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal GS9995999 e 999990999 TIN SSN Payee TIN Payment Year 1 Program Year 2011 Application Submission Part 1 of 2 Please answer the following questions When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field By checking the box you are indicating that you have reviewed all information that has been entered into MAPIR as aehiayed on the Review panel Jate completing this application as the actual provider or as a preparer on behalf of the provider Provider Preparer ve amp Continue 184 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals This screen depicts Provider selection Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore the panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit E Application Submission Part 1 of 2 Payee TIN 999999999 Please answer the following questions When ready click the Save amp Co
119. Professionals Step 7 Submit Your Application Check the file name in the file name box Click Upload File to begin the file upload process pomcation Submission Part i of 2 You will Now De asxes to upload any SocuTm esto TRS you wish to Srovice as ver cation Or the information eteres In MASIR You may upicas mutige Mies Pie Usicec You wil De requires to upices documentation supporting you Sttesteation les must Se ina oc L as SK Goc OF docx Orma and no greater tren 10 MB The Slowing is 8 Est Of documentation recure ess Documentation required for A I U of Certified EHR Technology e CMS Ceti cation SA ID Cat pege 2014 ection showing Ceti cation ID anc cetita BR procuct s wees ts Must come fom tne Cetites Heatn IT Procuct List CPL wenste e invoices Purcnase Orders Or Cetites Bectrove eatn Recors Tecnology CEHRT e Licence Agreet et with two signatures e Socu e TATION supsoting Satie t volume caicuistions e g Practice Manacetm et System reports EXCEL format preferred ee ee ee Seenarmanace e Oeste cart e Meccaic ID where spontane In addition to the above Rems EP s attesting to Meaningful Use MU must aiso submit the following supporting documentation Sesnoces scree s cts omittouts Of reports fom the cecti es EHA tecnnciogy supsoting a Core measures attested to in MAFIA Sasnoces screens ots O imouts of reports fom the cetites EA tecmnciogy supSocting SI Menu measures Sttestes to in M
120. Program Switch incentive application on the Medicaid EHR Incentive Program Participation Dashboard you may need to enter a delay reason Proceed to page 207 of this guide If you have a State to State Switch or Program Switch incentive application that does not require a delay reason delay reasons only apply for Program Year 2014 incentive applications proceed to page 26 February 2015 19 MAPIR User Guide for Eligible Professionals Step 1 Getting Started Medicaid EHR Incentive Program Participation Dashboard Red asterisk indicates a required field Application e ee 47 E a Stage Status Payment Year Program Year Incentive Amount Available Actions Stage 1 Select the Meaningful niata reer Continue button Use Full Completed 14 167 00 to view this Year application a Future Unknown None at this time Select the Continue button to process this Stage 1 Incomplete 2 Unknown application or click to eliminate all progress Continue Note The state of Connecticut allows a grace period of 90 days after the calendar year end to allow eligible professionals to submit their attestation for a specific Program Year If two applications are Showing for the same Payment Year but different Program Years one of your incentive applications is in the grace period In this situation the following message will display at the bottom of the screen You are in the grace period for program year lt Yea
121. Reset Save amp continua eee ee The 3 available Alternate Core Clinical Quality Measures are described in this user guide Only those that you selected will apply to you The screen on the following page displays the Meaningful Use Alternate Core Clinical Quality Measure Worklist Table which lists the measures you chose to attest to on the previous screen 248 February 2015 Program Year 2014 TC MAPIR User Guide for Eligible Professionals Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for the measure or click Return to Selection List to return to the Meaningful Use Alternate Core Clinical Quality Measures Selection screen Or Medicaid Provider Name Applicant NPI 9999990595 Personal TIN SSN 777723999 Payee TIN 399999999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaninatul Use Measures Meaningful Use Alternate Core Clinical Quality Measure Worklist Table To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main attestation topic
122. S information have been matched and you can begin the application process The Status will vary depending on your progress with the application The first time you access the system the status should be Not Started For more information on statuses refer to the Additional User Information section later in this guide February 2015 21 MAPIR User Guide for Eligible Professionals Step 1 Getting Started Enter the 15 character CMS EHR Certification ID Click Next to review your selection Click Reset to restore this panel back to the starting point Click Exit to exit MAPIR The system will perform an online validation of the CMS EHR Certification ID you entered A CMS EHR Certification ID can be obtained from the Office of the National Coordinator ONC Certified Health IT Product List CHPL website http onc chpl force com ehrcert JEREMY MAPIR Applicant NPI Tf you are attesting to a Meaningful Use option that amp different from what you were scheduled for you will be required to supply one of more delay reasons on the next screen Note If you are attesting to Adopt Implement or Upgrade you must be adopting implementing of upgrading to a 2014 certified edition If you are attesting to Meaningful Use please enter the certification number you had dunng your EHR reporting pered Your certification number must be based on the edition of Certified Gectronk Health Record Technology that you are attesting to For exampl
123. SpecSheet TableContents EPs pdf Clinical Quality Measures In addition to meeting the thresholds for the core and menu objectives all eligible professionals have to report on Clinical Quality Measures Here is a link to the CMS Additional Information Regarding Clinical Quality Measures for 2014 EHR Incentive Programs http www cms gov Requlations and Guidance Leagislation EHRIncentivePrograms Downloads EP MeasuresTable Posting COMs pdf Attestations and Audits CMS requires states to ensure that payments are being made to the right person at the right time for the right reason In order to receive an incentive payment eligible professionals will be attesting to among other things whether they are using a certified EHR demonstrating adopting implementing or upgrading AIU certified EHR technology demonstrating meaningful use etc States will be required to look behind provider attestations which will require audits both pre and post pay CMS believes a combination of pre payment and post payment reviews will result in accurate payments and timely identification of overpayments All information submitted in the MAPIR application is subject to review Applicants have the option to Submit additional information e g copies of receipts contracts and other documentation related to adopt implement and upgrade as part of the application process by uploading the documentation directly into the MAPIR application or by email
124. The Edit and Delete options are not available for locations already on file Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999099 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation F Review Submit Patient Volume FQHC RHC Group Payee TIN 999999999 CO has the following information on the locations in which you practice technology If you wish to report patient volumes for a location or site that is not listed click Add Location You must select at least one location for utilizing certified EHR technolo When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Utilizing Certified EHR Technology Must Select One Available Actions asa 123 First Street octor UITIce Anytown PA 12345 1234 New Location 123 Main Street Anytown AL 12345 60 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals This screen gives details about the definition of a group clinic and the encounter data that would qualify towards patient volume If electing to use the group clinic
125. The number of patients in the denominator that have at least one medication order entered using CPOE Denominator Number of unique patients with at least one medication in their medication list seen by the EP during the EHR reporting period Numerator Denominator Previous Reset Save amp Continue 90 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Screen 2 The following Meaningful Use Core Measures use this screen layout Core Measures 2 10 and 13 Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 9990999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation m Submit Attestation Meaningful Use Measures Core Measure 2 Drug Interaction Checks click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Implement drug drug and drug allergy interaction checks Measure The EP has enabled this functionality for the entire EHR reporting period Complete the following information Have you enabled the functionality for drug drug and drug allergy interaction checks for the entire EHR reporting period Yes No Previous Save amp Continue February 2015 91 MAPIR User Guide for Eligi
126. Use Menu Measures use this screen layout Menu Measure 1 Or Medicaid Provider Name Applicant NPI 9999996995 Personal TIN SSN 999999099 Payee TIN 3393993243 Program Year 2012 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 1 i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Implement drug formulary checks Measure The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period EXCLUSION Based on ALL patient records Any EP who writes fewer than 100 prescriptions during the EHR reporting period can be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you D Yes No If the exclusion does not apply please complete the following information Have you enabled the drug formulary check functionality and did you have access to at least one internal or extengal drug formulary for the entire EHR reporting period Yes No ee _ Reset Save amp Continue February 2015 231 MAPIR User Guide
127. a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Action General Requirements Core Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure COM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previousiy entered information will be cleared once the Clear All button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Save amp Continue 96 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Meaningful Use Menu Measures This initial screen provides information about the Meaningful Use Menu Measures for Stage 1 Click Begin to continue to the Meaningful Use Menu Measures Selection screen Name JEREMY MAPIR Applicant NPT 2011062801 Personal TIN SSN a Payee TIN i Payment Year Program Year 2014 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation O ayie Submit MEANI
128. ab If the exclusions do not apply please answer the following question Did you perform at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test was successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically Enter the name of the immunization registry used Immunization Reg IF you performed at least one test of EHR submission of electronic data to immunization registries Was the test successful Yes Wo If the test was successful please enter the date and time of the test Date MM DD YY 02 15 12 Time HH MM AM PM 12 15 PM Example 09 15 PM If you answered Wes to Was the test successful you must answer the following Was a follow up submission done Yes No Save R Continue 9 Program Year 2014 If Exclusion 1 and or Exclusion 2 apply to you select Yes and do not answer the EHR technology question Click Save amp Continue to review your selection click Previous to go back or click Reset to restore this panel to the starting point Once you attested to all the measures for this topic click Return to Selection List to return to the Meaningful Use Menu Measure Selection screen 236 February 2015 Program Year 2014 TT MAPIR User Guide for Eligible Professionals Name Dr Medicaid Provider Applicant NPI
129. after a modification You must choose Submit Registration at the R amp A after you have reviewed and confirmed the information is correct Please allow 24 to 48 hours after saving your registration at the R amp A before accessing your EHR Medicaid Incentive application If you have successfully completed the CMS R amp A registration please contact ctmedicaid ehr hp com for assistance Should the R amp A report your registration Registration in Progress and an application be incomplete or under review following the application submission MAPIR will send an email message reporting that such notification has been received if a valid email address was provided by either the R amp A or by the provider on the incentive application in MAPIR Please allow at least two days from the time you complete your federal registration changes before accessing MAPIR due to the necessary exchange of data between these two systems Identify one individual to complete the MAPIR application MAPIR is accessed via the secure provider portal through the Connecticut Medical Assistance Program s secure provider Web portal at www ctdssmap com You need an ID and PIN to log onto the secure site If you do not have a logon ID and or PIN please contact HP Enterprise Services at 1 855 313 6638 The individual who sets up the secure account is the main account administrator and can set up subordinate ID s to allow for third party attestation Once an individua
130. aid program There is no minimum number of patient encounters Patient volume calculations can include managed care encounters and dual Medicaid Medicare eligible encounters Note HUSKY B patients in Connecticut are a part of a separate Children s Health Insurance Program CHIP and do not count toward the Medicaid patient volume although they do count toward the needy individuals patient volume Exceptions EPs that practice predominantly at a Federally Qualified Health Center FQHC or a Rural Health Clinic RHC have different criteria see Figure 2 below for additional details Pediatricians have special rules and are allowed to participate with a reduced eligible patient volume threshold 20 percent instead of 30 percent If pediatricians have greater than 20 percent but less than a 30 percent eligible patient volume their annual incentive cap is reduced to 2 3 Pediatricians who achieve 30 percent eligible patient volume are eligible to receive the full incentive amount for which they qualify Figure 2 Patient Volume Thresholds per the CMS Final Rule Provider Type Requirements Threshold Eligible Professionals Can use encounters from multiple locations MAPIR will EPs Applying as oe ee 2 i ae PP yng provide information for each location with Medicaid claims or Individuals i l provider enrollment data Numerator Includes totals for the entire group Will require use of the group NPI s for verification The group volu
131. ain button to access the main attestation topic list NOF 0013 Hypertension Blood Percentage of patient visits for patients aged 18 Numerator 55 Pressure Measurement years and older with a diagnosis of hypertension Denominator 100 who have been seen for at least 2 office visits with blood pressure BP recorded NOF 0028 PORI 114 Preventive Care a Tobacco Use Assessment a Numerator 16 and Screening Measure Pair Description Percentage of patients aged 18 years Denominator 32 and older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months b Tobacco Cessation Intervention b Numerator 8 Description Percentage of patients aged 18 years Denominator 16 and older indentified as tobacco users within the past 24 months and have been seen for at least 2 office visits who received cessation intervention NQF 0421 PQRI 128 Adult Weight Percentage of patients aged 18 years and older Numerator 1 35 Screening and Follow up with a calculated BMI in the past six months or Denominator 80 during the current visit documented in the medical Exclusion 10 record AND if the most recent BMI is outside parameters a follow up plan is documented Numerator 2 20 Denominator 0 Exclusion 5 February 2015 245 MAPIR User Guide for Eligible Professionals Program Year 2014 If all measures were entered and saved a check mark will display under the Completed column for
132. alculation Information not used will be reviewed by Connecticut Medicaid program to assist with determining your eligibility The specific formula for each practice type percentage calculation is listed within the section for that practice type The table below directs you to the page number in this guide to provide details for completing this section Practice Type Individual Group FQHC RHC Individual FQHC RHC Group Federally Qualified Health Center Rural Health Clinic February 2015 39 MAPIR User Guide for Eligible Professionals Patient Volume Individual Patient Volume Individual The following pages will show you how to apply for the EHR Incentive program as an Individual provider If you are not applying as an Individual provider refer to the table on page 39 for more information about your practice type Practice locations MAPIR will present a list of locations that Connecticut Medicaid program office has on record If you have additional locations you can add them Once all locations are added you will enter the required Patient Volume information Add new locations by clicking Add Location Dr Medicaid Provider r Applicant NPI 9999999999 Personal 999999999 Payee TIN 999999999 TIN SSN Payment Year Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E i Review Patient Volume Individual Part 3 of 3 CO has the following information on the locations i
133. ality Measures you selected on the previous screen Click Edit to enter or edit information for the measure or click Return to return to the Meaningful Use Clinical Quality Selection screen Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Name Dr Medicaid Provider Applicant NPI 999999099909 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Eligibility Patient Volumes Attestation E Review Submit Get Started R amp A Contact Info Meaningful Use Clinical Quality Measures To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return button to access the main attestation topic list Meaningful Use Clinical Quality Measure List Table CMS50 w3 Closing the referral loop receipt of Care Coordination gt specialist report CMSS52 v3 pneumonia gt PCP Prophylaxis _ Proc ess Effec tiveness nian CMS61 w4 Preventiwe Care and Screening Clinical Cholesterol Fasting Low Density Process Effectiveness Lipoprotein LDL C Test Performed CMS125 v3 Breast Cancer Screening Clinical Process Effectiveness CMS126 v3 Use of Appropriate Medications for Asthma CMS127 v3 Pneumonia Vaccination Status
134. als If all measures were entered and saved a check mark will display under the Completed column for the topic You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic click Clear All to clear all topic information you entered or click Begin to start the next topic Name Dr Medicaid Provider g Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year i Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics General Requirements Menu Measures You are required to answer all three 3 Core Clinical
135. ame Personal TIN SSN 999999999 Payment Year u Applicant NPI Payee TIN Program Year Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry Meaningtul Use Core Measures of measures will be retained if your session is terminated 9999999999 999999999 2014 Review Submit When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list ful Use Core Measure List Table Number EPCMUO1 EPCMUO02 Implement drug drug and drug allergy interaction checks EPCMU0O7 EPCMU08 EPCMUO9 EPCMU1i0 EPCMU11 EPCMU12 EPCMU13 February 2015 Use computerized provider order entry CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Maintain an up to date problem list of current and active diagnoses Generate and transmit permissible prescriptions electronically e RX Maintain active medication list Maintain active medication allergy list Record all of the following demographics Preferred language Gender Race Ethnicity Date of birth Record and chart changes in the following vital signs Height Weight Blood pressure
136. amp A e CMS EHR Certification Number and e Email contact information Once successful R amp A registration is completed no changes will need to be made at the CMS R amp A in subsequent years unless there is a change in TIN or NPI Numbers due to a change in the Payee receiving the incentive payment 2 Once successfully registered with the R amp A eligible applicants will receive a Welcome letter via email stating that they can register in MAPIR which is accessed through the provider secure portal at www ctdssmap com This may take up to two business days following successful registration with the R amp A MAPIR is the Department s Web based system that will track and act as a repository for information related to applications attestations payments appeals oversight functions and interface with R amp A You will be able to track the status of your application through the MAPIR system and should not go through the CMS R amp A system to verify application status 3 Applicants will use their secure provider internet portal User ID and password to access MAPIR from the Department s Web site www ctdssmap com If they are an eligible professional type then a MAPIR application link will be displayed By clicking on the link the MAPIR application will search for a registration record received from the R amp A Once a match is found the application process can begin If an application is not found within three days after an applicant registe
137. an 50 percent of transitions of care and referrals Numerator 1 Number of transitions of care and referrals during the EMR reporting period for which the EP was the transferring or referring provider Denominator 1 The number of transitions of care and referrals in the denominator where a summary of care record was provided Numerator 1 Denominator 1 Measure 2 The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 10 percent of such transitions and referrals either a electronically transmitted using CEHRT to a recipient or b where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or in a manner that is consistent with the governance mechanism ONC establishes for the NwHIN Numerator 2 The number of transitions of care and referrals in the denominator where a summary of care record was a electronically transmitted using CEHRT to a recipient or b where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or in a manner that is consistent with the governance mechanism ONC establishes for the nationwide health information network The organization can be a third party or the sender s own organization Denominator 2 Number of transitions of care and referrals during the EHR reporting period for whi
138. and your patient volume numbers in order to meet the requirements and submit your application Previous Save amp Continue 38 February 2015 Patient Volume Part 3 of 3 MAPIR User Guide for Eligible Professionals Patient Volume Part 3 of 3 In order to meet the requirements of the Medicaid EHR Incentive Program you must provide information about your patient volumes The information will be used to determine your eligibility for the incentive program The responses to the questions for Practice Type Part 1 of 3 on the first Patient Volume screen determine the questions you will be asked to complete and the information required The information is Summarized below 1 Practice locations MAPIR will present a list of practice locations that Connecticut Medicaid program office has on record If you have additional practice locations you have the option to add them When all locations are added you will enter the required information for all your practice locations 2 Utilizing Certified EHR Technology You must select the practice locations where you are utilizing certified EHR technology At least one practice location must be selected 3 Patient volume You are required to enter the information for the patient volume 90 day period you entered Depending on your practice type you will be asked for different information related to patient volumes Not all information you enter will be used in the patient volume percentage c
139. aningful Use Menu Measures that you may attest to Click on the Screen Example to see an example of the screen layout Meaningful Use Menu Measure Menu Measure 1 Drug Formulary Checks Menu Measure 2 Clinical Lab Test Results Menu Measure 3 Patient List Menu Measure 4 Patient Reminders Menu Measure 5 Patient Specific Education Resources Menu Measure 6 Medication Reconciliation Menu Measure 7 Transition of Care Summary Menu Measure 8 Immunization Registries Data Submission Menu Measure 9 Syndromic Surveillance Data February 2015 101 MAPIR User Guide for Eligible Professionals Stage 1 There are a total of 9 Meaningful Use Menu Measure screens As you proceed through the Meaningful Use Menu Measure section of MAPIR you will see six different screen layouts Instructions for each measure are provided on the screen For additional help with a specific Meaningful Use Menu Measure click on the link provided above the blue instruction box Screen layout examples are shown below Screen 1 The following Meaningful Use Menu Measures use this screen layout Menu Measure 1 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation H Review Submit Attestation Meaningful Use Measures Menu Measure 1 Drug Formula i Click HERE for additional information on complet
140. ar 2014 Meaningful Use Reporting Option Select the stage of attestation that you would like to complete for this incentive application Click Next to continue Payment Year 1 Program Year Dr Medicaid Provider Applicant NPI 9999999999 Status lt Please select the stage of attestation that you would like to complete for this application gt When ready click the Next button to continue or click Previous to go back Red asterisk indicates a required field Option f FO Adoption Implementation Upgrade 2014 Stage 1 objectives measures and CQMs 2013 Stage 1 objectives measures and CQMs will require one or more delay reasons 2014 Stage 1 objectives measures and CQMs may require one or more delay reasons 2014 Stage 2 objectives measures and CQMs may require one or more delay reasons If the stage of attestation that you selected does not require a delay reason proceed to page 208 206 February 2015 Program Year 2014 TC MAPIR User Guide for Eligible Professionals If the stage of attestation that you selected requires a delay reason the following screen will display Select one or more reason for the delay in implementing 2014 Certified EHR Technology If your reason for delay is not listed or you would like to add more details to the reason you chose use the text box below the list of delay reasons You will be required to upload documentation supporting the reason s for delay under the Submit
141. are or Denominator 153 care or refers their patient to another provider of care provides a summary of provider of care should provide a care record for more than 50 of summary of care record for each transitions of care and referrals transition of care or referral Capability to submit electronic data to Performed at least one test of certified immunization registries or immunization EHR technology s capacity to submit information systems and actual electronic data to immunization submission in accordance with registries and follow up submission if applicable law and practice the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically ketum to Selection List gt February 2015 237 MAPIR User Guide for Eligible Professionals Program Year 2014 Click Return to Main to return to the Measure Topic List Name Cr Medicaid Provider Applicant NPI SSSSS58999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2012 Get Started R A Contact Info Eligibility Patient Volumes Attestation Review Submit Attestation Meaningful Use Measures Instructions Eligible Professionals must report on a minimum of five 5S Meaningful Use Menu Measures EPMMU09 and EPMMU10 are the Public Health menu measures Please refer to the tab introduction splash page for state specific information Please Note
142. ation Click Edit for the next measure Name Dr Medicaid Provider Applicant NPI 999990999009 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Meaningful Use Clinical Quality Measures To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return button to access the main attestation topic list Meaningful Use Clinical Quality Measure List Table CMS50 v3 Closing the referral loop receipt of Care Coordination Numerator 25 specialist report Denominator 100 Performance Rate 10 0 CMS52 v3 s HIV AIDS Pneumocystis jiroveci Clinical pneumonia PCP Prophylaxis Process Effectiveness CMS61 v4 Preventive Care and Screening Clinical Cholesterol Fasting Low Density Process Effectiveness Lipoprotein LDL C Test Performed CMS125 v3 Breast Cancer Screening Clinical Process Effectiveness CMS126 v3 Use of Appropriate Medications for Clinical Asthma Process Effectiveness CMS12 7 v3 Pneumonia Vaccination Status for Clinical Older Adults Process Effectiveness CMS1 9 v4 Prostate Cancer Avoidance of Efficient Use of Overuse of Bone Scan for Staging Low Healthcare Resources Risk Pr
143. ay review the completed measures by selecting the Edit button After completing the required number of Core Clinical Quality Measures a green checkmark is displayed indicating the section is complete More information about the Clinical Quality Measures is available at https www cms gov apps ama license asp file QualityMeasures Downloads EP_MeasureSpecifications zip Please review this page and accept the terms You will then be able to access all of the Clinical Quality Measures Exclusions related to the Clinical Quality Measures must be whole numbers If you do not have an exclusion enter a zero All fields need to be completed in order to continue to the next measure 240 February 2015 Program Year 201400 MAPIR User Guide for Eligible Professionals The screen on the following page displays the Meaningful Use Core Clinical Quality Measure Worklist Table You must complete all measures Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for the measure or click Return to Main to return to the Measures Topic List Name Dr Medicaid Provider Applicant NPI 9999999995 Personal TIN SSN 999999999 Payee TIN 2339999999 Payment Year i Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful Use Core Clin
144. ber Numerator 16 Denominator 32 b Tobacco Cessation Intervention Description Percentage of patients aged 18 years and older indentified as tobacco users within the past 24 months and have been seen for at least 2 office visits who received cessation intervention Complete the following information All data entered must be a positive whole number Numerator 8 Denominator 16 OO Previous Reset Save amp Continue s m February 2015 243 MAPIR User Guide for Eligible Professionals Program Year 2014 Core Clinical Quality Measure NQF 0421 PQRI 128 Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore the panel to the starting point Name Dr Medicaid Provider Applicant NPI 9999990995 Personal TIN SSN 999999999 Payee TIN gagag Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Instructions All three Core Clinical Quality Measures must be submitted For each Core Clinical Quality Measure that has a denominator of
145. bility section Note the check box in the Eligibility tab Click Continue to proceed to the Patient Volumes section 34 Dr Medicaid Provider s Applicant NPI 9999999999 Personal 999999999 Payee TIN S99999999 TIN SSN Y Payment Year i Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes B 4 i Submit You have now completed the Eligibility section of the application You may revisit the section at any time to make the corrections until such time as you actually Submit the application The Patient Volumes section of the application is now available Before submitting your application please review the information that you have provided in this section and all previous sections continue gt February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals Step 4 Patient Volumes The Patient Volumes section gathers information about your practice type practice locations the 90 day period you intend to use for reporting the patient volumes and the patient volumes themselves Additionally you will be asked about how you utilize your certified EHR technology There are three parts to Patient Volumes Part 1 of 3 contains two questions which will determine the method you use for entering patient volumes in Part 3 of 3 Part 2 of 3 establishes the 90 day period for reporting patient volumes Part 3 of 3 contains screens to add new locations for reporting Med
146. ble Professionals Program Year 2014 Core Clinical Quality Measure NQF 0013 Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore the panel to the starting point Name Or Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999990099 Payee TIN 7393993999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Clinical Quali i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Instructions All three Core Clinical Quality Measures must be submitted For each Core Clinical Quality Measure that has a denominator of zero an Alternate Core Clinical Quality Measure must also be submitted NOF 0013 Title Hypertension Blood Pressure Measurement Description Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits with blood pressure BP recorded Complete the following information All data entered must be a positive whole number Numerator 5S Denominator 100 O O O
147. ble Professionals Stage 1 Screen 3 The following Meaningful Use Core Measures use this screen layout Core Measures 3 5 6 and 7 Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 9999999009 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started RBA Contact Info Eligibility Patient Volumes Attestation E Review Attestation Meaningful Use Measures Core Measure 3 Maintain Problem List click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Maintain an up to date problem list of current and active diagnoses Measure More than 80 of all unique patents seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data Complete the following information Numerator Number of patients in the denominator who have at least one entry or an indication that no problems are known for the patient recorded as structured data in their problem list Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator i Denominator 92 February 2015 Stage 1 Screen 4 MAPIR User Guide for Eligible Professionals The following Meaningful Use Core Measures use this screen layout
148. bove for a definition Performance Rate A percent value between 0 0 and 100 0 Use the Click HERE above for a definition Numerator Denominator Performance Rate 164 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals Screen 4 The following Measure Numbers use this screen layout CQM 24 41 45 50 55 and 56 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Measure 24 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Responses are required for the clinical quality measure displayed on this page Domain Clinical Process Effectiveness Measure Number CMS145 v3 Measure Title Coronary Artery Disease CAD Beta Blocker Therapy Prior Myocardial Infarction MI or Left Ventricular Systolic Dysfunction LVEF lt 40 Measure Description Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF lt 40 who were prescribed beta blocker therapy Nu
149. c proxy in any participation year Furthermore if the EP works in both the clinic and outside the clinic or with and outside a group practice then the clinic practice level determination includes only those encounters associated with the clinic practice Please enter patient volumes where indicated You must enter volumes in all fields below if volumes do not apply enter zero An Encounter is defined as any services that were rendered on any one day to an individual enrolled in an eligible Medicaid program When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Medicaid only Encounter Volume Medicaid Encounter Volumes Total Encounter Volume In State Numerator Total Numerator Denominator 500 1250 3500 Reset Save amp Continue 50 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals After selecting Save amp Continue this panel will be updated with the locations where you are utilizing certified EHR technology patient volumes you entered all values summarized and the Medicaid patient volume percentage Review the information for accuracy Note the Total patient volume field This percentage must be greater than or equal to 30 to meet the Medicaid patient volume requirement For pediatricians the percentage must be
150. caid patient volume requirement Pediatricians who do not meet the 30 Medicaid patient volume but meet the 20 Medicaid patient volume will not receive the full incentive payment amount Click Save amp Continue to proceed or click Previous to go back Name Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 Payee TIN 999999999 TIN SSN Y Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Review Submit Patient Volume FQHC RHC Group Part 3 of 3 The patient volumes and certified EHR technology site usage selections you entered are depicted below Please review the current information to verify what you have entered is correct When ready click the Save amp Continue button to continue or click Previous to go back Utilizing Certified EHR Technology Provider ID Location Name Location Name Doctor Office 123 First Street vtown PA 12345 1234 123 Main Street Anytown AL 12345 Group Practice ID s 1234567890 2345678901 3456789012 4567890123 _ F Other Needy Medicaid amp CHIP EE I T R Total Needy Total Encounter Encounter Volume Encounter Volume Volume Total Volume Numerator Numerator Denominator Numerator Previous Save amp Continue February 2015 63 MAPIR User Guide for Eligible Professionals Patient Volume FQHC RHC Group This screen confirms you successfully completed the Patient Volum
151. casssedcccgasacacsvotidoaisdaniateieuedsaitatssntsvouhlvaistathetenesleactetias satan abaedes 36 Patient Volume 90 Day Period Part 2 of 3 cals avcissesiiciswasaceetssisadedealsdanwavskavivaledantiataedsaal dacesaatiavswstabacssaiaadedoadeis 37 Patient VOlUIMIes P ai I 01 3 hero O sata aaatna dinette T a a 39 Patent Volume Individual saries a E E E a emereueeaea 40 Patient volume Grou iero nin a ET R O E TE O NAET 46 Patient Volume FQHC RHC Individual ccccccssecccccseccccccssscecccssscccccesecccceusececceusecsceeessceceeeeesecseseesesseuseseceeucesecsenseseess 52 Patient Volume FOHG RHC Group soinen n a EA O A eRe scans ANTA 58 Step S ALECSEATION ancen i N E E OONA 65 Attestation Prase APIE O S aa E E NR E Poe nen SORE Te ne eT 66 Adoption PHIS E mesie E EEE E O 67 WHEN a ONEN SO a a N 68 Uperade Phas aenea AA N A A Per EOE oe 72 WIC ANI STC LSC P aS Eana E E T ontevas tau delvereedeelaatoseee 76 Attestation Meaninet ul WSO Measures nineio na E A O 80 Meaninetul Use General REgUremeEntS sarirmeieiei initi NER aN ANEN NENN NANNI 82 Stabe Troto N O E cyusanaylty dh atitennenata vache 85 February 2015 iii MAPIR User Guide for Eligible Professionals Me aninetulWSe COPS Measures ic cpscrracapetiatiainavaceucbentudssiaeaieeas eee te di Ea Eee hd aida i 85 Meamnerul WSE Ment Meas UTS rs shi T E AENEA ANa 97 Meaningful Use Measures Summary for Stage 1 oossn esseensssreressrreessseresssrersssrrressreressreressreres
152. cer Screenim CMS125 w3 Clinical Process Effectiveness a a See 150 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals This is screen 4 of 4 of the Meaningful Use Measure Review CMS126 v3 CMS127 v3 CMS129 v4 CMS146 v3 CMS179 v3 Clinical Process Effectiveness Clinical Process Effectiveness Efficient Use of Healthcare Resources Efficient Use of Healthcare Resources Patient Safety Use of Appropriate Medications for Asthma Pneumonia Vaccination Status for Older Adults Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Appropriate Testing for Children with Pharyngitis ADE Prevention and Monitoring Warfarin Time in Therapeutic Range Save amp Continue Proceed to the Attestation Phase Part 3 of 3 on page 171 February 2015 Stratum 1 Numerator 1 12 Denominator 1 67 Performance Rate 1 3 0 Exclusion 1 5 Stratum 2 Numerator 2 34 Denominator 2 120 Performance Rate 2 12 0 Exclusion 2 7 Stratum 3 Numerator 3 23 Denominator 3 100 Performance Rate 3 15 0 Exclusion 3 12 Stratum 4 Numerator 4 32 Denominator 4 123 Performance Rate 4 20 0 Exclusion 4 15 Stratum 5 Numerator 5 24 Denominator 5 156 Performance Rate 5 35 0 Exclusion 5 4 Numerator 12 Denominator 45 Performance Rate 4 0 Numerator 78 Denominator 100 Performance Rate
153. ch the EP was the transferring or referring provider Numerator 2 Denominator 2 Measure 3 An EP must satisfy one of the following criteria fa Conducts one or more successful electronic exchanges of a summary of care document as part of which is counted in measure 2 for EPs the measure at 495 6 9 14 00 8 with a recipient who has EHR technology that was developed designed by a different EHR technology developer than the sender s EHR technology certified to 45 CFR 170 314 b 2 Satisfied 3a b Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period Satisfied 3b Previous Reset Save amp Continue 132 Stage 2 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Screen 11 The following Meaningful Use Core Measure uses this screen layout Core Measure 16 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 9099099999 Payee TIN 999999999 Payment Year Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Measure 16 Immunization Registries Data Submission Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objecti
154. chieving meaningful use Does this exclusion apply to you Yes No If the exclusion does not apply to you please complete the following information Numerator Number of patients in the denominator who were sent the appropriate reminder Denominator Number of unique patients 65 years old or older or 5 years old or younger Numerator Denominator Reset Save amp Continue February 2015 105 MAPIR User Guide for Eligible Professionals Stage 1 Screen 5 The following Meaningful Use Menu Measures use this screen layout Menu Measure 5 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestaton Meaningful Use Measures Menu Measure 5 Patient Speafic Education Resources Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate Measure More than 10 of all unique patients seen by the EP are provided patient specific education resources Complete the following informat
155. click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Measure February 2015 Generate and transmit permissible prescriptions electronically eRX More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR technology This data was extracted from ALL patient records not just those maintained using certified EHR technology his data was extracted only from patient records maintained using certified EHR technology EXCLUSION1 Based on ALL patient records Any EP who writes fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you iD Yes No EXCLUSION Based on ALL patient records Any EP who does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP s practice location at the start of his her EHR reporting period Does this exclusion apply to you D Yes No If the exclusion does not apply p
156. complete the registration and application process you should contact the EHR Assistance Center either by email at ctmedicaid ehr hp com or by phone at 1 855 313 6638 Other Resources There are a number of resources available to assist providers with the Connecticut Medical Assistance EHR Incentive Program application process These resources can be found at www ctdssmap com under Provider EHR Incentive Program For example there are Important Messages that are frequently posted to the site to keep providers updated and frequently asked questions Who is eligible The CMS Final Rule outlines the following mandatory criteria for an Eligible Provider EP to be considered for the Connecticut Medical Assistance EHR Incentive Program The Department also requires that EPs be enrolled as a Connecticut Medical Assistance Program provider without sanctions or exclusions Providers that are not enrolled will need to enroll with Connecticut Medical Assistance Program prior to applying for the Department s EHR Incentive Program and must meet program requirements including meeting Medical Assistance patient volume thresholds Providers can February 2015 1 MAPIR User Guide for Eligible Professionals Introduction to Connecticut Medicaid EHR Incentive Program enroll in the Connecticut Medical Assistance Program by filling out an online application by going to www ctdssmap com and clicking on Provider Enrollment under Provider Per the fina
157. ct the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main attestation topic list NQF 0059 PQRI 1 Diabetes Hemoglobin Alc Poor Control NQF 0064 PQRI 2 Diabetes Low Density Lipoprotein LDL Management and Control NQF 0061 PQRI 3 Diabetes Blood Pressure Management 268 Numerator 38 Denominator 76 Exclusion 2 Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had hemoglobin Aic greater than 9 0 Percentage of patients 18 75 years of age Numerator 1 39 with diabetes type 1 or type 2 who had LDL Denominator 76 C less than 100mq dl Exclusion 0 Numerator 2 32 Denominator 60 Numerator 39 Denominator 78 Exclusion 7 Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had blood pressure less than 140 90 mmHg February 2015 Program Year 201400 MAPIR User Guide for Eligible Professionals Click Return to Main to return to the Measure Topic List Only the top and bottom sections of the Meaningful Use Additional Clinical Quality Measures Selection screen are displayed below Name Dr Medicaid Provider Applicant NPI 9999999955 Personal TIN SSN 999999999 Payee TIN qgaggqasas Payment Year 1 Program Year 2
158. cted from ALL patient records or only from patient records maintained using Certified EHR Technology This data was extracted from ALL patient records not just those maintained using Certified EHR Technology This data was extracted only from patient records maintained using Certified EHR Technology Measure 1 Medication Numerator 1 The number of orders in the denominator recorded using CPOE Denominator 1 Number of medication orders created by the EP during the EHR reporting period EXCLUSION 1 Any EP who writes fewer than 100 medication orders during the EHR reporting period Does this exclusion apply to you fC Yes W No If No complete entries in the Numerator and Denominator Numerator 1 Denominator 1 Measure 2 Radiology Numerator 2 The number of orders in the denominator recorded using CPOE Denominator 2 Number of radiology orders created by the EP during the EHR reporting period EXCLUSION 2 Any EP who writes fewer than 100 radiology orders during the EHR reporting period Does this exclusion apply to you ves No If No complete entries in the Numerator and Denominator Numerator 2 Denominator 2 Measure 3 Laboratory Numerator 3 The number of orders in the denominator recorded using CPOE Denominator 3 Number of laboratory orders created by the EP during the EHR reporting period EXCLUSION 3 Any EP who writes fewer than 100 laboratory orders during the EHR reporting period Does
159. cted if the remaining Alternate Clinical Quality Measures do not have a denominator value greater than zero When ready click the Save amp Continue button to review your selection or click Return to Main to go back Click Reset to restore this panel to the starting point Weight Assessment and Counseling for Children Percentage of patients 2 17 years of age who had an and Adolescents outpatient visit with a Primary Care Physician PCP or OB GYN and who had evidence of BMI percentile documentation counseling for nutrition and counseling for physical activity during the measurement year Preventive Care and Screening Influenza Percentage of patients aged 50 years and older who Immunization for Patients greater than or equal received an influenza immunization during the flu to 50 Years Old season September through February Childhood Immunization Status Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR two H influenza type B HIB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates Return to Main Save amp Continue 254 February 2015 Program Year 201400 MAPIR User Guide for Eligible Profession
160. d by EPs When overpayments are identified the Department will initiate the payment recoupment process and communicate with CMS on repayments The Department will recover any overpayments from instances of abuse however overpayments identified as a result of a fraud conviction are handled in conjunction with the Medicaid Fraud Control Unit The Department will request that providers submit overpayments by check If a provider fails to submit a payment by check within 90 calendar days of the notice to return the overpayment the Department will take other measures to recoup the overpayment Federal law requires the Department to return overpayments within one 1 year of identification Appeals A provider aggrieved by a decision concerning only the issues set forth in 42 CFR 495 370 a or section 17b 34 c of the Connecticut General Statutes may request an initial review of the Department s determination and such review shall occur only if the Department receives the provider s written request for an initial review together with any supporting documents or data not more than thirty days after the provider received the department s determination An individual other than the person who made the Department s determination shall conduct the initial review The individual who conducts the initial review shall issue a written decision to the provider not more than thirty days after the Department receives the request for initial review I
161. d data More than 50 of all unique patients 13 years old or alder seen by the EP have smoking status recorded as structured data decision support rule More than 50 of all patients who request an electronic copy of their health information are provided it within 3 business days Clinical summaries provided to patients for more than 50 of all office visits within 3 business days Conduct or review a security risk analysis per 45 CFR 164 308 a 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk Management process Numerator 135 Denominator 150 Percentage 90 Excluded Numerator 85 Denominator 100 Percentage 685 Numerator 185 Denominator 2720 Percentage 684 Numerator 51 Denominator p89 Percentage 57 Numerator 89 Denominator 130 Percentage 68 Numerator 45 Denominator 681 Percentage 55 Numerator 61 Denominator 105 Percentage 58 Excluded Program Year 2014 Patient Records All Patient Records All Patient Records Only EHR Patient Records All Patient Records All February 2015 Program Year 2014 This is screen 3 of 5 of the Meaningful Use _ Meaningful Use Menu Measure Review _ EPMMUO1 EPMMUOS EPMMUOG EPMMUO8 EPMMUO9 Implement drug formulary checks Generate lists of patients by specific conditions to use for qua
162. d data entry for one or more first degree relatives EPMMUOS Capability to identify and report cancer cases toa Successful ongoing submission of cancer case public health central cancer registry except where information from CEHRT to a public health central prohibited and in accordance with applicable law cancer registry for the entire EHR reporting period and practice EPMMUOG Capability to identify and report specific cases to a Successful ongoing submission of specific case specialized registry other than a cancer registry information from CEHRT to a specialized registry for except where prohibited and in accordance with the entire EHR reporting period applicable law and practice Se Return to Main Save amp Continue p February 2015 139 MAPIR User Guide for Eligible Professionals Stage 2 The measures you selected to attest to will display on the Meaningful Use Menu Measure Worksheet The example below displays the four measures selected on the previous screen example You must complete all measures on this screen Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for a measure or click Return to Selection List to return to the Measures Topic List Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 99909000000 Payee TIN 999999999 Payment Year J Program Year 2014 Get Started
163. d outside a group practice then the clinic practice level determination includes only those encounters associated with the clinic practice Please enter patient volumes where indicated You must enter volumes in all fields below if volumes do not apply enter zero Needy individual encounters include the following e Medicaid encounters for eligible individuals Children s Health Insurance Program encounters for eligible individuals Uncompensated care encounters Sliding scale encounters When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field sats Other Needy Medicaid amp CHIP Individual E an Total Needy Total Encounter Encounter Volume Encounter Volume Volume Volume 3 Numerator E ETE Numerator Denominator Reset lt Save amp Continue 62 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals This screen displays the locations where you are utilizing EHR technology patient volumes you entered all values summarized and the Medicaid Patient Volume Percentage Review the information for accuracy Note the Total patient volume field This percentage must be greater than or equal to 30 to meet the Medicaid patient volume requirement For pediatricians the percentage must be greater than or equal to 20 to meet the Medi
164. data entered must be a positive whole number Numerator 1 Denominator 10 Numerator 7 85 Denominator Numerator 2 Denominator 10 Numerator 8 95 Denominator Numerator 3 45 Denominator 10 Numerator 9 90 Denominator Numerator 4 55 Denominator 0 Numerator 10 80 Denominator 100 Numerator 5 65 Denominator 0 Numerator 11 70 Denominator 100 Numerator 6 Denominator 0 Numerator 12 60 Denominator 100 Once you attested to all the measures for this topic click Return to Selection List to return to the Meaningful Use Alternate Core Clinical Quality Measures Selection screen 252 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals Name Or Medicaid Provider Applicant NPI Personal TIN SSN 999990099 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Meaningful Use Measures Meaningful Use Alternate Core Clinical Quality Measure Worklist Table To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main attestation topic list NQF 0024 Weight Assessment and Counseling for Children and Adolescents Payee TIN Pro
165. ded using CPOE per state local and professional Measure 3 Excluded guidelines EPCMUO2 Generate and transmit permissible More than 50 percent of all prescriptions electronically eRx permissible prescriptions or all prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CERT EPCMUO3 Record the following demographics More than 80 percent of all unique preferred language sex race patients seen by the EP have ethnicity date of birth demographics recorded as structured data 134 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Once you have attested to all the measures for this topic click Return to Main to return to the Measures Topic List Personal TIN SSN Dr Medicaid Prowider 999999999 Payment Year 2 Get Started R amp A Contact Info Eligibility Meaningful Use Core Measures Applicant NPI Payee TIN Program Year Patient Volumes Attestation E 9999999999 999999999 2014 Rewiew To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list Meaningful Use Core Measure List Table EPCMUOL EPCMU02 EPCMU
166. doption Phase The screen shown below is the Attestation Phase Part 1 of 3 screen you will see if it is your first year participating Payment Year 1 If it is not your first year participating Payment Year 2 or beyond turn to page 77 of this guide After making your selection the next screen you see will depend on the phase you selected Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2011 R amp A Contact Info Eligibility Attestation E Submit Attestation Phase Please select the appropriate EHR System Adoption Phase When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Adoption You are acquiring certified EHR Technology plementation You are installing certified EHR Technology You are expanding functionality of certified EHR Technology eaningful Use You are capturing meaningful use measures using a certified EHR technology at locations where at least 50 of patient encounters are provided Previous Reset Save amp Continue For Adoption continue to the next page of this guide For Implementation turn to page 68 of this guide For Upgrade turn to page 72 of this
167. during the EHR reporting period Numerator 600 Denominator 1000 Percentage 60 Numerator 850 Denominator 1000 Percentage 85 Meaningful Use Core Measure Review Entered Measure 1 Excluded Core Measure 1 CPOE for Medication Laboratory and Radiology Orders Numerator 2 234 Denominator 2 803 Percentage 29 EPCMUOL Measure 3 Excluded Exclusion 1 No EPCMU02 Core Measure 2 ePrescribing eRx Exclusion 2 Excluded Numerator 890 Denominator 1010 Percentage 88 Core Measure 3 Record 1 n EPCMUO3 Demographics Exclusion 1 Excluded Exclusion 2 No Exclusion 3 No Exclusion 4 No EPCMUO4 Core Measure 4 Record Vital Signs Numerator 899 Denominator 1002 Percentage 89 148 Additional Information Patient Records All Patient Records All Patient Records All February 2015 Stage 2 MAPIR User Guide for Eligible Professionals This is screen 2 of 4 of the Meaningful Use Measure Review Core Measure 5 Record Smoking EPCMUO EPCMUOS Status Core Measure 6 Clinical Decision EPCMUO a select Support Rule Core Measure 7 Patient Electronic EPCMUO Access Core Measure 8 Clinical EPCMUOS Summaries Core Measure 9 Protect Electronic EPCMUQ p salen ciate Health Information Core Measure 10 Clinical Lab EFPCMLI1L ae Test Results Core Measure 11 Patient Lists EPCMU12 Core Measure 12 P
168. e 2011 Bdition Characters 3 5 of the Certification ID are any combo offer than 14E or H13 2014 Edition Characters 3 5 of the Certification ID are 14E Combination of 2011 and 2014 Edition Characters 3 5 of the Certification ID are H13 Providers are required to save and upload the Office of National Coordinator ONC Certified Health IT Product let CHPL cart page displaying the Certification ID and selected EHR product s under the Submit tab of the application The Certification ID entered below met match the ONC CHPL cart page The EHR Incentive Payment Program requires the use of technology certified for the program Please enter the CMS EHR Certification ID that you have obtained from the ONC Certified Health IT Product Let CHPL website Chick here to access the CHPL website You must enter a vald certification number Chock Gre Goof bulion fo beeminete pour session When mady cick Gre Neat Button bo combrwe Cok Reset fo restore Es panel to the staring pout Red atterisk indicates 4 required field Pesce enter the 15 character CMS EHR Certification ID for the Complete EHR System Reset K Next gt 22 February 2015 Step 1 Getting Started MAPIR User Guide for Eligible Professionals This screen confirms you successfully entered your CMS EHR Certification ID Click Next to continue or click Previous to go back If you are in Program Year 2014 turn to page 205 of this guide Payment Year Pro
169. e Qi Menu Measure 1 Syndromic Q2 4 Ld EPMMUO01 Surveillance Data Submission Q3 Yes iii Q4 i Numerator 304 EPMMUO2 Menu Measure 2 Electronic Notes Denominator 998 NA Percentage 30 EPMMUO3 Menu Measure 3 Imaging Results Excluded l Numerator 345 EPMMUo4 juai Measure 4 Family Health Denni Iii N A aii Percentage 34 Meaningful Use Clinical Quality Measure Review ee ee Numerator 25 Denominator 100 Performance Rate 10 0 Closing the referral loop receipt of CMS50 w3 Care Coordination specialist report Stratum 1 Numerator 1 34 Denominator 1 100 Performance Rate 1 Exception 1 3 Stratum 2 HIV AIDS Pneumocystis jiroveci Numerator 2 45 CMSS2 v3 Clinical Process Effectiveness pneumonia PCP Prophylaxis Denominator 2 123 Performance Rate 2 9 Exception 2 5 Stratum 3 Numerator 3 45 Denominator 3 100 Performance Rate 3 9 Stratum 1 Numerator 1 23 Denominator 1 102 Performance Rate 1 Exclusion 1 4 Exception 1 12 Stratum 2 Numerator 2 34 Denominator 2 105 Performance Rate 2 Exclusion 2 5 Exception 2 12 Preventive Care and Screening Cholesterol Fasting Low Density Lipoprotein LDL C Test Performed CMS61 w4 Stratum 3 Numerator 3 54 Denominator 3 100 Performance Rate 3 Exclusion 3 7 Exception 3 14 Numerator 23 Denominator 101 Performance Rate 4 0 Exclusion 5 ee 5 Breast Can
170. e amp Continue February 2015 111 MAPIR User Guide for Eligible Professionals Stage 1 Meaningful Use Measures Summary for Stage 1 This screen displays the Measures Topic List for Stage 1 with all three Meaningful Use Measure topics marked complete Click Save amp Continue to view a summary of the Meaningful Use Measures you attested to Proceed to the Meaningful Use Measures Summary screen the following page Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 9999099999 Payment Year 1 Program Year 2014 Get Started REA Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures CQMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Action General Requirements Core Measures Menu Measures Please select one of the following three Clinical Quality
171. e amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field NOF 0105 Title Anti depressant medication management a Effective Acute Phase Treatment b Effective Continuation Phase Treatment Description Percentage of patients 18 years of age and older who were diagnosed with a new episode of major depression treated with antidepressant medication and who remained on an antidepressant medication treatment Numerator 1 23 Denominator 50 Numerator 2 27 Denominator 50 en _ a Save amp Continue je 266 February 2015 Program Year 2014 MAIR User Guide for Eligible Professionals Screen 4 The following Additional Clinical Quality Measures use this screen layout Additional Clinical Quality Measures NQF 0004 NQF 0033 and NQF 0036 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Additional Clinical Quality Measure i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a
172. e Testing Certificate MUST Portal Immunization Test Public health meaningful use measure exclusion letter if applicable Security Risk Analysis Prepayment Checklist 178 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals This screen lists the current status of your application and any error messages identified by the system You can correct these errors or leave them as is You can submit this application with errors however errors may impact your eligibility and incentive payment amount To correct errors Click Review to be taken to the section in error and correct the information To return to this section at any time click the Submit tab Click Save amp Continue to continue with the application submission Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit Status Incomplete The MAPIR Check Errors panel displays errors that have occurred during the application process The following errors have been identified while reviewing your application For each error listed click Review to be directed to the section of the application that resulted in the error You will have the ability to correct your answer in that section Once you click on the Save amp Continue button on that page you may then select the S
173. e accessing MAPIR due to the necessary exchange of data between these two systems Changes to your R amp A Registration Please be aware that when accessing your R amp A registration information should any changes be initiated but not completed the R amp A may report Registration in Progress This will result in your application being placed in a hold status within MAPIR until the R amp A indicates that any pending changes have been finalized You must complete your registration changes on the R amp A website prior to accessing MAPIR or certain capabilities will be unavailable For example it will not be possible to submit your application 14 February 2015 Before You Begin in MAPIR MAPIR User Guide for Eligible Professionals create a new application or abort an incomplete application If you access MAPIR to perform the above activities and have not completed your registration changes you will receive the following screen JEREMY MAPIR Name 2011062801 Applicant NPI Status Registration in Progress IMPORTANT Our records indicate that your registration is in progress at the CMS Medicare and Medicaid EHR Incentive Payment Program Registration and Attestation System R amp A and you must complete that registration process before you can access your application here The R amp A website https www cms gow EHR Incentiwe Programs 20 ReogistrationandAttestation asp will have instructions on how to save your registration
174. e core measure screen for the option you selected or click Previous to go back Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation i Submit Attestation Meaningtul Use Measures Measure Selection for Core Measure 1 Please choose from the following options to attest to this measure If you return at a later time and change your selection any information entered for the measure prior to that point will be removed When ready click the Continue button to review your selection or click Previous to go back Red asterisk indicates a required field Please select from the following options Original Core Measure 1 More than 30 of all unique patients with at least one medication in their medication list seen by the EP have at least one edication order entered using CPOE Optional Core Measure 1 More than 30 of medication orders created by the EP during the EHR reporting period are recorded using CPOE 88 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals The following is a list of the 14 Meaningful Use Core Measures that you must attest to Core Measure 1 has two versions to choose from Click on the Screen Example to see an example of the screen layout Meaningful Use Core Measure Core Measure 1 CPOE for Medication Orders Original Core Measu
175. e regular financial cycle in 2 4 weeks depending on cut off dates for payment The financial transaction is reflected under the Payee Provider AVRS ID s Remittance Advice and included in their Electronic Fund Transfer EFT The payment will be reflected on the Financial Transaction page under Non Claim Specific Payouts and the transaction will be identified by a Reason Code of 8510 Medicaid EHR Incentive Payment When the payee ID is the same as the applicant ID the Applicant Name will not be displayed REPORT CRA TRAN F interchange MAIS Date O6 12 2012 RAR 1027701 MEDICAID HANAGERENT INFORMATION SYSTER PAGE 1 PROVIDER REMITTANCE ADVICE FINANCIAL TRANSACTIONS HAPJA JEREMY PAYEE ID NPI 2011062801 195 SCOTT SWAMP RO FARMINGTON CT 06032 ISSUE DATE 09 16 2011 TASONONY ZO7RCOO00X P AVES ID AT TRANSACTION PATOUT REASON APPLICANT APPLICANT NUMBER AROUNT CODE CLIENT N CLIENT NANE LIAB DATE 10000Z 112 21 250 00 6510 TOTAL PATOUTS 21 250 00 When the payee ID is different than the applicant ID the Applicant Name will be displayed REPORT CRA TRAN R interChange NMNIS 06 12 2012 RAS 1027686 MEDICAID MANAGEMENT INFORMATION SYSTEM 3 PROVIDER RENITTANCE ADVICE FINANCIAL TRANSACTIONS PAYEE ID 1134282460 ISSUE DATE 09 16 2011 TAXONONY 261QE0002 lt X P AVRS ID 9040350 TRANSACTION REASON APPLICANT APPLICANT NUMBER AMOUNT CODE CLIENT N CLIENT NANE LIAB DATE 100002114 21 250 00 6510 20110628
176. e section Note the check box in the Patient Volume tab Click Continue to proceed to the Attestation section Veronica Hernandez Applicant NPI 1619939337 Personal 000031187 TIN SSN Payment Year 1 Program Year 2011 Payee TIN 000031187 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review You have now completed the Patient Volumes section of the application You may revisit the section at any time to make corrections until such time as you actually Submit the application The Attestation section of the application is now available 64 February 2015 Patient Volume Part 3 of 3 MAPIR User Guide for Eligible Professionals Step 5 Attestation This section will ask you to provide information about your EHR System Adoption Phase Adoption phases include Adoption Implementation Upgrade and Meaningful Use Based on the adoption phase you select you may be asked to complete additional information about activities related to that phase For the first year of participation in the Medicaid EHR Incentive program Eligible Professionals will have the option to attest to Adoption Implementation Upgrade or Meaningful Use After the first year of participation the Eligible Professionals are required to attest to Meaningful Use This initial Attestation screen provides information about this section Click Begin to continue to the Attestation section Name JEREMY MAPIR Applicant NPI 20110
177. ear 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation m Review Submit Attestation Meaningful Use Measures Menu Measure 1 Syndromic Surveillance Data Submission o Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited and in accordance with applicable law and practice Measure Successful ongoing submission of electronic syndromic surveillance data from Certified EHR Technology to a public health agency for the entire EHR reporting period The EP must attest YES to successful ongoing submission of electronic syndromic surveillance data from CEHRT to a public health agency for the entire EHR reporting period Please select either Yes or No for each of the four criteria listed below Qngoing submission was already achieved for an EHR reporting period in a prior year and continues throughout the current EHR reporting period Yes No Registration with the public health agency or other body to whom the information is being submitted of intent to initiate ongoing submission was made by the deadline within 60 days of the start of the EHR reporting period and ongoing
178. ease enter all required information You must provide all required information in order to proceed Please correct the information at the Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A The ZIP Code that you entered is invalid You must select at least one activity in order to proceed You must select at least one location in order to proceed You must define all added Other activities You must participate in the Medicaid incentive program in order to qualify You must select at least one type of provider Amount must be numeric You must indicate whether you are completing this application as the actual provider or a preparer You must verify that you have reviewed all information entered into MAPIR Please confirm You must not have any current sanctions or pending sanctions with Medicare or Medicaid in order to qualif You did not meet the criteria to receive the incentive payment All data must be numeric You must enter all requested information in order to submit the application The email address you have entered does not match Numerator cannot be greater than denominator and numerator denominator cannot be a negative value You have entered an invalid CMS EHR Certification ID You must answer Yes to utilizing certified EHR technology in at least one location in order to proceed You must exit MAPIR and return in order to access a different program year incentive application You
179. easures Clinical Quality Measure 63 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Responses are required for the clinical quality measure displayed on this page Domain Patient Safety Measure Number CMS179 v3 Measure Title ADE Prevention and Monitoring Warfarin Time in Therapeutic Range Measure Description Average percentage of time in which patients aged 18 and older with atrial fibrillation who are on chronic warfarin therapy have International Normalized Ratio INR test results within the therapeutic range i e TTR during the measurement period Population A positive whole number including zero Use the Click HERE above for a definition Observation A percent value between 0 0 and 100 0 Use the Click HERE above for a definition Population Observation February 2015 167 MAPIR User Guide for Eligible Professionals Stages 1 and 2 After you enter information for a measure and click Save amp Continue you will return to the Meaningful Use Clinical Quality Measure List Table The information you entered for that measure will be displayed in the Entered column of the table as shown in the example below You can continue to edit the measures at any point prior to submitting the applic
180. easures Alternate Core Clinical Quality Measures and Additional Clinical Quality Measures You may select any of the six topics and complete them in any order You are not required to complete any of the Alternate Core Clinical Quality Measures unless you have entered a zero denominator for one or more Core Clinical Quality Measures While it is not required that you begin each topic in the order shown on the screen this user guide will follow the order in which the topics are listed Click Begin to start a topic February 2015 209 MAPIR User Guide for Eligible Professionals Program Year 2014 210 Name Dr Medicaid Provider Applicant NPI 9999990999 Personal TIN SSN 999999995 Payee TIN 7993900909 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Note The Alternate Core Clinical Quality Measure topic is only required if any Core Clinical Quality Measure has a denominator of zer
181. easures are divided into four distinct topics General Requirements Core Measures Menu Measures and Clinical Quality Measures The Clinical Quality Measures are grouped into the following recommended sets e General Lists all 64 Clinical Quality Measures available for attestation e Adult Set Lists the Clinical Quality Measures recommended for EPs with an adult population e Pediatric Set Lists the Clinical Quality Measures recommended for EPs with a pediatric population You may select any of the four measure topics and complete them in any order While it is not required that you begin each topic in the order shown on the screen this user guide will follow the order in which the topics are listed Click Begin to start the General Requirements topic If you are in Program Year 2014 and are scheduled to attest to Stage 2 Meaningful Use MAPIR will allow you to attest to Stage 1 Meaningful Use This only applies to Program Year 2014 Also if you are in Program Year 2014 the stage of attestation that you selected after confirming your CMS EHR Certification ID will determine the Attestation Meaningful Use Measures that will display on the Attestation tab If you selected the 2013 Stage 1 objectives measures and CQM turn to page 209 of this guide 80 February 2015 Attestation Meaningful Use Measures MAPIR User Guide for Eligible Professionals Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 9ggo9000999 Payee TIN
182. easures data if attesting to Meaningful Use February 2015 15 MAPIR User Guide for Eligible Professionals Using MAPIR Using MAPIR MAPIR uses a tab arrangement to guide you through the application You must complete the tabs in the order presented You can return to previous tabs to review the information or make modifications until you submit the application You cannot proceed without completing the next tab in the application progression with the exception of the Get Started and Review tabs which you can access anytime Once you submit your application you can no longer modify the data It will only be viewable through the Review tab Also the tab arrangement will change after submission to allow you to view status information As you proceed through the application process you will see your identifying information such as Name National Provider Identifier NPI Tax Identification Number TIN Payment Year and Program year at the top of most screens This is information provided by the R amp A A Print link is displayed in the upper right hand corner of most screens to allow you to print information entered You can also use your Internet browser print function to print screen shots at any time within the application There is a Contact Us link with contact instructions should you have questions regarding MAPIR or the Medicaid Incentive Payment Program CONNECTICUT DEPARTMENT OF SOCIAL SERVICES Thursday 05 10 2012 12 26 38 PM ED
183. ed select the Save amp Continue button to complete the attestation process Save amp Continue p 270 February 2015 Program Year 2014 MAP IR User Guide for Eligible Professionals Meaningful Use Measures Summary This screen displays a summary of all entered meaningful use attestation information Review the information for each measure If further edits are necessary click Previous to return to the Measures Topic List where you can choose a topic to edit If the information on the summary is correct click Save amp Continue to proceed to Part 3 of 3 of the Attestation Phase Name Dr Medicaid Provider i Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures The Meaningful Use Measures you have attested to are depicted below Please review the current information to verify what you have entered is uirements Review es ee citrate thal n _ A p Numerator 650 Please demonstrate that at least 80 of all unique patients have their data in the certified Denominator 1000 EHR during the EHR reporting period Percentage 85 cgo j ee E E E E EPRE Numerator 600 Please demonstrate that at least 50 of all your encounters occur in a location s where Denominator 1000 Percentage 60 Additional Information EPCMUO
184. ed data After saving click Clear All to remove standard activity selections Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Phase Please select the activities where you have Planned to include In Progress or completed an upgrade It is important to know that the information you select about your Planned to include In Progress and completed upgrade tasks is optional and will not impact your ability to receive an incentive payment This information is helpful to the State Medicaid Program Office in understanding the upgrade process If there are no applicable activities to select or list please select the Other Click to Add button and enter none When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point After saving click the Clear All button to remove standard activity selections Red asterisk indicates a required field Upgrade Activity Planned Upgrading Software Version Upgrading Hardware or Peripherals Clinical Decision Support Electronic Prescribing Computerized Provider Order Entry Adding Functionality Modules personal health record mental health dental es Other Click to Add J Minna February 2015 73
185. ed in a positive or negative affirmation or as a number which are incorporated as structured data Denominator Number of lab tests ordered during the EHR reporting period by the EP whose results are expressed in a positive or negative affirmation or as a number Numerator Denominator February 2015 103 MAPIR User Guide for Eligible Professionals Stage 1 Screen 3 The following Meaningful Use Menu Measures use this screen layout Menu Measure 3 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 3 Patient List Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Measure Generate at least one report listing patients of the EP with a specific condition Complete the following information Have you generated at least one report listing your patients with a specific condition Yes No Save amp Continue 104 February
186. edication another setting of care or provider reconciliation for more than 50 of care or believes an encounter is percent of transitions of care in relevant should perform medication which the patient is transitioned reconciliation into the care of the EP The EP who transitions their patient The EP who transitions or refers to another setting of care or their patient to another setting of provider of care or refers their care or provider of care provides a patient to another provider of care summary of care record for more should provide summary care than 50 percent of transitions of record for each transition of care or care and referrals referral The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 10 percent of such transitions and referrals either a electronically transmitted using CEHRT to a recipient or b where the recipient receives the summary of care record via exchange facilitated by an organization that is a NWHIN Exchange participant or in a manner that is consistent with the governance mechanism ONC establishes for the NWHIN An EP must satisfy one of the following criteria a Conducts one or more successful electronic exchanges of a summary of care document as part of which is counted in measure 2 for EPs the measure at 495 6 j 14 i B with a recipient who has EHR technology that was developed desi
187. eight and weight for all ages recorded as structured data More than 50 of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data Implement one clinical decision support rule More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely available to the patient within 4 business days after the information is available to the EP online access to their health information with the ability to view download and transmit to a third party Clinical summaries provided to patients for more than 50 of all office visits within 3 business days Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164 308 a 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk management process l Return to Main 87 MAPIR User Guide for Eligible Professionals Stage 1 Measure Selection for Core Measure 1 Measure Code EPCMUOQ1 Core Measure 1 has two options Original Core Measure 1 or Optional Core Measure 1 On the Measure Selection for Core Measure 1 screen choose if you would like to attest to the Original Core Measure 1 or the Optional Core Measure 1 If you return at a later time and change your selection any information entered for the measure prior to that point will be removed Click Continue to proceed to the appropriat
188. el to the starting point Name Dr Medicaid Provider Applicant NPI 9999998995 Personal TIN SSN 999999999 Payee TIN Jaag Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Alternate Core Clinical Quality Measure i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field NOF 0024 Title Weight Assessment and Counseling for Children and Adolescents Description Percentage of patients 2 17 years of age who had an outpatient visit with a Primary Care Physician PCP or OB GYN and who had evidence of BMI percentile documentation counseling for nutrition and counseling for physical activity during the measurement year Complete the following information All data entered must be a positive whole number Numerator 1 50 Denominator Population Criteria 1 Numerator 2 74 Denominator Numerator 3 24 Denominator Numerator 1 45 Denominator Population Criteria 2 Numerator 2 125 Denominator Numerator 3 15 Denominator Numerator 1 Denominator Population Criteria 3 Numerator 2 1 Den
189. elect the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or site that is not listed click Add Location When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Utilizing Certified 2 2 Z Available EHR Technology Provider ID Location Name Address E Actions Must Select One 123 First Street Anytown PA 12345 1234 46 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals If you clicked Add Location on the previous screen you will see the following screen Enter the requested practice location information Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 P TIN 999999999 TIN SSN ayse Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Review Patient Volume Group Please provide the information requested below to add a location to MAPIR for this Payment Incentive Application use only When ready click the Save amp Continue button to review yo
190. election or click Previous to go back Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E vie Submit Attestation EHR Reporting Period Part 1 of 3 Please confirm that the dates displayed below represent the EHR reporting period for the payment year where the Eligible Professional demonstrates meaningful use of certified EHR technology When ready click the Save amp Continue button to review your selection or click Previous to go back Start Date Jan 01 2014 End Date Mar31 2014 February 2015 79 MAPIR User Guide for Eligible Professionals Attestation Meaningful Use Measures Attestation Meaningful Use Measures The Medicaid EHR Incentive Program will be implemented in three stages with increasing requirements for participation All EPs begin participating by meeting the Stage 1 requirements for a 90 day period in their first year of Meaningful Use and a full year in their second year of Meaningful Use except for Program Year 2014 After meeting the Stage 1 requirements the EP then has to meet the Stage 2 requirements for two full years Stage 1 Meaningful Use and Stage 2 Meaningful Use requirements are addressed in different sections of this manual The screen on the following page displays the Measures Topic List The Attestation Meaningful Use M
191. eller The Connecticut Department of Social Services Medical Assistance Program secure website is intended for providers clerks and billing agents If you have received your Personal Identification Number letter click on the setup account button User ID Password If you have forgotten your password please click the reset password button Find the MAPIR link on the gray menu bar and click the Open MAPIR button to access the MAPIR screen CONNECTICUT DEPARTMENT OF Soci SERVICES Casing fat Ceancedieal Home Information Provider Trading Partner ConnPACE Pharmacy Information Claims Eligibility Prior Authorization Trade Files i Messages Account ai Connecticut Medical Assistance Provider Incentive Repository MAPIR is a web based application available to eligible providers and hospitals to apply for the Connecticut Medicaid Electronic Health Record EHR Incentive Payment Program An eligible provider hospital starts the process by registering for the Program at the CMS EHR Incentive Program Registration and Attestation System R amp A at https ehrincentives cms qov MAPIR will interface with the CMS system and match the data supplied by the R amp A to the provider s data in the MMIS Once matched the provider will be able to access the MAPIR to register and attest to the EHR Certification Number for the EHR technology adopted implemented or upgraded and provide Medicaid encounter and total patient encou
192. en seen for at least two office visits who have an optic nerve head evaluation during one or more office visits within 12 months Percentage of patients aged 18 years and older with diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months February 2015 Program Year 2014 Meaningful Use Additional Clinical Quality Measures Selection screen Part 2 of 3 NQF 0089 PQRI 19 NQF 0047 PQRI 53 NQF 0002 PQRI 66 NQF 0387 PQRI 71 NQF 0385 PQRI 72 NQF 0389 PQRI 102 NQF 0027 PQRI 115 NQF 0055 PQRI 117 NQF 0062 PQRI 119 NQF 0056 PQRI 163 NQF 0074 PQRI 197 NQF 0084 PQRI 200 NQF 0073 PQRI 201 NQF 0068 PQRI 204 February 2015 Diabetic Retinopathy Communication with the Physician Managing Ongoing Diabetes Care Asthma Pharmacologic Therapy Appropriate Testing for Children with Pharyngitis Oncology Breast Cancer Hormonal Therapy for Stage IC IIIC Estrogen Receptor Progesterone Receptor ER PR Positive Breast Cancer Oncology Colon Cancer Chemotherapy for Stage III Colon Cancer Patients Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Smoking and Tobacco Use Cessation Medical assistance a Advising Smokers and Tobacco Users to Quit b Discussing Smoking and
193. enerate a printer friendly version of this information Select Continue to return to the last page saved If all tabs have been completed and you Pri are ready to continue to the Submit Tab please click on the Submit Tab itself to finish the application process Status CEHRT ID Information CMS EHR Certification ID R amp A Verification Name Personal TIN SSN Payee NPI Business Address Business Phone Incentive Program Eligible Professional Type R amp A Registration ID R amp A Registration Email CMS EHR Certification Number Is this information accurate 174 Incomplete AOQH1301DAPAKEAF Steven Tucker Applicant NPI gggggaagga Payee TIN 9999999999 123 First Street Anytown PA 12345 1234 999 999 9999 Physician 999999999 Providermail email com A014E01EPAKJEAZ 9999999999 999999999 February 2015 Step 6 Review Application MAPIR User Guide for Eligible Professionals This is screen 2 of 3 of the Review tab display y Contact Information John Last Name Doe Phone 999 999 9999 Phone Extension Email Address jdoe email com ECS Department Address 4905 Waters Edge Dr raleigh NE 27607 Alternate Contact Information First Name Last Name Phone Phone Extension Email Address Are you a Hospital based eligible professional I confirm that I waive my right to a Medicare Electronic Health Record Incentive Payment for this payment year and am only accepting Medicaid Electr
194. ent records or only from patient records maintained using certified EHR technology This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology Complete the following information Have you generated at least one report listing your patients with a specific condition Yes Ne d Save amp Continue p February 2015 233 MAPIR User Guide for Eligible Professionals Program Year 2014 Screen 4 The following Meaningful Use Menu Measures use this screen layout Menu Measure 4 5 7 and 8 Name Or Medicaid Provider Applicant NPI 9999999995 Personal TIN SSN 999999999 Payee TIN agagacesq Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 4 i Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Send reminders to patients per patient preference for preventive follow up care Measure More than 20 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period
195. ent Year 2 Program Year 27014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Rewiew Submit To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list agencies except where prohibited and from Certified EHR Technology to a in accordance with applicable law and public health agency for the entire EHR practice reporting period EPMMUO2 Record electronic notes in patient Enter at least one electronic progress Numerator 304 records note created edited and signed by an Denominator 998 EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period The EPMMUO1 Capability to submit electronic syndromic Successful ongoing submission of surveillance data to public health electronic syndromic surveillance data text of the electronic note must be text searchable and may contain drawings and other content accompanying information are accessible the EP during the EHR reporting period through CEHRT are accessible through CEHRT EPMMUO4 Record patient family health history as More than 20 percent of all unique Numerator 345 structured data patients seen by the EP during
196. enu Measures You are required to answer all three 3 Core Clinical Quality Measures You will need to select one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all the of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures In addition you are required to select 3 Additional Clinical Quality Measures from a list of 38 to complete the Clinical Quality Measures section of Meaningful Use Additional Clinical Quality Measures Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Save amp Continue 212 February 2015 Meaningful Use Core Measures This screen provides information about the Meaningful Use Core Measures Click Begin to continue to the Meaningful Use Core Measure List Table Applicant NPI 2011062801 Payee TIN Serer Program Year 2014 wi Ta As part of the meaningful use attestation Ehgible Professionals EPs are required to complete 13 Core Measures in Stage 1 Certain objectives do provide exclusions If an EP meets the criteria for that
197. er to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics General Requirements Core Measures Menu Measures You are required to answer all three 3 Core Clinical Quality Measures You will need to select one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures of Meaningful Use Additional Clinical Quality Measures Note When all topics are marked as complet
198. eral Requirements Core Measures Menu Measures Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Previous Save amp Continue 246 February 2015 Program Year 2014 MAIR User Guide for Eligible Professionals Meaningful Use Alternate Core Clinical Quality Measures This initial screen provides information about the Alternate Core Clinical Quality Measures Click Begin to continue to the Meaningful Use Alternate Core Clinical Quality Measures Selection screen JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 060663210 Payee TIN 361924026 Payment Year 1 Program Year 2012 Get Started RAA Contact Info Ehgibilty Patient Volumes Attestation jj Submit MEANINGFUL USE ALTERNATE CORE CLINICAL QUALITY MEASURES As part of the Meaningful Use attestation Eligible Professionals EPs are required to complete six Clinical Quality Measures three Core or Alternate Core meas
199. eriod Percentage of patients aged 18 years and older with Stage IIIA through IIIC colon cancer who are referred for adjuvant chemotherapy prescribed adjuvant chemotherapy or have previously received adjuvant chemotherapy within the 12 month reporting period Percentage of patients regardless of age with a diagnosis of prostate cancer at low risk of recurrence receiving interstitial prostate brachytherapy OR external beam radiotherapy to the prostate OR radical prostatectomy OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer Percentage of patients 18 years of age and older who were current smokers or tobacco users who were seen by a practitioner during the measurement year and who received advice to quit smoking or tobacco use or whose practitioner recommended or discussed smoking or tobacco use cessation medications methods or strategies Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had a retinal or dilated eye exam or a negative retinal exam no evidence of retinopathy by an eye care professional Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had a nephropathy screening test or evidence of nephropathy The percentage of patients 18 75 years with diabetes type 1 or type 2 who had a foot exam visual inspection sensory exam with monofilament or pulse exam Percentage of patients aged 18 years and
200. ests as structured data generate lists of patients by specific conditions etc e 9 of 64 Clinical Quality Measures covering at least 3 National Quality Strategy domains Here is a link to the CMS Meaningful Use Stage 1 Table of Contents for Core and Menu Set Objectives for further reference http www cms gov Requlations and Guidance Legislation EHRIncentivePrograms Downloads EP_MU_ TableOfContents pdf February 2015 9 MAPIR User Guide for Eligible Professionals Introduction to Connecticut Medicaid EHR Incentive Program Stage 2 Criteria Stage 2 is being implemented in 2014 All providers must achieve meaningful use under the Stage 1 criteria before moving to Stage 2 For 2014 only all providers regardless of their stage of meaningful use are only required to demonstrate meaningful use for a 3 month EHR reporting period In addition to the two general requirements mentioned above eligible professionals must complete 17 Core Objectives examples CPOE e prescribing record demographics etc 3 Objectives out of 6 from menu set examples Electronic notes imaging results family health history etc 9 of 64 Clinical Quality Measures covering at least 3 National Quality Strategy domains Here is a link to the CMS Meaningful Use Stage 2 Table of Contents for Core and Menu Set Objectives for further reference https www cms qov Requlations and Guidance Legislation EHRIncentivePrograms Downloads Stage2_ MeaningfulUse
201. ete Measure Yes No The EP has enabled and implemented the functionality for drug drug and drug allergy interaction checks Measure 2 k for the entire EHR reporting period Did you meet this measure Yes No 128 Stage 2 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Screen 7 The following Meaningful Use Core Measure uses this screen layout Core Measure 7 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999909090999 Payee TIN 999999999 Payment Year J Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Core Measure Patient Electronic Access I click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Provide patients the ability to view online download and transmit their health information within four business days of the information being available to the EP Exclusion Measure 1 and 2 Any EP who neither orders nor creates any of the information listed for inclusion as part of both measures except for Patient name and Provider s name and office contact information may exclude both measures Yes No Measure 1 More than 50 percent
202. evant should perform medication reconciliation The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary of care record for each transition of care or referral Capability to submit electronic data to The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Generate at least one report listing patients of the EP with a specific condition The EP performs medication reconciliation for more than 50 of transitions of care in which the patient is transitioned into the care of the EP The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 of transitions of care and referrals Performed at least one test of certified immunization registries or immunization EHR technology s capacity to submit information systems and actual submission in accordance with applicable law and practice electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically except where prohibited February 2015 Stage 1 MAPIR User Guide for Eligible Professionals The following is a list of the Me
203. example Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for a measure or click Return to Selection List to return to the Meaningful Use Menu Measures Selection screen Name Cr Medicaid Provider Applicant NPI 9999998999 Personal TIN SSN 995999999 Payee TIN 999932724 Payment Year i Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation H Review Submit Attestation Meaningtul Use Measures Meaningful Use Menu Measure Worksheet To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list EPMMUO1 Implement drug formulary checks The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Generate lists of patients by specific Generate at least one report listing conditions to use for quality patients of the EP with a specific improvement reduction of disparities condition research or outreach Use certified EHR technology to identify More than 10 of all unique patients patient specific education resources seen by
204. f the provider s risk management process for EPs Incorporate clinical lab test results More than 55 percent of all clinical into Certified EHR Technology lab tests results ordered by the EP CEHRT as structured data during the EHR reporting period whose results are either ina positive negative or numerical format are incorporated in Certified EHR Technology as structured data Generate lists of patients by Generate at least one report listing specific conditions to use for quality patients of the EP with a specific improvement reduction of condition disparities research or outreach Use clinically relevant information to More than 10 percent of all unique identify patients who should patients who have had 2 or more receive reminders for office visits with the EP within the preventive follow up care and send 24 months before the beginning of these patients the reminders per the EHR reporting period were sent patient preference a reminder per patient preference when available EPCMU13 Use clinically relevant information Patient specific education resources from Certified EHR Technology to identified by Certified EHR identify patient specific education Technology are provided to resources and provide those patients for more than 10 percent resources to the patient of all unique patients with office visits seen by the EP during the EHR reporting period The EP who receives a patient from The EP who performs m
205. f the provider is aggrieved by the outcome of the initial review the provider may request an administrative hearing in writing to the commissioner together with a detailed written description of all items of aggrievement not more than fourteen days after the date the written initial review decision was issued The Department shall conduct an administrative hearing requested pursuant to subsection c of this section in accordance with chapter 54 of the Connecticut General Statutes 12 February 2015 Medical Assistance Provider Incentive Repository MAPIR System MAPIR User Guide for Eligible Professionals Medical Assistance Provider Incentive Repository MAPIR System The Medical Assistance Provider Incentive Repository MAPIR is a Web based program administered by Connecticut Medicaid program that allows Eligible Professionals and Eligible Hospitals to apply for incentive payments to help defray the costs of a certified EHR system Per the final federal rule Eligible Professionals under the Medicaid EHR Incentive Program include e Physicians primarily doctors of medicine and doctors of osteopathy e Nurse practitioners e Certified nurse midwives e Dentists e Physician assistants who furnish services in a Federally Qualified Health Center or Rural Health Center that is led by a physician assistant To qualify for an incentive payment under the Medicaid EHR Incentive Program an Eligible Professional must meet one of the following cri
206. firmation message Click OK to continue Name ae s e Dr Medicaid Provider Applicant NPI 9999999999 Personal l 999999999 Payee TIN 999999999 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Start Over and Delete All Progress Your application has been reset and all saved data has been eliminated Please select OK to start from the beginning You will be redirected to the Get Started tab Cl ox February 2015 199 MAPIR User Guide for Eligible Professionals Additional User Information Contact Us Clicking on the Contact Us link in the upper right corner of most screens within MAPIR will display the following state Medicaid program contact information Contact Us Please contact us with any questions or concerns you have Email ctmedicaid chrahp com or Call toll free 1 855 313 6638 Monday Fnday 8 00 a m 5 00 p m except holidays MAPIR Error Message This screen will appear when a MAPIR error has occurred Follow all instructions on the screen Click Exit to exit MAPIR MAPIR Session Expired Your MAPIR session has expired Please click Exit to close this window 200 February 2015 Additional User Information MAPIR User Guide for Eligible Professionals Validation Messages The following is an example of the validation message You have entered an invalid CMS EHR Certification ID Check and reenter your CMS EHR Certification ID
207. for Clinical Older Adults Process Effectiveness CMS129 v4 Prostate Cancer Avoidance of Efficient Use of Overuse of Bone Scan for Staging Low Healthcare Resources Risk Prostate Cancer Patients CMS146 v3 Appropriate Testing for Children with Efficient Use of Pharyngitis Healthcare Resources CMS179 v3 ADE Prevention and Monitoring Warfarin Time in Therapeutic Range 158 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals The following is a list of the 64 Clinical Quality Measures available for you to attest to Measure Number Clinical Quality Measure Screen Example CMS137v3 Clinical Quality Measure 2 Screen 2 CMS165v3 Clinical Quality Measure 3 Screen 1 CMS125v3 Clinical Quality Measure 7 Screen 1 CMS124v3 Clinical Quality Measure 8 Screen 1 CMS130v3 Clinical Quality Measure 10 Screen 1 CMS126v3 Clinical Quality Measure 11 Screen 2 CMS127v3 Clinical Quality Measure 14 Screen 3 CMS131v3 Clinical Quality Measure 16 Screen 3 CMS123v3 Clinical Quality Measure 17 Screen 3 CMS122v3 Clinical Quality Measure 18 Screen 3 CMS148v3 Clinical Quality Measure 19 Screen 3 Clinical CMS134v3 Clinical Quality Measure 20 Screen 3 Process Effectiveness CMS163v3 Clinical Quality Measure 21 Screen 3 CMS164v3 Clinical Quality Measure 22 Screen 3 CMS145v3 Clinical Quality Measure 24 Screen 4 CMS182v4 Clinical Quality Measure 25 Screen 3 CMS135v3 Clinical Quality Measure 26 Screen 1
208. formation within 4 business days of the information being available to the EP Provide clinical summaries for patients for each office visit Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities More than 30 of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE The EP has enabled this functionality for the entire EHR reporting period More than 80 of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient has no known medication allergies recorded as structured data More than 50 of all unique patients seen by the EP have demographics recorded as structured data More than 50 of all unique patients seen by the EP during the EHR reporting period have blood pressure for patients age 3 and over only and h
209. from the R amp A you requested to assign your incentive payment to the entity above Payee TIN Please confirm that you are receiving that payment as the payee indicated above or you are assigning this payment voluntarily to the payee above and that you have a contractual relationship that allows the assigned employer or entity to bill for your services You have selected the mailing address below to be used for your Incentive araa if you are approwed for payment Additional Additional Information 9999999999 9999999999 Doctor T arres First TN Anytown PA 12345 1234 176 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application The final submission of your application involves the following steps Review and Check Errors The system will check your application for errors If errors are present you will have the opportunity to go back to the tab where the error occurred and correct it If you do not want to correct the errors you can still submit your application however the errors may affect your eligibility and payment amount File Upload File Upload You will be required to upload documentation supporting your attestation Files must be in pdf xls xlsx doc or docx format and no greater than 5 MB The following is a list of documentation requirements Documentation required for A I U of Certified EHR Technology e CMS Certification EHR ID Cart
210. g Measure Numbers use this screen layout CQM 4 12 14 16 17 18 19 20 21 22 25 32 34 35 36 40 42 51 52 53 and 59 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Clinical Quality Measure 12 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Responses are required for the clinical quality measure displayed on this page Domain Population Public Health Measure Number CMS117 v3 Measure Title Childhood Immunization Status Measure Description Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR three H influenza type B HiB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV one hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday Numerator A positive whole number including zero Use the Click HERE above for a definition Denominator A positive whole number including zero Use the Click HERE a
211. ge choose a minimum of five Meaningful Use Menu Measures to attest to One measure must be from the public health list first two measures listed on the top half of the screen The remainder of the measures can be any combination from the remaining public health list measures or from the additional Meaningful Use Menu Measures listed In the example shown on the following page one public health measure and four measures from the additional Meaningful Use Measures listed are selected If a measure is selected and information is entered for that measure unselecting the measure will clear all information previously entered Click Save amp Continue to proceed or click Return to Main to go back Click Reset to restore this panel to the starting point 98 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 R amp A Contact Info Eligibility Attestation a Review Submit Attestation Meaningful Use Measures Instructions EPs must pass a minimum of five 5 measures without taking exclusions Exclusions do not count toward passing the required minimum If you cannot meet the minimum number of measures without taking an exclusion then you need to complete all the Menu Measures through a combination of meeting the exclusion criteria or meeting the measure You must answer at least one 1 of the P
212. ged alive for acute myocardial infarction AMI coronary artery bypass graft CABG or percutaneous transluminal angioplasty PTCA from January 1 November 1 of the year prior to the measurement year or who had a diagnosis of ischemic vascular disease IVD during the measurement year and the year prior to the measurement year and who had a complete lipid profile performed during the measurement year and whose LDL C was less than 100 mg dl Diabetes Hemoglobin Aic less than 8 0 The percentage of patients 18 75 years with F diabetes type 1 or type 2 who had hemoglobin Aic less than 8 0 Save amp Continue February 2015 269 MAPIR User Guide for Eligible Professionals Program Year 2014 If all measures were entered and saved a check mark will display under the Completed column for the topic You can continue to edit the topic measure after it has been marked complete The screen on the following page displays the Measures Topic List with all six meaningful use measure topics marked complete Click Save amp Continue to view a summary of the Meaningful Use Measures you attested to Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation C Review Submit Attestation Meaningful Use Measures The data required for this attestation is grouped into topics In ord
213. gned by a different EHR technology developer than the sender s EHR technology certified to 45 CFR 170 314 b 2 b Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period Capability to submit electronic data Successful ongoing submission of to immunization registries or electronic immunization data from immunization information systems Certified EHR Technology to an except where prohibited and in immunization registry or accordance with applicable law and immunization information system practice for the entire EHR reporting period m Uv 2 er N Use secure electronic messaging to A secure message was sent using communicate with patients on the electronic messaging function of relevant health information CEHRT by more than 5 percent of unique patients or their authorized representatives seen by the EP during the EHR reporting period February 2015 121 MAPIR User Guide for Eligible Professionals Stage 2 The following is a list of the 17 Meaningful Use Core Measures that you must attest to Click on the Screen Example to see an example of the screen layout Meaningful Use Core Measure Screen Example Core Measure 1 CPOE for Medication Laboratory and Radiology Orders There are 17 Meaningful Use Core Measure screens As you proceed through the Meaningful Use Core Measure section of MAPIR you will see 11 different screen layouts Instructions for each measure a
214. gram Year Attestation E ees PCP or OB GYN and who had evidence of BMI percentile documentation counseling for nutrition and counseling for physical activity during the measurement year NQF 0041 PQRI 110 Preventive Care and Percentage of patients aged SO years and Screening Influenza Immunization for older who received an influenza immunization Patients greater than or equal to 50 Years during the flu season September through old February NQF 0038 Childhood Immunization Status Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPV one measles mumps and rubella MMR two H influenza type B HIB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep A two or three rotavirus RV and two influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates en CT Return to Selection tist gt Click Return to Main to return to the Measure Topic List 9999999999 ogogggogg 2012 Review Numerator 1 Denominator Numerator 2 Denominator Numerator 3 50 100 4 100 24 Denominator 100 Population Criteria 2 Numerator 1 Denominator Numerator 2 Denominator Numerator 3 Denominator Population Criteria 3 Numerator 1 Denominator Numerator 2 Denominator Numerator 3 Denominator N
215. gram Year Dr Medicaid Provider Applicant NPI 9999999999 Status We have confirmed that you have entered a valid CMS EHR Certification ID Click here for additional information regarding the Certified Health IT Product List CHPL When ready click the Next button to continue or click Previous to go back CMS EHR Certification ID ADI14E01LEPAKIEAS February 2015 23 MAPIR User Guide for Eligible Professionals Step 1 Getting Started Click Get Started to access the Get Started screen or Exit to close the program If you click Exit or close the browser prior to clicking the Get Started button you will lose the data you entered on the previous screens Payment Year 1 Program Year JEREMY MAPIR Applicant NPI 2011062801 Status Not Started IMPORTANT The MAPIR application must be completed by the actual Provider or by an authorized preparer In some cases a provider may have more than one Internet Portal account available for use Once the MAPIR application has been started it must be completed by the same Internet Portal account To access MAPIR and apply for Medicaid EHR Incentive Payment Program under a different Internet Portal account select Exit and log on with that account To access MAPIR using the current account select Get Started All applications for previous years will be re associated with the current account and the previous user account will lose access to these applications re Exit et
216. guide For Meaningful Use turn to page 76 of this guide 66 February 2015 Adoption Phase MAPIR User Guide for Eligible Professionals Adoption Phase For Adoption select the Adoption button Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Proceed to page 171 of this guide Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999995 Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Attestation Phase Please select the appropriate EHR System Adoption Phase When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Adoption acquiring certified EHR Technology Implementation You are installing certified EHR Technology Upgrade You are expanding functionality of certified EHR Technology Meaningful Use You are capturing meaningful use measures using a certified EHR technology at locations where at least 50 of patient encounters are provided ey _Reset C Save amp Continue te February 2015 67 MAPIR User Guide for Eligible Professionals Implementation Phase Implementation Phase For Implementation select the Implementation button Click Save amp Continue to review your selection
217. heck whether you will report Medicaid Patient Volumes and whether you plan to Utilize Certified EHR Technology You must select at least one location for meeting patient requirements and at least one location for utilizing certified EHR technology Note For every location listed on this screen even if you did not select it as a location to meet patient requirements Medicaid Patient Volume column you must indicate if you are using certified EHR technology at this location by selecting Yes or No in the Utilizing Certified EHR Technology column Click Edit to make changes to the added location or Delete to remove it from the list Note The Edit and Delete options are not available for locations already on file Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999099 P e TIN 999999999 TIN SSN dita Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E t tati Review Patient Volume FQHC RHC Individual Part 3 of 3 CO has the following information on the locations in which you practice Please select the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or site that is not listed click Add Locatio
218. hecks EPMMU03 Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach appropriate The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation EPMMU08 Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice EPMMU05 Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Generate at least one report listing patients of the EP with a specific condition More than 10 of all unique patients seen by the EP are provided patient specific education resources The EP performs medication reconciliation for more than 50 of transitions of care in which the patient is transitioned into the care of the EP Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically except where pro
219. hen proceed to attest to two years of Stage 2 Meaningful Use If it is your first year participating Payment Year 1 the Stage column will be blank Once you have Submitted the incentive application the Stage column will display Adoption Implementation Upgrade or Meaningful Use If it not your first year participating Payment Year greater than 1 the Stage column will only display the Stage not the Attestation Phase until you submit the incentive application The Status will vary depending on your progress with the incentive application The first time you access the system the status should be Not Started From this screen you can choose to edit and view incentive applications in an Incomplete or Not Started status You can only view incentive applications that are in a Completed Denied or Expired status Also from this screen you can choose to abort an incentive application that is in an Incomplete status When you click Abort on an incentive application all progress will be eliminated for the incentive application When an incentive application has completed the payment process the status will change to Completed The screen on the following page displays an EP that is in the second year of Stage 1 The Attestation Phase is not displayed because the incentive application has not been submitted Select an application and click Continue If you are in Program Year 2014 and have selected an Incomplete State to State Switch or
220. hibited ee S ITT Return to Selection List February 2015 Numerator 356 Denominator 989 Numerator 875 Denominator 1098 109 MAPIR User Guide for Eligible Professionals Stage 1 Click Return to Main to return to the Measure Topic List Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 aesiation I EB seei Attestation Meaninglul Use Measures Instructions EPs must pass a minimum of five 5 measures without taking exclusions Exclusions do not count toward passing the required minimum If you cannot meet the minimum number of measures without taking an exclusion then you need to complete all the Menu Measures through a combination of meeting the exclusion criteria or meeting the measure You must answer at least one 1 of the Public Health measures either Immunization Registries Data Submission or Syndromic Surveillance Data If you exclude from one 1 Public Health measure you must answer both If you meet the exclusion criteria for both Public Health measures you must claim exclusions for both Public Health objectives and report on 110 five 5 additional menu objectives from outside the Public Health menu set without taking any additional exclusions If you can pass one 1 Public Health measure you must pass four 4 of the remaining measures without taking any exclusions If you cannot pass four 4 without exclud
221. his exclusion apply to you Yes No EXCLUSION 2 Any EP who does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP s practice location at the start of his her EHR reporting period Does this exclusion apply to you Yes No If the exclusions do not apply to you please complete the following information Numerator Number of prescriptions in the denominator generated and transmitted electronically Denominator Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the EHR reporting period Numerator Denominator 93 MAPIR User Guide for Eligible Professionals Stage 1 After you enter information for a measure click the Save amp Continue button You will return to the Meaningful Use Core Measure List Table The information you entered for that measure will be displayed in the Entered column of the table as shown in the example below Please note that the entire screen is not displayed in this example You can continue to edit the measures at any point prior to submitting the application Click Edit for the next measure Name Dr Medicaid Provider Personal TIN SSN 999999999 Payment Year 1 Meaningful Use Core Measures Applicant NPI Payee TIN Program Year 9999999999 999999999 2014 Review To edit information select the EDIT button
222. his screen shows an example of entering activities other than what was in the Implementation Activity listing Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore the panel to the starting point or last saved data After saving click Clear All to remove standard activity selections Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit AGC EES Please select the activities where you have Planned to include In Progress or completed an implementation It is important to know that the information you select about your Planned to include In Progress and completed implementation tasks is optional and will not impact your ability to receive an incentive payment This information is helpful to the State Medicaid Program Office in understanding the implementation process If there are no applicable activities to select or list please select the Other Click to Add button and enter none When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point After saving click the Clear All button to remove standard activity selections Red asterisk indicates a required field Implementation Activity Planned Workfl
223. icaid EHR Incentive Program Registration and Attestation System R amp A If there are errors or discrepancies in the information you need to return to the Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A to make these updates prior to moving forward in the MAPIR application process The following link will take you to the Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A to correct any errors noted https ehrincentives cms gov hitech login action a nuny m D Begin ann February 2015 27 MAPIR User Guide for Eligible Professionals Step 2 Confirm R amp A and Contact Info See the Using MAPIR section of this guide for information on using the Print Contact Us and Exit links Check your information carefully to ensure all of it is accurate Compare the R amp A Registration ID you received when you registered with the R amp A with the R amp A Registration ID that is displayed After reviewing the information click Yes or No Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel back to the starting point or last saved data The Reset button will not reset the R amp A information If the R amp A information is incorrect you will need to return to the R amp A website to correct it Connecticut DEPARTMENT OF SOCIAL SERVICES Tuesday 05 22 2012 9 55 52 AM EDT Car
224. icaid Patient Volumes selecting at least one location for Utilizing Certified EHR Technology and entering patient volumes for the chosen reporting period The initial Patient Volumes screen contains information about this section Click Begin to proceed to the Patient Volume Practice Type Part 1 of 3 screen Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN nl Payee TIN al Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes E Attestation Review Eligible professionals must meet specific Medicaid patient volume requirements to qualify for the Medicaid EHR Incentive Program based on provider type and practice locations You have the option to use individual patient volume or group practice clinic patient volume Eligible professionals must meet 30 Medicaid patient volume within a consecutive 90 day period Pediatricians may meet a 20 Medicaid patient volume if they do not meet the 30 threshold Calculating patient volumes is a three step process Part 1 of 3 contains two questions which will determine the method you use for entering patient volumes in Part 3 of 3 You will answer whether you practice predominantly in an FQHC over 50 of total patient encounters occur over a 6 month period in an FQHC and if you would like to use your individual patient encounters or your entire group practice clinic s patient encounters in calculating the patient volume requirements In Part 2 of 3 y
225. ical Quality Measure Worklist Table To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session ts terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list NQF 0013 Hypertension Blood Percentage of patient visits for patients aged 18 Pressure Measurement years and older with a diagnosis of hypertension who have been seen for at least 2 office visits with blood pressure BP recorded NQF 0028 PQRI 114 Preventive Care a Tobacco Use Assessment and Screening Measure Pair Description Percentage of patients aged 18 years and older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months b Tobacco Cessation Intervention Description Percentage of patients aged 18 years and older indentified as tobacco users within the past 24 months and have been seen for at least 2 office visits who received cessation intervention NOF 0421 PQRI 128 Adult Weight Percentage of patients aged 18 years and older Screening and Follow up with a calculated BMI in the past six months or during the current visit documented in the medical record AND if the most recent BMI is outside parameters a follow up plan is documented Return to Main February 2015 241 MAPIR User Guide for Eligi
226. ick Previous to go back Click Reset to restore this panel back to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 RRA Contact Info Eligibility Patient Volumes V Ea QB ii Patient Volume Group Please indicate in the box es provided the Group Practice Provider ID s you will use to report patient volume requirements You must enter at least one Group Practice Provider ID 1234567890 2345678901 3456789012 4567890123 Please check the box if more than 4 Group Practice Provider IDs will be used in reporting patient volumes 1 For reporting Group patient volumes 1 The clinic or group practice s patient volume is appropriate as a patient volume methodology calculation for the EP for example if an EP only sees Medicare commercial or self pay patients this is not an appropriate calculation 2 There is an auditable data source to support the clinic s patient volume determination and 3 So long as the practice and EP s decide to use one methodology in each year in other words clinics could not have some of the EP s using their individual patient volume for patients seen at the clinic while others use the clinic level data The clinic or practice must use the entire practice s patient volume and not limit it in any way EP s may attest to patient volume under the individual calculation or the group clini
227. ick Save amp Continue to review your selection or click Previous to go back panel to the starting point or last saved data Or Medicaid Provider Applicant NPI 9999999999 Payee TIN 999999999 Program Year 2011 Personal TIN SSN 999999999 Payment Year 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Attestation Phase Review Please select the appropriate EHR System Adoption Phase Upgrade Phase Click Reset to restore this When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Adoption You are acquiring certified EHR Technology Implementation You are installing certified EHR Technology Upgrade You are expartding functionality of certified EHR Technology _ Meaningful Use You are capturing meaningful use measures using a certified EHR technology at locations where at least 50 of patient encounters are provided nnn la a gt oe O O 72 February 2015 Upgrade Phase MAPIR User Guide for Eligible Professionals Select your Upgrade Activities by selecting the Planned or Complete button for each activity Click Other to add any additional Upgrade Activities you would like to supply Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore the panel to the starting point or last sav
228. ied A determination has been made that the provider does not qualify for an incentive payment based on one or more of the eligibility rules The application has run a full standard process and completed successfully with a payment to the provider An application has been set to Cancelled status only when R amp A communicates a registration cancellation to MAPIR MAPIR cancels both the registration and any associated application This is a status that will be displayed against any application to indicate the number of future applications that the provider can apply for within the EHR Incentive Program This is a status that will be displayed against any application whenever the provider has exceeded the limits of the program timeframe This is a status that will be displayed against any application whenever the provider has not started an application but MAPIR received an R amp A registration and has been matched to an MMIS provider An application is set to an Expired status when an application in an Incomplete status has not been submitted within the allowable grace period for a program year or when an authorized admin user changes an application to this status after the end of the grace period Once an application is in an Expired status the status cannot be changed and it is only viewable to the provider 197 MAPIR User Guide for Eligible Professionals Additional User Information Additional User Informatio
229. ient volumes and certified EHR technology site usage selections you entered are depicted below Please review the current information to verify what you have entered is correct When ready click the Save amp Continue button to review your selection or click Previous to go back Oo Provider ID Location Name Encounter Volumes Volume Denominator Utilizing Certified EHR Technology Yes ee Medicaid and chip Numerator 800 5959999999999 Doctor Office A 123 g5 ae pap Other Needy Numerator 1000 a ii ii Total Needy Numerator 1800 Denominator 3300 Yes New Location 123 Main Street Medicaid and chip Numerator 400 Anytown AL 12345 Other Needy Numerator 500 Total Needy Numerator 900 Denominator 1500 Sum Medicaid and Chip Sum Other Needy Individual Sum Total Needy i Denominator Total o Encounter Volume Encounter Volume Encounter Volume 1200 1500 2700 4800 Save amp Continue P February 2015 57 MAPIR User Guide for Eligible Professionals Patient Volume FQHC RHC Group Patient Volume FQHC RHC Group The following pages will show you how to apply for the EHR Incentive program as an FQHC RHC Group provider If you are not applying as an FQHC RHC Group provider refer to the table on page 39 for more information Practice locations MAPIR will present a list of locations that Connecticut Medicaid program office has on record If you have additional locations you will be given the opportunity to add
230. ified Documentation of Current Medications in the Medical Patient Safety Record Cataracts Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures 139 v3 Falls Screening for Future Fall Risk i Use of High Risk Medications in the Elderly Patient Safety Patient Safety S177 v3 Child and Adolescent Major Depressive Disorder MDD Suicide Risk Assessment S179 v3 ADE Prevention and Monitoring Warfarin Time in Patient Safety Therapeutic Range S2 v4 Preventive Care and Screening Screening for Clinical Population Public Health Depression and Follow Up Plan Preventive Care and Screening Screening for High Blood _ Population Public Health Pressure and Follow Up Documented S69 v3 Preventive Care and Screening Body Mass Index BMI Population Public Health Screening and Follow Up Patient Safety Maternal depression screening Population Public Health 117 v3 Childhood Immunization Status Population Public Health Preventive Care and Screening Tobacco Use Screening Population Public Health and Cessation Intervention S147 v3 Population Public Health Physical Activity for Children and Adolescents Reset Sa amp 0 o cr 3 F wn a T 7 157 MAPIR User Guide for Eligible Professionals Stages 1 and 2 The screen below displays the Meaningful Use Clinical Quality Measure Worklist Table This screen displays the Meaningful Use Clinical Qu
231. ime to complete the submission process Click Submit Application Dr Medicaid Provider Applicant NPI 9999999999 Personal 299990909 Payee TIN A TIN SSN Payment Year Program Year 2011 Get Started TTIE Info F Eligibility r Patient Volumes Attestation f Review Submit E Application Submission Part 2 of 2 Based on the Medicaid EHR incentive rules the following chart indicates the maximum potential amount per year The columns represent the first year of participation and the rows represent the six years of potential participation Example Pediatrician Incentive Payment Chart First Calendar Year of Participation CY 2011 C 2012 C 2013 CY 2014 CY 2015 CY 2016 CY 2011 14 167 CY 2012 Bae 5 667 167 cy 2013 14 167 cy 2019 Tz 66 i R t R CY 2020 TOTAL 42 500 4 2 500 42 500 42 500 42 500 300 n February 2015 191 MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application The check indicates your application has been successfully submitted Click OK Dr Medicaid Provider Applicant NPI 9999999999 Personal 3999990999 Payee TIN 999999999 TIN SSN Y Payment Year 1 Program Year 2011 Current Status Review Application Your application has been successfully submitted and will be processed within 7 10 business days You will receive an email message when processing has been completed 192 February 2015 Step 7 Submit Your Application MAPIR User Guide f
232. influenza flu vaccines by their second birthday The measure calculates a rate for each vaccine and two separate combination rates Program Year 2014 Entered Population Criteria 1 Numerator 50 Denominator 100 Numerator 74 Denominator 100 Numerator 24 Denominator 100 Population Criteria 2 Numerator 45 Denominator 100 Numerator 125 Denominator 200 Numerator 156 Denominator 200 Population Criteria 3 Numerator Denominator 200 Numerator 16 Denominator 200 Numerator 87 Denominator 100 Numerator 86 Denominator 100 Exclusion 24 Numerator 1 25 Denominator 100 Numerator 2 35 Denominator 100 Numerator 3 45 Denominator 100 Numerator 4 55 Denominator 100 Numerator 5 65 Denominator 100 Numerator 6 75 Denominator 100 Numerator 7 85 Denominator 100 Numerator 8 95 Denominator 100 Numerator 9 90 Denominator 100 Numerator 10 80 Denominator 100 Numerator 11 70 Denominator 100 Numerator 12 75 Denominator 100 February 2015 This is screen 5 of 5 of the Meaningful Use Measures Summary Meaningful Use Additional Clinical Quality Measure Review Measure Number Percentage of patients 18 75 NOF 0059 Diabetes Hemoglobin Alc Poor Control years of age with diabetes type 1 FORI 1 or type 2 who had hemoglobin Alc greater than 9 0 Numerator 38 Denominator 76 Exclusion 2
233. ing Percentage of women 21 64 years of age who received one or more Pap tests to screen for cervical cancer NQF 0033 Chlamydia Screening for women Percentage of women 15 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year NQF 0036 Use of Appropriate Medications for Asthma Percentage of patients 5 50 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement year Report three age stratifications 5 11 years 12 50 years and total NQF 0052 Low Back Pain Use of Imaging Studies Percentage of patients with a primary diagnosis of low back pain who did not have an imaging study plain x ray MRI CT scan within 28 days of diagnosis NQF 0075 Ischemic Vascular Disease IVD Complete Lipid Percentage of patients 18 years of age and Panel and LDL Control older who were discharged alive for acute myocardial infarction AMI coronary artery bypass graft CABG or percutaneous transluminal angioplasty PTCA from January 1 November 1 of the year prior to the measurement year or who had a diagnosis of ischemic vascular disease IVD during the measurement year and the year prior to the measurement year and who had a complete lipid profile performed during the measurement year and whose LDL C was less than 100 mg dl NQF 0575 Diabetes Hemoglobin Alc less than 8 0 The percentage of patients
234. ing you must answer all the remaining Menu Measures through a combination of meeting the exclusion criteria or meeting the measure When ready click the Save amp Continue button to review your selection or click Return to Main to go back Click Reset to restore this panel to the starting point Measure Number EPMMU08 Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Public Heath Measure Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically except where prohibited Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an EP submits such information have the capacity to receive the information electronically except where prohibited You must submit additional menu measure objec
235. ing has Canneclital Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN makiem Payee TIN a Payment Year 1 Program Year 2012 KZRA contact info i Ehgibility Patient Volumes Attestation Review e R amp A Verification We have received the following information for your NPI from the CMS Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A Please specify if the information is accurate by selecting Yes or No to the question below When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel back to the starting point Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 060663210 Payee TIN 361924026 Payee NPI 1134303563 Business Address 19S SCOTT SWAMP RD FARMINGTON CT 06032 Business Phone 860 255 3900 Incentive Program MEDICAIO Eligible Professional Type Physician Eligible Professional Type Physician RAA Registration ID 1000000019 RAA Registration Emall Address janett govola hp com CMS FNR Certification Number EHR99999999hy ms Red asterisk indicates a required field _ Is this information accurate tS Yes Nos Reset z Save amp Continue s 28 February 2015 Step 2 Confirm R amp A and Contact Info MAPIR User Guide for Eligible Professionals Enter the required contact information Click Save amp Continue to review your selection or clic
236. ing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Implement drug formulary checks Measure The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period EXCLUSION Any EP who writes fewer than 100 prescriptions during the EHR reporting period can be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Yes No If the exclusion does not apply to you please complete the following information Have you enabled the drug formulary check functionality and did you have access to at least one internal or external drug formulary for the entire EHR reporting period Yes No Previous Reset Save amp Continue 102 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Screen 2 The following Meaningful Use Menu Measures use this screen layout Menu Measure 2 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Menu Measure 2 Clinical Lab Test
237. ingful Use Menu Measure Worksheet The example below displays the five measures selected on the previous screen example You must complete all the measures on this screen Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for a measure or click Return to Selection List to return to the Meaningful Use Menu Measures Selection screen 100 Name Dr Medicaid Provider Personal TIN SSN 999999999 Payment Year 1 Applicant NPI 9999999999 Payee TIN 999999999 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Mean ngful Use Menu Measure Worksheet To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list Measure Number EPMMUO1 EPMMU03 EPMMU07 EPMMU08 Implement drug formulary checks Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach The EP who receives a patient from another setting of care or provider of care or believes an encounter is rel
238. inical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance to that rule Provide patients with an electronic copy of their health information including diagnostic test results problem list medication lists medication allergies upon request Provide clinical summaries for patients for each Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities More than 80 of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patent recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 80 of all unique patients seen by the EP have at least one entry for an indication that the patient is not currently prescribed any medication recorded as structured data More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient has no known medication allergies recorded as structured data More than 50 of all unique patients seen by the EP have demographics recorded as structured data More than 50 of all unique patients seen by the EP have blood pressure for patients age 3 and over only and or height and weight for all ages recorded as structure
239. intended to encourage adoption and meaningful use of EHRs The Centers for Medicare amp Medicaid Services CMS is responsible for implementing the provisions of the Medicare and Medicaid EHR incentive programs CMS issued the Final Rule on the Medicaid EHR Incentive Program on July 28 2010 http edocket access qpo gov 2010 pdf 2010 17207 pdf For more information on CMS EHR requirements link to CMS FAQ s at https www cms gov EHRIncentivePrograms 95 FAQ asp TopOfPage Purpose of the Eligible Provider User Guide The Connecticut Medical Assistance EHR Incentive Program Eligible Professional Provider Manual is a resource for healthcare professionals who wish to learn more about the Connecticut Medical Assistance EHR Incentive Program including detailed information and resources on eligibility and attestation criteria as well as instructions on how to apply for incentive payments The Eligible Professional Provider Manual also provides information on how to apply to the program via the Medical Assistance Provider Incentive Repository MAPIR which is the Department s web based EHR Incentive Program application system The best way for a new user to orient themselves to the EHR Incentive Program requirements and processes is to read through each section of this Provider Manual in its entirety prior to starting the application process In the event this provider manual does not answer your questions or you are unable to navigate MAPIR or
240. ion Numerator Number of patients in the denominator who are provided patient specific education resources Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator Denominator Reset Save amp Continue 106 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Screen 6 The following Meaningful Use Menu Measures use this screen layout Menu Measures 8 and 9 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestauon Meaningiul Use Measures Menu Measure 8 Immunization Registries Data Submission Click HERE for additional information on completing this measure Red asterisk indicates a required field Objective Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and Measure practice Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically except where prohibited EXCLUSION 1 An EP who does not pe
241. ionals Screen 9 The following Meaningful Use Core Measure uses this screen layout Core Measure 14 and 17 Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year J Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Attestation Meaningful Use Measures Core Measure 14 Medication Reconciliation click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation Measure The EP who performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP EXCLUSION Any EP who was not the recipient of any transitions of care during the EHR reporting period Does this exclusion apply to you If Yes do not complete the Numerator or Denominator If No complete entries in the Numerator and Denominator Yes No Numerator The number of transitions of care in the denominator where medication reconciliation was performed Denominator Number of transitions of care during the EHR reporting pe
242. ith a new episode of alcohol and other drug AOD dependence who received the following Two rates are reported a Percentage of patients who initiated treatment within 14 days of the diagnosis b Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit Numerator A positive whole number including zero Use the Click HERE above for a definition Denominator A positive whole number including zero Use the Click HERE above for a definition Performance Rate A percent value between 0 0 and 100 0 Use the Click HERE above for a definition Exclusion A positive whole number including zero Use the Click HERE above for a definition Stratum 1 Patient ages 13 17 Numerator 1 Denominator 1 Performance Rate 1 7 Numerator 2 Denominator 2 Performance Rate 2 f Stratum 2 Patient ages gt 18 Numerator 3 Denominator 3 Performance Rate 3 Numerator 4 Denominator 4 Performance Rate 4 Stratum 3 Total Patient ages gt 13 Numerator 5 Denominator 5 Performance Rate 5 Numerator 6 Denominator 6 Performance Rate 6 Save amp Continue February 2015 Exclusion 1 Exclusion 2 Exclusion 3 Exclusion 4 Exclusion 5 Exclusion 6 163 MAPIR User Guide for Eligible Professionals Stages 1 and 2 Screen 3 The followin
243. ithin 4 four business days of being updated in the certified business days of the information being available to EHR technology electronic access to their health the EP information subject to the EP s discretion to withheld certain information Use certified EHR technology to identify patient More than 10 of all unique patients seen by the specific education resources and provide those EP during the EHR reporting period are provided resources to the patient if appropriate patient specific education resources The EP who receives a patient from another The EP performs medication reconciliation for more setting of care or provider of care or believes an than 50 of transitions of care in which the encounter is relevant should perform medication patient is transitioned into the care of the EP The EP who transitions their patient to another The EP who transitions or refers their patient to setting of care or provider of care or refers their another setting of care or provider of care provides patient to another provider of care should provide a summary of care record for more than 50 of transitions of care and referrals Return to Main Save amp Continue ie care or referral February 2015 Program Year 201400 MAPIR User Guide for Eligible Professionals The five measures you selected to attest to will display on the Meaningful Use Menu Measure Worksheet The example below displays the five measures selected on the previous screen
244. k HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Record and chart changes in the following vital signs Height Weight Blood pressure e Calculate and display body mass index BMI Plot and display growth charts for children including BMI Measure More than 80 percent of all unique patients seen by the EP have blood pressure for patients age 3 and over only and or height and weight for all ages recorded as structured data PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using Certified EHR Technology This data was extracted from ALL patient records not just those maintained using Certified EHR Technology This data was extracted only from patient records maintained using Certified EHR Technology EXCLUSION 1 Any EP who sees no patients 3 years or older is excluded from recording blood pressure If this exclusion applies to you enter a Yes in Exclusion 1 and complete entries in the Numerator and Denominator Yes No EXCLUSION 2 Any EP who believes that all 3 vital signs of height length weight and blood pressure have no relevance to their scope of practice is excluded from rec
245. k Previous to go back Click Reset to restore this panel back to the starting point or last saved data Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit Contact Information Please enter your contact information All email correspondence will go to the primary contact email address entered below The email address if any entered at the R amp A will be used as a secondary email address If an email address was entered at the R amp A all email correspondence will go to both email addresses When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel back to the starting point Red asterisk indicates a required field Primary Contact First Name Dr Medicaid Provider Last Name Provider Phone a94 ggg 0999 Phone Extension Email Address Provider email com Verify Email Provider email com Department Healthcare Address Line 1 1234 waters edge dr Address Line 2 raleigh Nebraska 27007 Alternate Contact First Name Last Name Phone Phone Extension Email Address Verify Email Save amp Continue February 2015 29 MAPIR User Guide for Eligible Professionals Step 2 Confirm R amp A and Contact Info This screen confirms you successfully completed the R amp A
246. l and Other Percentage of adolescent and adult patients Drug Dependence Treatment a Initiation b with a new episode of alcohol and other drug Engagement AOD dependence who initiate treatment through an inpatient AOD admission outpatient visit Intensive outpatient encounter or partial hospitalization within 14 days of the diagnosis and who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit NQF 0001 PQRI 64 Asthma Assessment Percentage of patient aged 5 through 40 years with a diagnosis of asthma and who have been seen for at least 2 office visits who were evaluated during at least one office visit within 12 months for the frequency numeric of daytime and nocturnal asthma symptoms NQF 0012 Prenatal Care Screening for Human Percentage of patients regardless of age who Immunodeficiency Virus HIV gave birth during a 12 month period who were screened for HIV infection during the first or second prenatal care visit NQF 0014 Prenatal Care Anti D Immune Globulin Percentage of D Rh negative unsensitized patients regardless of age who gave birth during a 12 month period who received anti D immune globulin at 26 30 weeks gestation NQF 0018 Controlling High Blood Pressure The percentage of patients 18 85 years of age who had a diagnosis of hypertension and whose BP was adequately controlled during the measurement year NQF 0032 Cervical Cancer Screen
247. l federal rule Eligible Professionals under the Medicaid EHR Incentive Program include e Physicians primarily doctors of medicine and doctors of osteopathy e Nurse practitioners e Certified nurse midwives e Dentists e Physician assistants who furnish services in a Federally Qualified Health Center or Rural Health Center that is so led by a physician assistant So led is defined by CMS to mean the following When a physician assistant is the primary provider in an FQHC RHC When a physician assistant is a clinical or medical director at a clinical site of practice at an FQHC RHC or e When a physician assistant is an owner of an FQHC RHC The Department of Social Services DSS has determined that there are no FQHC RHCs in Connecticut that are led by a physician assistant Therefore physician assistants are not an eligible provider type for Connecticut s EHR Incentive Payment Program To qualify for an incentive payment under the Medicaid EHR Incentive Program an Eligible Professional must meet one of the following criteria e Have a minimum 30 Medicaid patient volume e Have a minimum 20 Medicaid patient volume and is a pediatrician e Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30 patient volume attributable to needy individuals For the purposes of the Connecticut Medical Assistance EHR Incentive Program a pediatrician is defined as a licensed physician engaged in
248. l has started the MAPIR application process with their Internet portal account they cannot switch to another account during that program year MAPIR will allow the user to save the information entered and return later to complete an application however only the same individual s Internet portal account will be permitted access to the application once it has been started Gather the necessary information to facilitate the completion of the required data MAPIR will request specific information when you begin the application process To facilitate the completion of the application it is recommended that you review the Connecticut Medical Assistance Program s EHR Incentive Payment Program Web site at www ctdssmap com to understand what information will be required From the home page click on EHR Incentive Program under the Provider link once on the EHR Incentive Program Web page click on Professional Instructions under EHR Incentive Program Provider Registration At a minimum you should have the following information available e Information submitted to the R amp A make sure you match the MAPIR application with the Registration ID you received for your application with the R amp A e Medicaid Patient Volume and associated timeframes e The CMS EHR Certification ID that you obtained from the Office of the National Coordinator ONC Certified Health IT Product List CHPL Web site http onc chpl force com ehrcert e Meaningful Use m
249. l must claim an exclusion from only one 1 Public Health measure and report on four 4 additional menu measures Please refer to the tab introduction splash page for state specific information Please Note Unchecking a Menu Measure will result in the loss of any data entered for that measure You must submit at least one Meaningful Use Menu Measure from the public health list even if an Exclusion is applied When ready click the Save amp Continue button to review your selection or click Return to Main to go back Click Reset to restore this panel to the starting point Public Heath Measure Capability to submit electronic data to Performed at least one test of certified EHR immunization registries or immunization information technology s capacity to submit electronic data to systems and actual submission in accordance with immunization registries and follow up submission if applicable law and practice the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically Capability to submit electronic syndromic Performed at least one test of certified EHR surveillance data to public health agencies and technology s capacity to provide electronic actual submission in accordance with applicable syndromic surveillance data to public health law and practice agencies and follow up submission if the test is successful unless none of the p
250. lease complete the following information Numerator Number of prescriptions in the denominator generated and transmitted electronically Denominator Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the EHR reporting period Numerator 9S Denominator 200 Previous Reset Save amp Continue s ee O MAPIR User Guide for Eligible Professionals 221 MAPIR User Guide for Eligible Professionals Screen 5 The following Meaningful Use Core Measures use this screen layout Core Measure 8 Optional You 222 Name Dr Medicaid Provider POR EE aenaquenne pplican Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures Core Measure amp Ci Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore Chis panel to the starting point Red asterisk indicates a required field Objective Record and chart changes in the following vital signs Height Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children including BMI More than 50 of all unique patients seen by the EP have blood pressure for patients age 3
251. lected General Adult set or Pediatric set The following screen is an example of the General set Click Begin to continue to the Meaningful Use Clinical Quality Selection screen JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 960663710 Payee TIN 061200871 Payment Year 1 Program Year 014 REA Contact Indo Bligibility Patient Volumi Attevtation a tear Tubat As part of the Meaningful Use Attestation Eligible Professionals must report on 9 of 64 available Clinical Quality Measures irrespective of the stage of Meaningful Use Selected COMs must cover at least 3 of the National Quality Strategy domains The data for these measures must be obtained directly from the certified EHR System 1 The Clinical Quality Measures can be completed in any order by selecting the Begin button 2 You may review the completed measures by selecting the Edit button 3 When all measures are complete you will receive a checkmark indicating the section is complete February 2015 153 MAPIR User Guide for Eligible Professionals Stages 1 and 2 The following screen is an example of the Adult set Click Begin to continue to the Meaningful Use Clinical Quality Selection screen JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN Payee TIN SE Payment Year 1 Program Year 2014 MEAN TYM There are 64 available Clinical Quality Measures CQMs To simplify the selection process for EPs with an adult population CMS has
252. leted Topics Action General Requirements You are required to answer all three 3 Core Clinical Quality Measures You will need to select one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures of Meaningful Use Additional Clinical Quality Measures Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Previous Save amp Continue February 2015 225 MAPIR User Guide for Eligible Professionals Program Year 2014 Meaningful Use Menu Measures This initial screen provides information about the Menu Measures Click Begin to continue to the Meaningful Use Menu Measures Selection screen Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN eerie al Payee TIN ieee Payment Year Program Year 2014 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit MEANINGFUL USE MENU SET MEASURES Stage 1 As part of the meaningful use attestation process Eligible P
253. licant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Review Professional Eligibilt Please answer the following questions to determine your eligibility for the EHR Medicaid Incentive Payment Program When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Are you a Hospital based eligible professional I confirm that I waive my right to a Medicare Electronic Health Record Incentive Payment for this payment year and am only accepting Medicaid Electronic Health Record Incentive Payments from Colorado Save amp Continue February 2015 Step 3 Eligibility MAPIR User Guide for Eligible Professionals This screen will ask questions to determine your eligibility for the EHR Medicaid Incentive Payment Program Please select your provider type from the list and answer the questions This provider type has to match your provider type and specialty on file with Connecticut Medicaid Management Information System MMIS Note Physician Assistants are eligible to apply for the EHR Incentive Payment only if they practice in a Federally Qualified Health Center FQHC or a Rural Health Clinic RHC that ts led by a Physician Assistant This is not an applicable provider
254. linical Quality Measures from the list below You will be prompted to enter numerator s denominator s and exclusion s if applicable for all three Additional Clinical Quality Measures after you select the Save amp Continue button below S i a ee ee ee NOF 0059 PQRI 1 NQF 0061 PQRI 3 NOF 0081 PQRI 5 NOF 0070 PQRI 7 NOF 0043 PQRI 111 NOF 0031 PQRI 112 NOF 0034 PQRI 113 NOF 0067 PQRI 6 NOF 0083 PQRI amp NOF 0105 NOF 0086 PQRI 12 NOF 0088 PQRI 18 Diabetes Hemoglobin Alc Poor Control Diabetes Low Density Lipoprotein LEL Management and Control Diabetes Blood Pressure Management Heart Jippii HF P Blocker ARB hepy for Left Yennai Systolic Dysfunction LVSD Coronary Artery Disease CAD Beta Blocker Therapy for CAD patients with prior Myocardial Infarction MI Pneumonia Vaccination Status for Older Adults Breast Cancer Screening Colorectal Cancer Screening Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had hemoglobin Aic greater than 9 0 Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had LDL C less than 100mg dl Percentage of patients 18 75 years of age with diabetes type 1 or type 2 who had blood pressure less than 140 90 mmHg Percentage of patients aged 18 years and older with a diagnosis of heart failure and LVSD LVEF less than 40 who were prescribed ACE inhibitor or ARB therapy Percen
255. lity improvement reduction of Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary of care record for each transition of care or referral Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice EPMMUO9D Immunization Registry Immunization Reg Test Successful Yes Test Date amp Time 12 15 12 12 15 PM Follow Up Submission No MOF 0013 NQF 0028 PQRI 114 NQF 0421 PQRI 128 February 2015 YY Measure Review Hypertension Blood Pressure Measurement Preventive Care and Screening Measure Pair Adult Weight Screening and Follow up MAPIR User Guide for Eligible Professionals Measures Summary Measure The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Generate at least one report listing patients of the EP with a specific condition More than 10 of all unique patients seen by the EP during the EMR reporting period are provided patient specific education resources The EP who transitions or refers their patient ta provider of care provides
256. llows you to move to the previous screen Reset Allows you to reset the values within the screen you are currently on Note You will be able to review and edit all entered information before submitting 26 February 2015 Step 2 Confirm R amp A and Contact Info MAPIR User Guide for Eligible Professionals Step 2 Confirm R amp A and Contact Info When you completed the R amp A registration your registration information was sent to the state Medicaid program This section will ask you to confirm the information sent by the R amp A and matched with the Connecticut Medicaid program information It is important to review this information carefully The R amp A information can only be changed at the R amp A but Contact Information can be changed at any time prior to application submission The initial R amp A Contact Info screen contains information about this section Click Begin to access the R amp A Contact Info screen to confirm information and to enter your contact information Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 6 6eee Payee TIN EERE Payment Year 1 Program Year 2012 R amp A Contact Info F Eligibility Patient Volumes Attestation f Review Submit The information you provided to the Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A will be displayed in this section You will need to verify the accuracy of information provided by the Medicare amp Med
257. lowing pages will show you how to apply for the EHR Incentive program as an FQHC RHC Individual provider If you are not applying as an FQHC RHC Individual provider refer to the table on page 39 for more information Practice locations MAPIR will present a list of locations that Connecticut Medicaid program office has on record If you have additional locations you will be given the opportunity to add them Once all locations are added you will enter the required Patient Volume information If you do not have any locations to add you can Click Save amp Continue to continue to the next section Review the listed locations Add new locations by clicking Add Location Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 a 999999999 TIN SSN Payee TIN Payment Year Program Year 2011 Patient Volume FQHC RHC Individual CO has the following information on the locations in which you practice Please select the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or site that is not listed click Add Location When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Medicaid Patient Utilizing Certified z
258. mance Rate 1 Exclusion 1 5 Stratum 2 Numerator 2 34 Denominator 2 120 Performance Rate 2 Exclusion 2 7 Stratum 3 Numerator 3 23 Denominator 3 100 Performance Rate 3 Exclusion 3 12 Use of Appropriate Medications for CMS126 w3 Clinical Process Effectiveness Asthma Stratum 4 Numerator 4 32 Denominator 4 123 Performance Rate 4 Exclusion 4 15 Stratum 5 Numerator 5 24 Denominator 5 156 Performance Rate 5 Exclusion 5 4 116 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals This is screen 4 of 4 of the Meaningful Use Measure Review CMS12 7 v3 CMS129 v4 CMS146 v3 CMS179 v3 Clinical Process Effectiveness Efficient Use of Healthcare Resources Efficient Use of Healthcare Resources Patient Safety Pneumonia Vaccination Status for Older Adults Prostate Cancer Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Appropriate Testing for Children with Pharyngitis ADE Prevention and Monitoring Warfarin Time in Therapeutic Range Save amp Continue Proceed to the Attestation Phase Part 3 of 3 on page 171 February 2015 Numerator 12 Denominator 45 Performance Rate 4 0 Numerator 78 Denominator 100 Performance Rate 56 0 Exception 4 Numerator 45 Denominator 102 Performance Rate 78 0 Exclusion 2 Population 34 Observation 23 0 117
259. me is then EPs Applying asa applied to all individual providers in the group The payments Group are tor the individual providers thus when the group volume calculation is used it must be applied for all individual oroviders in the group Must be a physician who is either board certitied asa pediatrician or has received 12 months of training with children under the age of 21 years old Other EPs in a pediatric group 20 Pediatrician must meet the 30 threshold Please note that pediatricians 30 FOQHC practicing predominantly in FOHC RHCs must meet the 30 RHC Medicaid patient volume threshold including Medical Assistance and Needy patient encounters a a ee Numerator Can also include needy individuals in the EPs Practicing ape 7 numerator totals Needy individuals are those who receive Predominantly in y services paid by Medicaid CHIP or some other auditable an FOHC RHC reduced payment scale February 2015 5 MAPIR User Guide for Eligible Professionals Introduction to Connecticut Medicaid EHR Incentive Program Needy Patient Volume Applies only to EPs Who Practice Predominantly in an FQHC RHC Needy population encounter means e The services were performed for individuals enrolled in Medicaid and Children s Health Insurance Program e The services were furnished at no cost and e The services were paid for at a reduced cost based on a sliding scale determined by the individual s ability to pay
260. merator A positive whole number including zero Use the Click HERE above for a definition Denominator A positive whole number including zero Use the Click HERE above for a definition Performance Rate A percent value between 0 0 and 100 0 Use the Click HERE above for a definition Exception A positive whole number including zero Use the Click HERE above for a definition Population Criteria 1 Patients with left ventricular systolic dysfunction LVEF lt 40 Numerator 1 Denominator 1 Performance Rate 1 Exception 1 Population Criteria 2 Patients with a prior resolved myocardial infarction Numerator 2 Denominator 2 Performance Rate 2 Exception 2 Save amp Continue February 2015 165 MAPIR User Guide for Eligible Professionals Stages 1 and 2 Screen 5 The following Measure Numbers use this screen layout CQM 43 and 64 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Attestation Meaningful Use Measures Clinical Quality Measure 43 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Responses
261. minator Number of unique patients with at least one office visit during the EHR reporting period for EPs during the EHR reporting period Numerator Denominator Save amp Continue February 2015 143 MAPIR User Guide for Eligible Professionals Stage 2 After you enter information for a measure and click Save amp Continue you will return to the Meaningful Use Menu Measure Worksheet The information you entered for that measure will be displayed in the Entered column of the table as shown in the example below You can continue to edit the measures at any point prior to submitting the application Click on the Edit button for the next measure Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN o999099999 Payee TIN 999999999 Payment Year 7 Program Year 7014 R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful Use Menu Measure Worksheet To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list Measure Number Capability to submit electronic syndromic Successful ongoing submission of surveillance data to public health agencies except
262. mitted To return to the Attestabon Meaningful Use Measures selection screen select the Return to Mary button at the bottom of the page Instructions Users must adequately answer each measure they mtend to meet by either correctly filing in the numerator and denommator values or selecting an exclusion if you meet the requirements for that exclusion Two types of percentage based measures are included in demonstrating Meaningful Use With this there are two different types of denominators i Denominator is all patents seen during the EHR reporting penod The denominator is all patients regardless of whether thew records are kept using a certified EHR technology Denominator is actions or subsets of patents seen during the EHR reporting period whose records are kept using certfied EHR technology oa TBegin gt 118 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals The screens on the following two pages display the Meaningful Use Core Measure List Table You must attest to all 17 Meaningful Use Core Measures The first time a topic is accessed you will see an Edit option for each measure Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for a measure or click Return to Main to return to the Measures Topic List February 2015 119 MAPIR User Guide for Eligible Professionals This i
263. mpleted in order to continue to the next measure be Begin February 2015 247 MAPIR User Guide for Eligible Professionals Program Year 2014 The following screen displays the Meaningful Use Alternate Core Clinical Quality Measures Selection screen You are only required to answer an Alternate Core Clinical Quality Measure if you entered a zero ina denominator field for a Core Clinical Quality Measure If you only enter zeros in the denominator fields for the Alternate Core Clinical Quality Measures then you must attest to all three Alternate Core Clinical Quality measures to show that you were not able to attest to any of the Alternate Core Clinical Quality Measures with a value greater than zero in the denominator field Click on the checkbox next to the measure s you want to attest to Click Save amp Continue to proceed to the Meaningful Use Alternate Core Clinical Quality Measure Worklist Table where you can review your selections Click Reset to restore this panel to the starting point or last saved data Click Return to Main to return to the Measures Topic List Name Cr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 599999999 Payee TIN 999999999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Instructions You have entered a denominator of zero for one or more of your Core Clinical
264. must answer all six 6 measures Please Note Unchecking a Menu Measure will result in the loss of any data entered for that measure When ready click the Save amp Continue button to review your selection or click Return to Main to go back Click Reset to restore this panel to the starting point Measure Number EPMMUO1 Capability to submit electronic syndromic Successful ongoing submission of electronic surveillance data to public health agencies except syndromic surveillance data from Certified EHR where prohibited and in accordance with Technology to a public health agency for the entire applicable law and practice EHR reporting period EPMMUO2 Record electronic notes in patient records Enter at least one electronic progress note created edited and signed by an EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period The text of the electronic note must be text searchable and may contain drawings and other content EPMMUO3 Imaging results consisting of the image itself and More than 10 percent of all tests whose result is any explanation or other accompanying information one or more images ordered by the EP during the are accessible through CEHRT EHR reporting period are accessible through CEHRT EPMMUO4 Record patient family health history as structured More than 20 percent of all unique patients seen data by the EP during the EHR reporting period have a structure
265. must choose an application The amounts entered are invalid N O 2 February 2015 MAPIR User Guide for Eligible Professionals Validation Messages You may only select yes to one exclusion The Start Date you have entered was attested to in a previous Payment Year of documents required to proceed You must select a minimum of 9 Clinical Quality Measures from at least 3 different Domains to proceed You must select all menu measures when an exclusion has been claimed on one or more menu measures The Performance Rate value you entered is invalid it must be a combination of a whole number and a decimal for example 10 0 The acceptable range for Performance Rate value is 0 0 to 100 0 The Observation percent value you entered is invalid it must be a combination of a whole number and a decimal 10 0 The acceptable range for Observation percent value is 0 0 to 100 0 Full Year is not a valid option for Program Year 2014 Please select the 90 day option You have excluded both Public Health measures Please select 5 Menu measures from outside the Public Health Menu set You have selected to exclude a Public Health measure Please attest to the remaining Public Health measure The Patient Volume 90 day date range is no longer valid Delay reason must be 500 characters or less ONC Service is unavailable You have entered an invalid CMS EHR Certification ID for the current Health Information Technology Standards
266. n When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Medicaid Patient Utilizing Certified Volumes EHR Technology Provider ID Location Name Must Select One Must Select One Available Actions en 123 First Street i li aa Anytown PA 12345 1234 New Location 123 Main Street Anytown AL 12345 54 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals This screen gives details about the encounter data that would qualify towards patient volume Click Begin to proceed to the screens where you will enter patient volumes Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN saptan Payee TIN ee Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes iv Attestation f Review Submit You will now enter patient encounter volumes for the 90 day period you selected Eligible providers practicing in an FQHC will need to attest to their individual patient volume data on Medicaid patents HUSKY B encounter volume other needy individual patients total needy patients and total patient volume Medicaid encounters are defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously
267. n This section contains an explanation of informational messages system error messages and validation messages you may receive Start Over and Delete All Progress If you would like to start your application over from the beginning you can click the Get Started tab Click the here link on the screen to start over from the beginning This process can only be done prior to submitting your application Once your application is submitted you will not be able to start over JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN easiest Payee TIN ee Payment Year 1 Program Year 2012 oo RR n n n a Name Welcome to Connecticut s Medical Assistance Provider Incentive JEREMY MAPIR Repository MAPIR A few key points to assist you in navigating MAPIR as you complete the registration process Applicant NPI 2011062801 Your MAPIR user session ends if there is no user activity longer te one mutes You waco ona wang ci Eiere l Please note that whoever begins the MAPIR apphcaton must be J you would like to eliminate all information saved to the same person who completes the application date SAU start over from the beginning When a MAPIR electronic tab is completed a check mark will appear in the corner of the tab You can go back in the appkcation tabs to review information Navigation Keys within the system content but not forward Save and Continue At the bottom of each screen it is Note You will be able to review and edit all e
268. n which you practice Please select the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or site that is not listed click Add Location When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Medicaid Patient Utilizing Certified Volumes EHR Technology Provider ID Location Name Address Must Select One Must Select One Docta owor orca Be 123 First Street _ Anytown PA 12345 1234 ocation 40 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals If you clicked Add Location on the previous screen you will see the following screen Enter the requested practice location information Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or the last saved data Dr Medicaid Provider 4 Applicant NPI 9999999999 Personal 999999999 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes C ation Review Patient Volume Individual Part 3 of 3 Payee TIN 999999999 Please provide the information requested below to add a location to MAPIR for this Paymen
269. n you applied to the R amp A then you must return to the R amp A to correct this information Please select one payment address from the list provided below to be used for your Incentive Payment if you are approved for payment If you do not see a valid payment address please contact State Medicaid Program Payment Address Y Provider ID Location Name Address Additional Information SS Select One 0011244140003 Hector C Pagan 265 3rd St Service Location Address Beaver PA 15009 2350 265 3rd St Beaver PA 15009 2550 t Save amp Continue p February 2015 171 MAPIR User Guide for Eligible Professionals Attestation Phase Part 3 of 3 This screen confirms you successfully completed the Attestation section Note the check box in the Attestation tab Click Continue to proceed to the Review tab Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 P e TIN 999999999 TIN SSN Bi Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit E You have now completed the Attestation section of the application You may revisit this section any time to make corrections until such time as you actually Submit the application The Submit section of the application is now available Before submitting the application please Review the information you have provided in this section and all previous sections Continue 172 February 2015 Step 6
270. ne of the immunization registries to which the EP submits such information have the capacity to receive the information electronically except where prohibited Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow up submission if the test is successful unless none of the public health agencies to which an EP submits such information have the capacity to receive the information electronically except where prohibited You must submit additional menu measure objectives until a minimum of five Meaningful Use Menu Measures Objectives have been selected even if an exclusion applies to all of the menu measure objectives that are selected Measure Number EPMMU0O1 Implement drug formulary checks EPMMU0O2 Incorporate clinical lab test results into EHR as structured data EPMMU03 Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Send reminders to patients per patient preference for preventive follow up care EPMMU0O5 Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate EPMMU06 The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation EPMMU07 The EP who transitions thei
271. next to the measure that you would like to edit All successfully submitted progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list Meaningtul Use Core Measure List Table Objective Measure Number Numerator 350 Denominator 1001 More than 30 of all unique patients with at least one EPCMU0O1_ Use computerized provider order entry CPOE for medication orders directly entered by any licensed healthcare professional who can allergy interaction checks EPCMU03 EPCMU04 Maintain an up to date problem list of current and active diagnoses Generate and transmit permissible prescriptions electronically eRX 94 medication in their medication list seen by the EP have at least one functionality for the entire EHR reporting period More than 80 of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Once you have attested to all the measures for this topic click Return to Main to return to the Measures Topic List Dr Medicaid Provider N
272. nical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Save amp Continue February 2015 137 MAPIR User Guide for Eligible Professionals Stage 2 Meaningful Use Menu Set Measures This initial screen provides information about the Meaningful Use Menu Measures for Stage 2 Click Begin to continue to the Meaningful Use Menu Measures Selection screen Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSH a Payee TIN e Payment Year 1 Program Year 2014 l Patient Volumes Attestation i Review Submit As part of the meaningful use attestation process Eligible Professionals EPs are required to complete 3 out of 6 Menu Set Measures in Stage 2 1 The Menu Measures can be completed in any order by selecting the Begin button 2 For more details on each measure select the click here link at the top of each screen You may rewew the completed measures by selecting the Edit button Measure results do not round up For example a numerator of 199 and a denominator of 1000 is 19 Results are only displayed in whole numbers Measures that require a result of greater than a given percentage must be more than that percentage to pass For example in a measure requinng a result of greater than 10 a result of 10 1 will pass but a result of exactly 10 0 would not pass After completing
273. nter volumes Please complete each of the steps in the MAPIR application When you have completed all of the steps please click on the submit button to submit your application Open MAPIR 18 February 2015 Step 1 Getting Started MAPIR User Guide for Eligible Professionals The screen on the following page is the Medicaid EHR Incentive Program Participation Dashboard This is the first screen you will access to begin the MAPIR application process This screen displays your incentive applications The incentive applications that you are eligible to apply for are enabled Your incentive applications that are in a Completed status are also enabled however you may only view these applications The Stage is automatically associated with a stage of Meaningful Use that is required by the current CMS rules or by the rules that were in effect at the time when the application was submitted This column displays the Stage and Attestation Phase attained by the current and previous applications The Stage column will be blank for incentive applications in a Not Started status If you are in Program Year 2014 and have already attested to two years of Stage 1 Meaningful Use you may have the option of attesting to a third year of Stage 1 Meaningful Use You must attest to two years of Stage 1 Meaningful Use before proceeding to Stage 2 Meaningful Use and three years of Stage 1 if you have attested to Meaningful Use in Program Year 2011 You must t
274. ntered information important that you utilize the Save amp Continue button This before submitting allows you to come back to your records after leaving a MAPIR session in the event you are unable to complete the entire registration at one time Previous Allows you to move to the previous screen Reset Allows you to reset the values within the screen you are currently on Note You will be able to review and edit all entered mformation before submitting 198 February 2015 Additional User Information MAPIR User Guide for Eligible Professionals This screen will confirm your selection to start the application over and delete all information saved to date This process can only be done prior to submitting your application Once your application is Submitted you will not be able to start over Click Confirm to Start Over and Delete All Progress ai Dr Medicaid Provider Applicant NPI 9999999999 999999999 Payee TIN 999999999 Personal TIN SSN Payment Year i Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit F Start Over and Delete All Progress To submit your request to delete all information saved to date select Confirm Select Cancel to return to the previous screen Important By electing to start over you are opting to permanently erase all data previously saved for your application Cancer K confirm J gt If you clicked Confirm you will receive the following con
275. ntinue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field S checking the box you are indicating that you have reviewed all information that has been entered into MAPIR fas m played on the Review panel are completing this application as the actual provider or as a preparer on behalf of the provider Provider Preparer Save amp Continue February 2015 185 MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application This screen depicts the Provider signature screen Enter your Provider Initials NPI and Personal TIN Click Sign Electronically to proceed Click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999995 TIN SSN Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Submit E Application Submission Part 2 of 2 Payee TIN 999999999 As the actual provider who has completed this application please attest to the accuracy of all information entered and to the following This is to certify that the foregoing information is true accurate and complete State specific text to support the attestation Red asterisk indicates a required field NPT 12345
276. o Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Progress Action General Requirements Begin D gt Menu Measures Begin You are required to answer all three 3 Core Clinical Quality Measures You will need to select one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero in the denominator field If you have not entered a zero in any denominator field in the Core Clinical Quality Measures you do not need to select from the Alternate Clinical Quality Measures If all the of the Alternate Core Clinical Quality Measures can only be answered with zeros in the denominator field then you must answer all three Core Clinical Quality Measures Alternate Core Clinical Quality Measures In addition you are required to select 3 Additional Clinical Quality Measures from a list of 38 to complete the Clinical Quality Measures section of Meaningful Use Additional Clinical Quality Measures Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Previous Save amp Continue February 2015 Program Year 2014 TC MAPIR User Guide for Eligible Professionals Meaningful Use Gene
277. o Eligibility Patient Volumes Attestation Review Submit Attestation Meaningful Use Measures Core Measure 5 Record Smoking Status I click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Record smoking status for patients 13 years old or older Measure More than 80 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using Certified EHR Technology This data was extracted from ALL patient records not just those maintained using Certified EHR Technology This data was extracted only from patient records maintained using Certified EHR Technology EXCLUSION Any EP that neither sees nor admits any patients 13 years old or older Does this exclusion apply to you If Yes do not complete the Numerator or Denominator If No complete entries in the Numerator and Denominator Yes No Numerator The number of patients in the denominator with smoking status recorded as structured data Denominator Number of unique patients age 13 or older seen by the EP during the EHR reporting period
278. ocations where you are utilizing certified EHR technology patient volumes you entered all values summarized and the Medicaid patient volume percentage Review the information for accuracy Note the Total patient volume field This percentage must be greater than or equal to 30 to meet the Medicaid patient volume requirement For pediatricians the percentage must be greater than or equal to 20 to meet the Medicaid patient volume requirement Pediatricians who do not meet the 30 Medicaid patient volume but meet the 20 Medicaid patient volume will not receive the full incentive payment amount Click Save amp Continue to proceed or Previous to go back Proceed to page 64 of this guide to continue with the application Name Dr Medicaid Provider i Applicant NPI 9999999999 Personal 999999999 P TIN 999999999 TIN SSN ii Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes C Attestation Review Submit Patient Volume Individual Part 3 of 3 The patient volumes and certified EHR technology site usage selections you entered are depicted below Please review the current information to verify what you have entered is correct When ready click the Save amp Continue button to continue or click Previous to go back Utili Certified ma Provider ID Location Name Address Encounter Volumes EHR Technology Yes Medicaid Only In State 800 999999999999 Doctor Office 123 First stree
279. ogy certified to 45 CFR 170 314 bi2 b Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period Successful ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period A secure message was sent using the electronic messaging function of CEHRT by more than 5 percent of unique patients Cor their authorized representatives seen by the EP during the EMR reporting period Exclusion No Numerator 654 Denominator 1045 Exclusion Excluded Exclusion No Numerator 176 Denominator 897 Exclusion Excluded Exclusion No Numerator 687 Denominator 1056 Exclusion No Numerator 1 80 Denominator 1 100 Numerator 2 87 Denominator 2 107 Measure 3 Satisfied a Yes Satisfied b Yes Exclusion No Numerator 58 Denominator 200 Stage 2 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals If all measures were entered and saved a check mark will display under the Completed column for the topic as displayed in the example below You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic or click Clear All to clear all topic information you entered Click Begin to start the next topic Name Dr Medicaid Provider Applicant NP
280. older with a diagnosis of CAD who were prescribed a lipid lowering therapy based on current ACC AHA guidelines Percentage of all patients aged 18 years and older with a diagnosis of heart failure and paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy Percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction AMI coronary artery bypass graft CABG or percutaneous transluminal coronary angioplasty PTCA from January 1 November 1 of the year prior to the measurement year or who had a diagnosis of ischemic vascular disease IVD during the measurement year and the year prior to the measurement year and whose recent blood pressure is in control less than 140 90 mmHg Percentage of patients 18 years of age or older who were discharged alive for acute myocardial infarction AMI coronary artery bypass CABG or percutaneous transluminal coronary angioplasty PTCA from January 1 November 1 of the year prior to the measurement year or who had a diagnosis of ischemic vascular disease IVD during the measurement year and the year prior to the measurement year and who had documentation of use of aspirin or another antithrombotic during the measurement year A A 259 MAPIR User Guide for Eligible Professionals Program Year 2014 Meaningful Use Additional Clinical Quality Measures Selection screen Part 3 of 3 Initiation and Engagement of Alcoho
281. ollowing screen Enter the requested practice location information Click Save amp Continue to proceed or click Previous to go back Click Reset to restore this panel to the Starting point or last saved data Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 Payee TIN SS99998999 TIN SSN Y Payment Year Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes E i Review Patient Volume FOQHC RHC Group Please provide the information requested below to add a location to MAPIR for this Payment Incentive Application use only When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Location Name New Location Address Line 1f 123 Main Street Address Line Address Line Anytown ef Alabama Previou February 2015 59 MAPIR User Guide for Eligible Professionals Patient Volume FQHC RHC Group For each location check whether you plan to utilize certified EHR technology You must select at least one location for utilizing certified EHR technology Note You must indicate if you are using certified EHR technology at every location listed on this screen by selecting Yes or No in the Utilizing Certified EHR Technology column Click Edit to make changes to the added location or Delete to remove it from the list Note
282. ominator Numerator 3 8 Denominator d Save amp Continue j 250 February 2015 Program Year 2014 MAP IR User Guide for Eligible Professionals Alternate Core Clinical Quality Measure NQF 0041 PQRI 110 Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore the panel to the starting point Name Dr Medicaid Provider Applicant NPI 9999999995 Personal TIN SSN 999999099 Payee TIN agaqacesg Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Alternate Core Clinical Quality Measure oe Click HERE for additional information on completing this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field NOF 0041 PQRI 110 Title Preventive Care and Screening Influenza Immunization for Patients greater than or equal to 50 Years Old Description Percentage of patients aged 50 years and older who received an influenza immunization during the flu season September through February Complete the following information All data entered must be a positive whole number umerator 86 Denominator 100 Exclusion 24 al Save A Continue gt February
283. on that includes your Name and Applicant NPI Also included is the current status of your incentive application Click Continue to proceed to the R amp A Contact Info section Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN mininiai Payee TIN Payment Year 1 Program Year 2014 Get Started R amp A Contact Info E Eligibility Patient Volumes Attestation Review JEREMY MAPIR Welcome to Connecticut s Medical Assistance Provider Incentive Repository MAPIR A few key points to assist you in navigating MAPIR as you complete the registration process Status epe Your MAPIR user session ends if there is no user activity longer than 60 minutes You will receive timeout warnings Please note that whoever begins the MAPIR application must be the same person who completes the application When a MAPIR electronic tab is completed a check mark will appear in the corner of the tab Navigation Keys within the system You can go back in the application tabs to review information content but not forward Applicant NPI 2011062801 and start over from the beginning Save and Continue At the bottom of each screen it is important that you utilize the Save amp Continue button This allows Note You will be able to review and edit all entered information before you to come back to your records after leaving a MAPIR session in submitting the event you are unable to complete the entire registration at one time Previous A
284. onal information Numerator 55 Denominator 100 a Numerator 16 Denominator 32 b Numerator 8 Denominator 16 Population Criteria 1 Numerator 35 Denominator 80 Exclusion 10 Population Criteria 2 Numerator 20 Denominator 0 Exclusion 5 273 MAPIR User Guide for Eligible Professionals This is screen 4 of 5 of the Meaningful Use Measures Summary Meaningful Use Alternate Clinical Quali Measure Ea tm Weight Assessment and Counseling for Children and NOF 0024 Adolescents NQF 0041 PORI 110 Childhood Immunization Status NQF 0038 274 Measure Review Preventive Care and Screening Influenza Immunization for Patients greater than or equal to 50 Years Old Description Percentage of patients 2 17 years of age who had an outpatient visit with a Primary Care Physician PCP or OB GYN and who had evidence of BMI percentile documentation counseling for nutrition and counseling for measurement year Percentage of patients aged 50 years and older who received an influenza immunization during the flu season September through February Percentage of children 2 years of age who had four diphtheria tetanus and acellular pertussis DTaP three polio IPW one measles mumps and rubella MMR two H influenza type B HIB three hepatitis B Hep B one chicken pox VZV four pneumococcal conjugate PCV two hepatitis A Hep Aj two or three rotavirus RV and two
285. onic Health Record Incentive Payments from What type of provider are you Do you have any current sanctions or pending sanctions with Medicare or Medicaid in any state Are you currently in compliance with all parts of the HIPAA regulations Are you licensed in all states in which you practice Patient Volume Practice Type Part 1 of 3 Do you practice predominantly at an FQHC RHC over 50 of your total patient encounters occur over a 6 month period in an FQHC RHC Please indicate if you are submitting volumes for Individual Practitioner Patient Volume 90 Day Period Part 2 of 3 Start Date Oct 01 2013 End Date Dec 29 2013 February 2015 175 MAPIR User Guide for Eligible Professionals Step 6 Review Application This is screen 3 of 3 of the Review tab display Patient Volume Individual Utilizing Certified _ a Yes 9999999999999 Doctor Office 123 First Street Medicaid Only In State Anytown PA 12345 1234 Total Medicaid Sum Medicaid Only Sum Medicaid Encounter In State Encounter Volume Volume Numerator Numerator 100 200 Attestation Phase Part 1 of 3 EHR System Adoption Phase Meaningful Use 90 Days Attestation EHR Reporting Start Date Jan 01 2014 End Date Mar 31 2014 Attestation Meaningful Use Measures Attestation Meaningful Use Measures may be accessed by selecting the link below Meaningful Use Measures Attestation Phase Part 3 of 3 Based on the information received
286. ons about the process by email at ctmedicaid ehr hp com or by phone at 1 855 313 6638 February 2015 3 MAPIR User Guide for Eligible Professionals Introduction to Connecticut Medicaid EHR Incentive Program Applicants have appeal rights available to them for example if an applicant is denied an EHR incentive payment The Department will convey information on the appeals process to all applicants denied Appeals will be processed by the Department s Bureau of Hearings and Appeals Applicants are permitted to reassign their incentive payments to their employer or to an entity with which they have a contractual arrangement allowing the employer or entity to bill and receive payment for the applicant s covered professional services Application Readiness for Providers Applicants can take a number of steps to expedite the processing of their applications Applicants must provide a valid email address during the CMS registration process so that the Department can inform them by email that their registration has been received from CMS and that they can begin the MAPIR application process Applicants must obtain a Connecticut Medical Assistance provider Internet Portal User ID and password for the www ctdssmap com provider portal if they do not already have one The NPI and TIN provided to CMS must match the NPI and Payee TIN information within the Connecticut MMIS system This combination should be the same NPI TIN combination that is used
287. or Eligible Professionals When your application has been successfully submitted you will see the application status of Submitted You can click the Review Application tab to review your application however you will not be able to make changes Click Exit to exit MAPIR CONNECTICUT DEPARTMENT oF SOCIAL SERVICES Caring fat Canmeclieal Personal TIN SSN Payment Year 1 Current Status Review Application Document Upload Name JEREMY MAPIR Applicant NPI 2011062801 Select Review Application to view the information that was entered on the application that was submitted Print Contact Us Exit a a Monday 06 17 2013 4 44 36 PM EDT Applicant NPI 2011062801 Payee TIN ee Program Year Welcome to Connecticut s Medical Assistance Provider Incentive Repository MAPIR A few key points to assist you in navigating MAPIR as you complete the registration process Your MAPIR user session ends if there ts no user activity longer than 60 minutes You will receive timeout warnings Please note that whoever begins the MAPIR application must be the same person who completes the application When a MAPIR electronic tab is completed a check mark will appear in the corner of the tab You can go back in the application tabs to rewiew information content but f P Note You will be able to review and edit all entered information before submitting This screen shows that your MAPIR session has ended You should now cl
288. or hospital is awaiting invitation to begin testing and validation O Yes No EXCLUSIONS If any of the measures above are Yes then do not select an Exclusion If all of the above measures are No then select one or more of the Exclusions below Any Eligible Professional that meets one or more of the following criteria may be excluded from this objective Does not administer any of the immunizations to any of the populations for which data is collected by their jurisdiction s immunization registry or immunization information system during the EHR reporting period Yes No Operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required for Certified EHR Technology at the start of their EHR reporting period Yes O No Operates in a jurisdiction where no immunization registry or immunization information system provides information timely on capability to receive immunization data Yes No Operates in a jurisdiction for which no immunization registry or immunization information system that is capable of accepting the specific standards required by Certified EHR Technology at the start of their EHR reporting period can enroll additional EPs Yes No Previous Reset Save amp Continue February 2015 133 MAPIR User Guide for Eligible Professionals Stage 2 After you enter information for a measure click the Save amp
289. ording them If this exclusion applies to you enter a Yes in Exclusion 2 and do not complete entries in the numerator and denominator Yes No EXCLUSION 3 Any EP who Believes that height length and weight are relevant to their scope of practice but blood pressure is not is excluded from recording blood pressure If this exclusion applies to you enter a Yes in Exclusion 3 and complete entries in the Numerator and Denominator Yes No EXCLUSION 4 Any EP who believes that blood pressure is relevant to their scope of practice but height length and weight are not is excluded from recording height length and weight If this exclusion applies to you enter a Yes in Exclusion 4 and complete entries in the Numerator and Denominator Yes No Numerator Number of patients in the denominator who have at least one entry of their height length and weight all ages and or blood pressure ages 3 and over recorded as structured data Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator Denominator 126 Stage 2 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Screen 5 The following Meaningful Use Core Measure uses this screen layout Core Measure 5 8 10 12 13 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 7014 Get Started R amp A Contact Inf
290. orting documentation Desnoces screenshots Soi touts Of reposts Som the cecti es SHR tecmmclcocy supSocting S Core measures sttestes to MAFIA Desnocas scrests Mots Oros Of reports fom the centies EHR technology susSocting at Henu Measures Sttestes to in MAFIA PSF ovirtouts of repont Wom the cectites EXE tec cloey supsoting 9 out of S46 COQMS Sttestec to in MAFIF Screenshots are NOT acceptadic oe MU State Testing Cet tt cate MUST Sorne lmemuwesatio Test Punce Mest mes wns use Measure exclusion letter f aoomcacie Security Rick Anahy Sis Prepayment Checkitct Wher ready click the Save amp Continue Sutton to rewlew your selection of cick Previous to oo Sack Cice Reset to restore mS Dane fo the starting port To upices a Sie type the S path or cick the GBrowse S tton Pies must Deina oc st sex coc of cock Somat anc no gester thon 10 MS in sce File name must be less than or equal to 7200 characters File Location Browse uptoad File Uploaded Files ee eae omopen avom aon MAPIR File Upload pdf 51708 04 23 2013 View e File has been successfully uploaded Previous Reset Save amp Continue February 2015 183 MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application Select the check box to acknowledge that you have reviewed all of your information Select the Provider or Preparer button as appropriate Click Save amp Continue to review your selection or click
291. ose your browser window Exit MAPIR Your session has ended To complete the log out process you must close your browser e February 2015 193 MAPIR User Guide for Eligible Professionals Post Submission Activities Post Submission Activities This section contains information about post application submission activities At any time you can check the status of your application by logging into the Connecticut Medicaid portal Once you have successfully completed the application submission process you will receive an email confirming your submission has been received You may also receive email updates as your application is processed When you log in to MAPIR after submitting your application you will see the Medicaid EHR Incentive Program Participation Dashboard Notice that the Status of your application is Submitted You can only view an application in a Submitted status The next payment year application will be enabled when you become eligible to apply For status information please see the Status Definition table in the Post Submission Activities section of this manual Medicaid EHR Incentive Program Participation Dashboard 2011062801 TIN Red asterisk indicates a required field Select the Continue button to 2011 vew his application Select the Continue button to 2013 68 500 00 view this application Implementaton Completed Stage 1 Meaningful Use Completed 0 Days Lira rvn None at bhis tine
292. ostate Cancer Patients CMS146 v3 Appropriate Testing for Children with Efficient Use of Pharyngitis Healthcare Resources CMS179 v3 ADE Prevention and Monitoring Patient Safety Warfarin Time in Therapeutic Range Return 168 February 2015 Stages 1 and 2 MAPIR User Guide for Eligible Professionals The screens on the following pages display the Meaningful Use Quality Measures List Table with data entered for every measure selected to attest to This is screen 1 of 2 of the Meaningful Use Quality Measures List Table Name Dr Medicaid Provider Applicant NPI 999999909909 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Mttesiaton DEIR stn Meaningful Use Clinical Quality Measures To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return button to access the main attestation topic list Meaningful Use Clinical Quality Measure List Table CMS50 w3 Closing the referral loop receipt of Care Coordination Numerator 25 specialist report Denominator 100 Performance Rate 10 0 CMS52 w3 HIV AIDS Pneumocystis jiroveci Clinical Stratum 1 pneumonia PCP Prophylaxis Process Effectiveness Numerator 1 34 Denominator 1 100 Performance Rate 1 13 0 Exception 1 3
293. ou have not met the minimum meaningful use requirements You are advised to review the details above before proceeding Click on the Meaningful Use Measures link to review the Meaningful Use attestation data that you entered as well as the acceptance or rejection outcome for each measure Click on the Attestation tab to return to the Meaningful Use Attestation where you can revise the Meaningful Use attestation data Please note that you may be subject to an audit after frequent attempts at correcting failed measures Also note that while you have the option to continue with your submission by clicking Save amp Continue if you do not meet the mandatory requirements you will not receive an incentive payment Click Previous to go back or click the Save amp Continue to proceed with the submission of your application February 2015 189 MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application This is an example of an incentive payment chart for a Non Pediatric Professional whose patient volume meets 30 eligibility requirement No information is required on this screen The incentive payment chart example for Pediatricians is shown on the next page Note This is the final step of the Submit process You will not be able to make any changes to your application after submission If you do not want to submit your application at this time you can click Exit and return at any time to complete the submission process
294. ou will indicate the start date for the 90 day consecutive period Medicaid patient volume calculations are based on Medicaid encounters for any consecutive 90 day period either in the previous calendar year or in the 12 months preceding the attestation date for all service locations Providers only enter the start date MAPIR will calculate the end date In Part 3 of 3 you will provide information about your practice locations MAPIR will present a list of practice locations that the CT Medicaid program has on record If you have additional practice locations that are not listed you will be able to add them by using the Add Location feature Please note that a location added in MAPIR does not get added to your information in MMIS For more detailed information please refer to the Provider Manual for Eligible Professionals EPs Eligible Professional User Manual C Begin gt February 2015 35 MAPIR User Guide for Eligible Professionals Patient Volume Practice Type Part 1 of 3 Patient Volume Practice Type Part 1 of 3 Patient Volume Practice Type Part 1 of 3 contains two questions about your practice type to determine the appropriate method for collecting patient volume information Select the appropriate answers using the buttons Move your cursor over the to access additional information Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point
295. our Meaningful Use attestation data is accepted this screen will not display Proceed to the following page Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN 060663210 Payee TIN 361924026 Payment Year i Program Year 2013 Application Submission Part 2 of 2 The Meanmgful Use Attestation data that you have attested to has failed to meet mandatory requirements At thrs point m time you may opt to submit the apphcaton or return to the Attestation Tab to review or revise any data that has been entered By signing electronically you have attested to the accuracy of the Meaningful Use data that has been entered Please be advised that multuple attempts to complete the Meaningful Use data may result in an audit of the data Note Mandatory requirements must be met to qualify for an mcentive payment Click the Attestation tab to return to Meaningful Use Attestation or the Save amp Continue button to review your selection or click Previous to go back Attestation Meaningful Use Measures Chick the link below to review the Attestation Mearungful Use Measure data that has been entered as well as the acceptance or rejection outcome for each measure If you wish you retain thes information for the future reference please print the mformation after selecting the ink It will be necessary to Sign Electronically to view the acceptance and rejection outcome of measures after leaving this page Meaningful Use Measures Please note y
296. outs Instructions for each measure are provided on the screen For additional help with a specific Meaningful Use Clinical Quality Measure click on the link provided above the blue instruction box Screen layout examples are shown below Screen 1 The following Measure Numbers use this screen layout CQM 1 3 6 7 8 10 13 15 23 26 27 28 29 30 31 33 37 38 39 44 46 47 48 49 57 58 60 61 and 62 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures O Tilrers MOTT Measure 1 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Responses are required for the clinical quality measure displayed on this page Domain Efficient Use of Healthcare Resources Measure Number CMS146 v3 Measure Title Appropriate Testing for Children with Pharyngitis Measure Description Percentage of children 2 18 years of age who were diagnosed with pharyngitis ordered an antibiotic and received a group A streptococcus strep test for the episode Numerator A positive whole number including zero Use the Click HERE above
297. ow Analysis Workflow Redesign Software Installation Hardware Installation Peripherals Installation Internet Connectivity Broadband Uploading Patient Data Electronic Prescribing Health Information Exchange i e labs pharmacy Physical Redesign of Workspace Training Other Reviewed EHR Certification Information ies Previous Reset Clear All Save amp Continue 70 February 2015 Implementation Phase MAPIR User Guide for Eligible Professionals Review the Implementation Activity you selected Click Save amp Continue to continue or click Previous to go back Proceed to page 171 in this guide to continue Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 Payee TIN SS9999999 TIN SSN Y Payment Year 1 Program Year 2011 R amp A Contact Info Attestation H Review Submit Attestation Phase Please review the list of the activities where you have planned or completed an implementation When ready click the Save amp Continue button to continue or click Previous to go back Implementation Activity Planned Complete Workflow Analysis v Workflow Redesign Hardware Installation Feripherals Installation Uploading Patient Data Electronic Prescribing Other Reviewed EHR Certification Information CT save amp Continue gt February 2015 71 MAPIR User Guide for Eligible Professionals Upgrade Phase For Upgrade select the Upgrade button Cl
298. parate billing number used for all of its claims and a clearly defined staff Medicaid encounters are defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program Other needy individuals mean individuals that were furnished uncompensated care by the provider or were furnished services at either no cost or reduced cost based on a sliding scale determined by the individuals ability to pay Total needy individuals include HUSKY A HUSKY C previously known as Medicaid FFS HUSKY D previously known as MLIA HUSKY B and other needy individuals Total encounter volume counts encounters for all patients regardless of health insurance coverage Medicaid Patent Volume Percentage Formula Total Needy Encounter Volume Total Encounter Volume The final panel in Part 3 of 3 of Patient Volumes will reflect all of the information you entered for your practice location s patient encounters and certified EHR technology use MAPIR calculates and displays your Medicaid encounter percentage At least one practice location must meet Medicaid Patient Volumes and be utilizing Certified EHR Technology For more detailed information please refer to the Provider Manual for Eligible Professionals EPs Eligible Professional User Manual f Begin 5 _ February 2015 61 MAPIR User Guide for Eligible Professionals Patient Volume
299. practices predominantly in an FQHC or RHC then you can include needy population encounters as part of your patient volume Provider Incentive Payments The federal rules also set forth the EP EHR incentive payments EPs may receive up to 63 750 in six incentive payments by participating in 6 program years over the life of the incentive program It is not necessary for EPs to participate in 6 consecutive years unless joining the program in 2016 to receive the full incentive payment of 63 750 see Figure 3 below Eligible pediatricians that reach the 20 percent of their total patient volume but not 30 percent may receive up to 42 500 through six incentive payments over the life of the program The pediatrician incentive payments table see Figure 4 below provides an overview of incentive payments over the life of the Connecticut Medical Assistance EHR Incentive Program Figure 3 Maximum Incentive Payments for Connecticut Medical Assistance 6 February 2015 Introduction to Connecticut Medicaid EHR Incentive Program MAPIR User Guide for Eligible Professionals CY 2011 CY 2012 CY 2013 CY 2014 CY 2015 CY 2016 CY 2011 CY 2012 8 500 CY 2013 8 500 CY 2014 8 500 8 500 CY 2015 8 500 8 500 8 500 8 500 21 250 CY 2016 8 500 8 500 8 500 8 500 21 250 CY 2017 fo 8 500 8 500 8 500 8 500 TOTAL 63 750 63 750 63 750 63 750 63 750 63 750 February 2015 7 MAPIR User Guide for Eligible Professional
300. preference when available Patient specific education resources identified by Certified EHR Technology are provided to patients for more than 10 percent of all unique patients with office visits seen by the EP during the EHF reporting period The EP who performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 percent of transitions of care and referrals The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 10 percent of such transitions and referrals either a electronically transmitted using CEHRT to a recipient or b where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or in a manner that is consistent with the governance mechanism ONC establishes for the NwHIN An EP must satisfy one of the following criteria a Conducts one or more successful electronic exchanges of a summary of care document as part of which is counted in measure 2 for EPs the measure at 495 60 014300 8 with a recipient who has EHR technology that was developed designed by a different EHR technology developer than the sender s EHR technol
301. r 5 24 Denominator 5 156 Performance Rate 5 35 0 Exclusion 5 4 CMS127 v3 Pneumonia Vaccination Status for Clinical Numerator 12 Older Adults Process Effectiveness Denominator 45 Performance Rate 4 0 _EoIT CMS129 v4 Prostate Cancer Avoidance of Efficient Use of RE Overuse of Bone Scan for Staging Low Healthcare Resources Denominator 100 Risk Prostate Cancer Patients Performance Rate 56 0 Exception 4 CMS146 v3 Appropriate Testing for Children with Efficient Use of Numerator 45 Pharyngitis Healthcare Resources Denominator 102 Performance Rate 78 0 Exclusion 2 EDE EDIT CMS179 v3 ADE Prevention and Monitoring Patient Safety Population 34 EDIT Warfarin Time in Therapeutic Range Observation 23 0 Click Return to return to the Meaningful Use Clinical Quality Selection screen From the Meaningful Use Clinical Quality Selection screen click Return to Main to return to the Measure Topic List If you are in Stage 1 proceed to page 112 If you are in Stage 2 proceed to page 147 170 February 2015 Attestation Phase Part 3 of 3 MAPIR User Guide for Eligible Professionals Attestation Phase Part 3 of 3 Part 3 of 3 of the Attestation Phase contains a question regarding assignment of your incentive payment and confirmation of the address to which the incentive payment will be sent Click Yes to confirm you are receiving this payment a
302. r gt which began on lt Date gt and ends on lt Date gt The grace period extends the amount of time to submit an application for the previous program year You have the option to choose the previous program year or the current program year To accommodate the Flexibility Rule for 2014 the grace period for 2014 Program Year runs through May 30 2015 You may only submit an application for one Program Year so once you select the application the row for the application for the other Program Year will no longer display If the incentive application is not completed by the end of the grace period the status of the application will change to Expired and you will no longer have the option to submit the incentive application for that Program Year The R amp A Not Registered or In Progress screen displays a status of Not Registered at R amp A to indicate that you have not registered at the R amp A or the information provided during the R amp A registration process does not match that on file with the state Medicaid Program A Status of Registration In Progress indicates that 20 February 2015 Step 1 Getting Started MAPIR User Guide for Eligible Professionals you have initiated but not completed R amp A registration changes If you feel this status is not correct you can click the Contact Us link in the upper right for information on contacting the state Medicaid program office A status of Not Started indicates that the R amp A and state MMI
303. r patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary of care record for each transition of care or referral Return to Main Reset The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period More than 40 of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data Generate at least one report listing patients of the EP with a specific condition More than 20 of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period More than 10 of all unique patients seen by the EP are provided patient specific education resources The EP performs medication reconciliation for more than 50 of transitions of care in which the patient is transitioned into the care of the EP The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 of transitions of care and referrals February 2015 T Save amp Continue 99 MAPIR User Guide for Eligible Professionals Stage 1 The five measures you selected to attest to will display on the Mean
304. ral Requirements Enter information in all required fields Click Save amp Continue to review your selection click Previous to go back or click Reset to restore this panel to the starting point Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation ij Review Submit Meaningful Use General Requirements Please answer the following questions to determine your eligibility for the Medicaid EHR Incentive Program Red asterisk indicates a required field 2 Please demonstrate that at least 50 of all your Numerator 600 Denominator 1000 encounters occur in a location s where certified EHR technology is being utilized Please demonstrate that at least 80 of all unique Numerator 850 Denominator 1000 patients have their data in the certified EHR during the EHR reporting period Reset d Save amp Continue gt February 2015 211 MAPIR User Guide for Eligible Professionals Program Year 2014 If all measures were entered and saved a check mark will display under the Completed column for the topic as displayed in the example below You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic click Clear All to clear all topic information you entered or click Begin to start the nex
305. raphics recorded as structured data More than 80 percent of all unique patients seen by the EP have blood pressure for patients age 3 and over only and or height and weight for all ages recorded as structured data More than 80 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period Absent four clinical quality measures related to an EP s scope of practice or patient support interventions must be related to high priority health conditions The EP has enabled and implemented the functionality for drug drug and drug allergy interaction checks for the entire EHR reporting period More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely available to the patient within 4 business days after the information is available to the EP online access to their health information More than 5 percent of all unique patients seen by the EP during the EHF reporting period Cor their authorized representatives view download or transmit to a third party their health information Clinical summaries provided to patients or patient authorized representatives within one business day for more than 50 percent of office visits Measure 1 E
306. rator 1 Denominator 1 Numerator 1 Denominator 1 Numerator 1 Denominator 1 Numerator 1 Denominator 1 Exclusion 1 Exclusion 2 Exclusion 3 Exclusion 4 Numerator 1 Denominator 1 Numerator 1 Denominator 1 Numerator 1 Denominator 1 Numerator 1 Denominator 1 EDIT 95 MAPIR User Guide for Eligible Professionals Stage 1 If all measures were entered and saved a check mark will display under the Completed column for the topic as displayed in the example below You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic or click Clear All to clear the topic information you entered Click Begin to start the next topic Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN oo9999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures COQMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify
307. re provided on the screen For additional help with a specific Meaningful Use Core Measure click on the link provided above the blue instruction box Screen 1 Screen layout examples are shown on the following pages 122 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Screen 1 The following Meaningful Use Core Measure uses this screen layout Core Measure 1 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info igibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures icatior ry and Radiolog oO Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Use computerized provider order entry CPOE for medication laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure More than 60 percent of medication 30 percent of laboratory and 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using CPOE PATIENT RECORDS Please select whether the data used to support the measure was extra
308. re 1 CPOE for Medication Orders Optional Core Measure 2 Drug Interaction Checks Core Measure 3 Maintain Problem List Core Measure 4 ePrescribing eRx Core Measure 5 Active Medication List Core Measure 6 Medication Allergy List Core Measure 7 Record Demographics Core Measure 8 Record Vital Signs Core Measure 9 Record Smoking Status Core Measure 10 Clinical Decision Support Rule Core Measure 11 Patient Electronic Access Core Measure 12 Clinical Summaries Core Measure 13 Protect Electronic Health Information February 2015 89 MAPIR User Guide for Eligible Professionals Stage 1 There are 14 Meaningful Use Core Measure screens Core Measure 1 has two screens to choose from As you proceed through the Meaningful Use Core Measure section of MAPIR you will see four different screen layouts Instructions for each measure are provided on the screen For additional help with a specific Meaningful Use Core Measure click on the link provided above the blue instruction box Screen layout examples are shown below Screen 1 The following Meaningful Use Core Measures use this screen layout Core Measures 1 Original and Optional 8 9 11 and 12 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year Program Year 2014 1 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Attestation Meaningful Use Measures Core Measure
309. re or refers their patient to another provider of care should provide summary care record for each transition of care or referral to immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice Use secure electronic messaging to communicate with patients on relevant health information Clinical summaries provided to patients or patient authorized representatives within one business day for more than 50 percent of office visits Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164 308 a 01 including addressing the encryption security of data stored in CEHRT in accordance with requirements under 45 CFR 164 312 ai 2 0v and 45 CFR 164 306 d0 3 and implement security updates as necessary and correct identified security deficiencies as part of the provider s risk management process for EPs More than 55 percent of all clinical lab tests results ordered by the EP during the EHR reporting period whose results are either ina positive negative or numerical format are incorporated in Certified EHR Technology as structured data Generate at least one report listing patients of the EP with a specific condition More than 10 percent of all unique patients who have had 2 or more office visits with the EP within the 24 months before the beginning of the EHR reporting period were sent a reminder per patient
310. re the numerator and denominator are not entered February 2015 223 MAPIR User Guide for Eligible Professionals Program Year 2014 Once you attested to all the measures for this topic click Return to Main to return to the Measures Topic List 224 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Submit Meaningful Use Core Measures To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list ingful Use Core Measure List Table EPCMUO1 Use computerized provider order entry CPOE More than 30 of all unique patients with at Numerator 65 for medication orders directly entered by any least one medication in their medication list Denominator 100 licensed healthcare professional who can seen by the EP have at least one medication enter orders into the medical record per state order entered using CPOE local and professional guidelines Implement drug drug and drug allergy The EP has enabled this functionality for the interaction checks entire EHR reporting period EPCMUO3 Main
311. red with the R amp A or if you need an ID and password to create your secure Provider account please contact the EHR Assistance Center either by email at ctmedicaid ehr hp com or by phone at 1 855 313 6638 Applicants will need to verify the information displayed in MAPIR enter additional required data elements and make attestations about the accuracy of data elements entered in MAPIR Applicants will need to demonstrate they meet e Medicaid patient volume thresholds e They are adopting implementing or upgrading meaningfully using in future years federally certified EHR systems in the first payment year and meaningfully using the EHR systems in future years and e They meet all other federal program requirements 4 The Department will review applications submitted in MAPIR and make approval decisions The Department will inform all applicants whether they have been approved or denied via email All approvals and denials are based on federal rules about the EHR Incentive Program e Payments will be issued via the regular Connecticut Medical Assistance Program financial payment cycle that runs twice a month Applicants will see approved payments on their remittance advices and their annual 1099 s e Itis possible the Department may need to contact applicants during the application process before a decision can be made to approve or deny an application Applicants are encouraged to contact the EHR Assistance Center if they have questi
312. rent types of denominators 1 Denominator is all patents seen during the EHR reporting period The denominator is al patents regardless of whether thew records are kept using a certfied EHR technology Denominator is actions or subsets of patents seen dunng the EHR reporting period whose records are kept using certified EHR technology February 2015 213 MAPIR User Guide for Eligible Professionals Program Year 2014 The screen on the following page displays the Meaningful Use Core Measure List Table The first time a topic is accessed you will see an Edit option for each measure Once information is successfully entered and saved for a measure it will be displayed in the Entered column on this screen Click Edit to enter or edit information for a measure or click Return to Main to return to the Measures Topic List 214 February 2015 Program Year 2014 Dr Medicaid Provider Personal TIN SSN 999999999 Payment Year 1 R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Meaningful Use Core Measures Get Starbed To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list Meaningful Use Core
313. reventive Care Core Measure 13 Patient Specific FReCMLIT eo Education Resources Core Measure 14 Medication EPCMU14 j oe ss EPCMU14 Reconciliation Core Measure 15 Summary of Care EPCMU15 Core Measure 16 Immunization EPCMU1 i fa eo amen Registries Data Submission Core Measure 1 Use Secure Fornhilid a P EPLINI Electronic Messaging Exclusion No Numerator 8 amp 7 Denominator 105 Percentage 82 Patient Records All Measure 1 Yes Measure 2 Exclusion No N A Measure 2 Yes Exclusion Measure 1 and 2 Excluded Exclusion No Numerator 654 Denominator 1045 Percentage 62 Patient Records All N A Exclusion Excluded Patient Records Al Exclusion No Numerator 176 Denominator 897 Percentage 19 Patient Records All Exclusion Excluded Exclusion Excluded Patient Records All Exclusion No Numerator 687 Denominator 1056 Percentage 65 Exclusion Mo Numerator 1 80 Denominator 1 100 Percentage 80 Numerator 2 8 amp 7 Denominator 2 107 Percentage 61 Measure 3 Satisfied a Yes Satisfied b Yes N A Exclusion No Numerator 58 Denominator 200 Percentage 29 February 2015 149 MAPIR User Guide for Eligible Professionals Stage 2 This is screen 3 of 4 of the Meaningful Use Measure Review Meaningful Use Menu Measure Review Measure Entered Additional Information Cod
314. rform immunizations during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Yes No EXCLUSION 2 If there is no immunization registry that has the capacity to receive the information electronically or if it is prohibited an EP would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Yes No Note If you would like to upload additional information that you feel justifies this exclusion please use the upload file function found on the Submit tab If the exclusions do not apply to you please answer the following question Did you perform at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test was successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically Yes No Additional Information Enter the name of the immunization registry used If you performed at least one test of EHR submission of electronic data to immunization registries Was the test successful Yes No If the test was successful please enter the date and time of the test Date MM DD YYYY Time HH MM AM PM Example
315. riod for which the EP was the receiving party of the transition Numerator Denominator February 2015 131 MAPIR User Guide for Eligible Professionals Screen 10 The following Meaningful Use Core Measure uses this screen layout Core Measure 15 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Measure 15 Summary of Care Oo Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective E i ka provider of care should provide summary care record for each transition of care or referral EXCLUSION Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times during the EHR reporting period is excluded from all three measures Does this exclusion apply to you If Yes do not complete the three measures below If No complete entries in the three measure below 5 yes No Measure 1 The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more th
316. riteria for that exclusion then the EP can claim that exclusion during attestation HELPFUL HINTS 1 2 2 4 The Core Measures can be completed in any order by selecting the Begin button For more details on each measure select the click here link at the top of each screen You may rewew the completed measures by selecting the Edit button Measure results do not round up For example a numerator of 199 and a denominator of 1000 is 19 Results are omy displayed m whole numbers Measures that require a result of greater than a given percentage must be more than that percentage to pass For example in a measure requiring a result of greater than 80 a result of 60 1 wil pass but a result of exactly 80 0 would not pass After completing all the core measures you will recerve a checkmark indicating the section is complete The checkmark does not mean you passed or failed the measures Evahuaton of MU measures are made after the apphcatbon is submutted To return to the Attestation Meaningful Use Measures selection screen select the Return to Main button at the bottom of the page Instructions Users must adequately answer each measure they intend to meet by either correctly filling in the numerator and denominator values or selecting an exclusion if you meet the requirements for that exclusion Two types of percentage based measures are included in demonstrating Meanmoful Use
317. rm the submission process or the provider can designate a preparer to complete the application If a preparer is completing the application they will navigate through screens to collect the additional required information from the preparer The provider associated with this application is still responsible for the accuracy of the information provided and attested to February 2015 177 MAPIR User Guide for Eligible Professionals The initial Submit screen contains information about this section Click Begin to continue to the submission process Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN ee Payee TIN a Payment Year Get Started Program Year 2014 1 REA Contact Into Eligibility Patient Vol wes Attestation jj Submit a Y Step 7 Submit Your Application In this section you will be able to review the information that you submitted in MAPIR and upload documentation supporting your attestation MAPIR displays the information and allows you to print the information entered and completeness This will be your opportunity to make changes prior to final submission Please review the information you ve provided for accura Review and Check Errors MAPIR will check your application for errors If errors are present you will have the opportunity to go back to the tab where the error occurred and correct it If you do not want to correct the errors you can still submit your application however the errors may
318. rmation you entered for your practice location s patient encounters and certified EHR technology use MAPIR calculates and displays your Medicaid encounter percentage At least one practice location must meet Medicaid Patient Volumes and be utilizing Certified EHR Technology For more detailed information please refer to the Provider Manual for Eligible Professionals EPs Eligible Professional User Manual CT ro Teega February 2015 49 MAPIR User Guide for Eligible Professionals Patient Volume Group The following formula is used to calculate the Patient Volume when the individual practitioner submits patient volumes for the group as a proxy for his her own patient volume Medicaid Patient Volume Percentage Formula Group Medicaid Encounter Volumes Divided by Total Encounter Volume Enter Group Practice Provider IDs If you listed four Group Practice Provider IDs and the patient volume numbers at the bottom reflect more than the four IDs you listed please check the box directly below the provider IDs You will be required to upload the documentation for all additional group NPI numbers and provider names in MAPIR Enter patient volumes for each location listed Medicaid encounter is defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program Click Save amp Continue to review your selection or cl
319. rofessionals EPs are required to complete 5 out of 9 Menu Set Measures in Stage 1 5 out of 10 Menu Set Measures for 2013 MU Stage 1 HELPFUL HINTS The Menu Measures can be completed in any order by selecting the Begin button For more details on each measure select the click here link at the top of each screen You may review the completed measures by selecting the Edit button Measure results do not round up For example a numerator of 199 and a denominator of 1000 is 19 Results are only displayed in whole numbers Measures that require a result of greater than a given percentage must be more than that percentage to pass For example in a measure requiring a result of greater than 10 a result of 10 1 will pass but a result of exactly 10 0 would not pass After completing the required number of menu measures you will receive a checkmark indicating the section is complete The checkmark does not mean you passed or failed the measures Evaluation of MU measures are made after the application is submitted To return to the Attestation Meaningful Use Measures selection screen select the Return to Main button at the bottom of the page 226 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals From the Meaningful Use Menu Measures Selection screen displayed on the following page choose five Meaningful Use Menu Measures to attest to One measure must be from the public heal
320. rogram Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation Review Submit Attestation Phase Part 2 of 3 Please select the activities where you have Planned to include In Progress or completed an implementation It is important to know that the information you select about your Planned to include In Progress and completed implementation tasks is optional and will not impact your ability to receive an incentive payment This information is helpful to the State Medicaid Program Office in understanding the implementation process If there are no applicable activities to select or list please select the Other Click to Add button and enter none When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point After saving click the Clear All button to remove standard activity selections Red asterisk indicates a required field Implementation Activity Workflow Analysis Workflow Redesign Software Installation Hardware Installation Peripherals Installation Internet Connectivity Broadband Uploading Patient Data Electronic Prescribing Health Information Exchange i e labs pharmacy Physical Redesign of Workspace Training Other Click to Add Previous Reset Clear All aa tee February 2015 69 MAPIR User Guide for Eligible Professionals Implementation Phase T
321. rtified EHR during the EHR reporting period Previous 82 February 2015 Meaningful Use General Requirements MAPIR User Guide for Eligible Professionals If all measures were entered and saved a check mark will display under the Completed column for the topic as displayed in the example below You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic or click Clear All to clear the topic information you entered Click Begin to start the next topic Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year Program Year 2014 Get Started REA Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures CQMs options The following icon will display to the left of the topic name when the minimum required entries are completed Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Progress Action General Requiremen
322. rting point or last saved data Dr Medicaid Provider 7 Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Patient Volume FOHC RHC Group Part 3 of 3 Please indicate in the box es provided the Group Provider ID s you will use to report patient volume requirements You must enter at least one pup Practice Provide 1234567890 2345678901 3456789012 4567890123 Please check the box if more than 4 Group Practice Provider IDs will be used in reporting patient volumes Group Volumes For reporting Group patient volumes 1 The clinic or group practice s patient volume is appropriate as a patient volume methodology calculation for the EP for example if an EP only sees Medicare commercial or self pay patients this is not an appropriate calculation 2 There is an auditable data source to support the clinic s patient volume determination and 3 So long as the practice and EP s decide to use one methodology in each year in other words clinics could not have some of the EP s using their individual patient volume for patients seen at the clinic while others use the clinic level data The clinic or practice must use the entire practice s patient volume and not limit it in any way EP s may attest to patient volume under the individual calculation or the group clinic proxy in any participation year Furthermore if the EP works in both the clinic and outside the clinic or with an
323. s Core Measure 3 i Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Maintain an up to date problem list of current and active diagnoses Measure More than 80 of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data Complete the following information Numerator Number of patients in the denominator who have at least one entry or an indication that no problems are known for the patient recorded as structured data in their problem list Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator 135 Denominator 150 m Save amp Continue gt a 220 February 2015 Program Year 2014 Screen 4 The following Meaningful Use Core Measures use this screen layout Core Measures 4 and 8 Original Name Dr Medicaid Provider Socata dette seuueeeese pplican Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Core Measure 4 click HERE to review CMS Guidelines for this measure When ready
324. s Introduction to Connecticut Medicaid EHR Incentive Program Figure 4 Pediatrician Connecticut Medical Assistance EHR Incentive Payments Between 20 29 Percent 5 667 14 167 CY 2013 5 667 5 667 14 167 Ne a ae CY 2014 5 667 5 667 5 667 14 167 ooo ee CY 2015 5 667 5 667 5 667 5 667 14 167 Cid CY 2016 5 665 5 667 5 667 5 667 5 667 14 167 CY 2017 5 667 5 667 5 667 5 667 CY 2018 60 5 667 5 667 5 667 CY 2019 5 665 5 667 5 667 CY 2020 yy 5 665 5 667 TOTAL 42 500 42 500 42 500 42 500 Adopt Implement or Upgrade AIU and Meaningful Use The goal of the Connecticut Medical Assistance EHR Incentive Program is to promote the adoption implementation upgrade and meaningful use of certified EHRs For the first payment year of the program eligible professionals will be required to attest to and demonstrate to one of the following e Adoption Acquired purchased or secured access to certified EHR technology e Implementation Installed or commenced utilization of certified EHR technology capable of meeting meaningful use requirements e Upgrade Expanded the available functionality of certified EHR technology capable of meeting meaningful use requirements including staffing maintenance and training or upgrade from existing EHR technology to a federally certified EHR system For subsequent payment years eligible professionals will be required to attest to and demonstrate
325. s completed select the Save amp Continue button to complete the attestation process Save amp Continue February 2015 MAPIR User Guide for Eligible Professionals Meaningful Use General Requirements Meaningful Use General Requirements Enter information in all required fields The denominator entered must be greater than or equal to the numerator entered The numerator and denominator entries must be positive whole numbers Click Save amp Continue to review your selection click Previous to go back or click Reset to restore this panel to the starting point Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Meaningful Use General Requirements Please answer the following questions to determine your eligibility for the Medicaid EHR Incentive Program When ready click the sar amp Continue button to review your selection or click Previous to go back ick Reset to restore this panel to the starting point Red asterisk indicates a required field Please demonstrate that at least 50 of all your Numerator 600 f Denominator 1000 encounters occur in a location s where certified EHR technology is being utilized Please demonstrate that at least 80 of all unique Numerator 850 Denominator 1000 patients have their data in the ce
326. s extracted only from patient records maintained using Certified EHR Technology EXCLUSION 1 Any EP who writes fewer than 100 permissible prescriptions during the EHR reporting period Does this exclusion apply to you i Yes No EXCLUSION 2 Any EP who does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP s practice location at the start of his her EHR reporting period Does this exclusion apply to you Yes No If the exclusions do not apply to you please complete the following information Numerator The number of prescriptions in the denominator generated queried for a drug formulary and transmitted electronically using CEHRT Denominator Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the EHR reporting period or Number of prescriptions written for drugs requiring a prescription in order to be dispensed during the EHR reporting period Numerator Denominator Previous Reset Save amp Continue 124 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Screen 3 The following Meaningful Use Core Measure uses this screen layout Core Measure 3 Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 9999999909 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes
327. s screen 1 of 2 of the Meaningful Use Core Measure List Table 120 Name Dr Medicaid Provider Personal TIN SSN 999999999 Payment Year 2 Get Started Meaningful Use Core Measures To edit information select the EDIT button next to the measure that you would like to edit All successfully submitted progress on entry of Applicant NPI 9999999999 Payee TIN 999999999 Program Year 2014 R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Main button to access the main attestation topic list Meaningful Use Core Measure List Table Use computerized provider order entry CPOE for medication laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Generate and transmit permissible prescriptions electronically eRx Record the following demographics preferred language sex race ethnicity date of birth oT H EPCMU04 Record and chart changes in the following vital signs Height Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children including BMI Record smoking status for patients 13 years old or older EPCMU06 Use clinical decision
328. s the payee indicated or you are assigning this payment voluntarily to the payee and that you have a contractual relationship that allows the assigned employer or entity to bill for your services Click the Payment Address from the list below to be used for your Incentive Payment Click Save amp Continue to review your selections or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Name Dr Medicaid Provider A Applicant NPI 9999999999 Personal 999999999 P TIN 999999999 TIN SSN diii Payment Year 1 Program Year 2011 Eligibility Patient Volumes Attestation E Review Submit _ Attestation Phase Part 3 of 3 Please answer the following questions so that we can determine your eligibility for the program When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Based on the information received from the R amp A you requested to Co ves A No assign your incentive payment to the entity above Payee TIN Please l confirm that you are receiving that payment as the payee indicated above or you are assigning this payment voluntarily to the payee above and that you have a contractual relationship that allows the assigned employer or entity to bill for your services NOTE If you wish to assign your payment and did not indicate this whe
329. select a Meaningful Use Reporting option as displayed on the screen on the following page The options available to you will depend on the CMS EHR Certification ID and stage progression The table below identifies the Meaningful Use Reporting options available for Program Year 2014 Program Year 2014 Meaningful Use Reporting Options CMS EHR Stage Progression Meaningful Use Reporting Option Certification ID 2011 All payment years 2013 Stage 1 objectives measures and CQMs 2011 2014 First or second year attesting to 2013 Stage 1 objectives measures and CQMs Meaningful Use 2014 Stage 1 objectives measures and CQMs 2011 2014 Third year attesting to Meaningful 2013 Stage 1 objectives measures and CQMs Use 2014 Stage 1 objectives measures and CQMs 2014 Stage 2 objectives measures and CQMs 2014 Payment Year 1 AIU 2014 Stage 1 objectives measures and CQMs 2014 Payment Year 2 2014 Stage 1 objectives measures and CQMs 2014 Third year attesting to Meaningful 2014 Stage 1 objectives measures and CQMs Use 2014 Stage 2 objectives measures and CQMs Depending the Meaningful Use Reporting option that you select you may be required to enter a delay reason The Program Year 2014 Meaningful Use reporting options only apply to new incentive application or incentive applications that are aborted and re started after the implementation of MAPIR Release 5 5 February 2015 205 MAPIR User Guide for Eligible Professionals Program Ye
330. selection for Connecticut Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or the last saved data Name Dr Medicaid Provider Applicant NPI agggg9g99g99 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2014 Get Started R amp A Contact Info Eligibility E Patient Volumes Attestation Review Professional Eligibility Questions Please answer the following questions to determine your eligibility for the EHR Medicaid Incentive Payment Program When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field What type of provider are you select one Physician Dentist Certified Nurse Midwife Pediatrician Nurse Practitioner Physician Assistants practicing within an FQHC or RHC that is so led by a Physician Assistant Do you have any current sanctions or pending sanctions with Yes No Medicare or Medicaid in any state Are you currently in compliance with all parts of the HIPAA regulations Are you licensed in all states in which you practice SSeS O OO O O OOOO O O d Save amp Continue p February 2015 33 MAPIR User Guide for Eligible Professionals Step 3 Eligibility This screen confirms you successfully completed the Eligi
331. sreressrrresserresseeresserersseereess 112 GS eA S AE E EN E E NESE E ENE E EN E E AN E E E E AT N EA E E 118 Meannerdl Use Core Measures siidi a A AA R 118 M anineful Use Menu Set Measure Sraiceninemenmmne ane a a A A 138 Meaningful Use Measures Summary fOr Stage 2 eearri A A N A N NA 147 Stages Land Zo aE a sa eelieie 152 Meaningful Use Clinical Quality MeaSUrES nisissioininrniinnnn nnna eee i a a 152 Attestation Phase Part 3 Of 2 emue E A N 171 Step 6 REVIEW Application sssini a aa a 173 Step 7 Submit Your Application ssesessssessssessssecsssecsssesesosossseoesssossssossssossssoesssososssessssessssesseses 177 Post Submission Activities ecserin aa araara aa aaea 194 Post Submission PAVING ING scceriacderassnid eeu suascncsewuscuewe vase NET E NEE R E EE ET 196 Additional User infona tOn ais aeaa E ESE NIET 198 Acronyms and TerMScsnicsisreisn aaa a E a A a Eia 204 Program Year ZO Ue eari E EE A S 205 Meaninetul Use Reportine ODOM escia a a suataloeddeedtesabetamantees 206 2013 Stage 1 objectives measures and COM cscccccsssscccesecccceesecceecccseuscccseusecseuecesseecesaeusecssuecesseuseessaeseesanees 209 Meaningful Use General Reguirements isi ccscavesscvetdcaccsstvessavedisnacssaeeviase tien iascees EE E E RE a eae Wee ai 211 Wieaninet ul WSe Core Measure Sinnrenretrnia tin E E 213 Meamnerul Vse Meng Meds Ure Soursi A A ais 226 Meaningful Use Core Clinical Quality Measures oossnnnsssensssseensssreesssrress
332. srersssrresssrrressrersssreressreressreressereessreressseresserreess 240 Meaningful Use Alternate Core Clinical Quality Measures cccccccssseccccsssececcseeeccesaeseecesaueuecessuaseceeeueneceesauaseeessuneseesaageses 247 Meaningful Use Additional Clinical Quality Measures cccccssseccccssececcseseceesaessceessauecesaueecessuasecessseueceesauaecessaaaeceesanenses 256 Meaninetull Use Measares SUNAY ao uraan aT T E E E E E N 271 iV February 2015 Introduction to Connecticut Medicaid EHR Incentive Program MAPIR User Guide for Eligible Professionals Introduction to Connecticut Medicaid EHR Incentive Program The American Recovery and Re investment Act of 2009 was enacted on February 17 2009 This act provides for incentive payments to Eligible Professionals EP Eligible Hospitals EH and Critical Access Hospitals to promote the adoption and meaningful use of interoperable health information technology and qualified electronic health records EHR Under ARRA states are responsible for identifying professionals and hospitals that are eligible for these Medical Assistance EHR incentive payments making payments and monitoring payments The Medical Assistance Provider Incentive Repository MAPIR is a Web based program administered by the CT Department of Social Services DSS that allows Eligible Professionals and Eligible Hospitals to apply for incentive payments The incentive payments are not a reimbursement but are an incentive
333. started D If you selected an incentive application that you are not associated with you will receive a message indicating a different Internet Portal account has already started the Medicaid EHR Incentive Payment Program application process and that the same Internet Portal account must be used to access the application for this Provider ID If you are the new user for the provider and want to access the previous applications you will need to contact the EHR Assistance Center either by email at ctmedicaid ehr hp com or by phone at 1 855 313 6638 24 February 2015 Step 1 Getting Started MAPIR User Guide for Eligible Professionals Click Confirm to associate the current Internet Portal account with this incentive application Confirmation You have chosen to complete the MAPIR application using the current Internet account Once you have started the application process using this account you cannot switch to another account Select the Cancel button to return to the start page Select Confirm to associate the current Internet Portal account with MAPIR If you have a State to State Switch or Program Switch incentive application you will not be able to proceed beyond this point MAPIR is unable to assign a Stage to your incentive application Contact ctmedicaid EHR hp com for assistance February 2015 25 MAPIR User Guide for Eligible Professionals Step 1 Getting Started The Get Started screen contains informati
334. submission was achieved Yes No Registration of intent to initiate ongoing submission was made by the deadline and the authorized provider or hospital is still engaged in testing and validation of ongoing electronic submission D Yes No Registration of intent to initiate ongoing submission was made by the deadline and the authorized provider or hospital is awaiting invitation to begin testing and validation D yes No EXCLUSIONS If any of the measures above are Yes then do not select an Exclusion If all of the above measures are No then select one or more of the Exclusions below Any EP that meets one or more of the following criteria may be excluded from this objective The EP is not in a category of providers that collect ambulatory syndromic surveillance information on their patients during the EHR reporting period Yes No data in the specific standards required by CEHRT at the start of their EHR reporting period Yes No The EP operates in a jurisdiction where no public health agency provides information timely on capability to receive syndromic surveillance data D Yes No The EP operates in a jurisdiction for which no public health agency that is capable of accepting the specific standards required by CEHRT at the start of their EHR reporting period can enroll additional EPs Yes No 142 Stage 2 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals
335. sult in unexpected results As you complete your incentive application you may receive validation messages requiring you to correct the data you entered These messages will appear above the navigation button See the Additional User Information section for more information Many MAPIR screens contain help icons to give the provider additional details about the information being requested Moving your cursor over the will reveal additional text providing more details Meaningful Use You are capturin Please note that EPs will not be able to attest to PN olegy at locations where at least 50 of patient encounters are provided meaningful use to receive payment in the first program year of 2011 If meaningful use is selected your payment will be delayed February 2015 17 MAPIR User Guide for Eligible Professionals Step 1 Getting Started Step 1 Getting Started Log in to the Connecticut Medical Assistance Program s secure provider Web portal account at www ctdssmap com NOTE The secure provider portal is located under Provider Secure Site Connecticut DEPARTMENT OF SOCIAL SERVICES Z Gitai dianaiiia Home Information Trading Partner ConnPACE Pharmacy Information Claims Eligibility Prior Authorization Trade Files MAPIR Messages Account provider enrollment provider enrollment tracking provider matrix provider services provider search drug search provider fee schedule download ehr incentive program E
336. support to improve performance on high priority health conditions EPCMU07 Provide patients the ability to view online download and transmit their health information within four business days of the information being available to the EP More than 60 percent of medication 30 percent of laboratory and 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using CPOE More than 50 percent of all permissible prescriptions or all prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT More than 80 percent of all unique patients seen by the EP have demographics recorded as structured data More than 80 percent of all unique patients seen by the EP have blood pressure for patients age 3 and over only and or height and weight for all ages recorded as structured data More than 80 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period Absent four clinical quality measures related to an EP s scope of practice or patient population the clinical decision support interventions must be related to high priority health conditions The EP has enabled and implemented the functionality for
337. t Incentive Application use only When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Location Name flew Location Address Line 1 193 Main Street Address Line 2 Address Line 3 City Anytown State Alabama Zip 5 4 Save amp Continu February 2015 41 MAPIR User Guide for Eligible Professionals Patient Volume Individual For each location check whether you will report Medicaid Patient Volumes and whether you plan to Utilize Certified EHR Technology You must select at least one location for meeting patient requirements and at least one location for utilizing certified EHR technology Note For every location listed on this screen even if you did not select it as a location to meet patient requirements Medicaid Patient Volume column you must indicate if you are using certified EHR technology at this location by selecting Yes or No in the Utilizing Certified EHR Technology column Click Edit to make changes to the added location or Delete to remove it from the list Note The Edit and Delete options are not available for locations already on file Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider Applicant NPI 9
338. t Total Meini 1000 Anytown PA 12345 1234 ERONEN 3300 Yes New Location 123 Main Street Medicaid Only In State Anytown AL 12345 Total Medicaid Denominator Sum Medicaid Only Sum Medicaid Encounter Total Encounter In State Encounter Volume Volume ge Total Denominator Numerator Numerator Previous Save amp Continue February 2015 45 MAPIR User Guide for Eligible Professionals Patient Volume Group Patient Volume Group The following pages will show you how to apply for the EHR Incentive program as a Group provider If you are not applying as a Group provider refer to the table on page 39 for more information Practice locations MAPIR will present a list of locations that Connecticut Medicaid program office has on record If you have additional locations you will be given the opportunity to add them Once all locations are added you will enter the required Patient Volume information If you do not have any locations to add you can Click Save amp Continue to continue to the next section Review the listed locations Add new locations by clicking Add Location Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 Payee TIN 999999999 TIN SSN Y Payment Year 1 Program Year 2011 Get Started R amp A Contact Info Eligibility Patient Volumes C tati Review _ Patient Volume Group Part 3 of 3 CO has the following information on the locations in which you practice Please s
339. t encounter volumes for the 90 day period you selected Medicaid encounters are defined as any services that were rendered on any day to an individual enrolled in HUSKY A HUSKY C previously known as Medicaid FFS or HUSKY D previously known as MLIA program both in state and out of state Total encounter volume counts encounters for all patients regardless of health insurance coverage Medicaid Patient Volume Percentage Formula Medicaid Encounter Volume Total Encounter Volume The final panel in Part 3 of 3 of Patient Volumes will reflect all of the information you entered for your practice location s patient encounters and certified EHR technology use MAPIR calculates and displays your Medicaid encounter percentage At least one practice location must meet Medicaid Patient Volumes and be utilizing Certified EHR Technology For more detailed information please refer to the Provider Manual for Eligible Professionals EPs Eligible Professional User Manual LEen D February 2015 43 MAPIR User Guide for Eligible Professionals Patient Volume Individual The following formula is used to calculate the Patient Volume when the individual practitioner submits his her own patient volumes Medicaid Patient Volume Percentage Formula Individual Medicaid Encounter Volume Total Encounter Volume Enter patient volumes for each location listed Medicaid encounter is defined as any services that were rendered on any day to an individual
340. t one from the calendar icon located to the right of the Start Date field Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or the last saved data Dr Medicaid Provider i Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year i Program Year 2013 R amp A Contact Info Eligibility Patient Volumes Review Submit Patient Volume 90 Day Period Part 7 of 3 The continuous 90 day volume reporting period may be from either the calendar year preceding the payment year or the 12 months before the attestation date Select either previous calendar year or previous 12 months then enter the Start Date of your continuous 90 day period When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Please select one of the following two options Calendar Year Preceding Payment Year 12 Months Preceding Attestation Date start Date 02 05 2012 mmy dd yyyy Please Note The Start Date must fall within the period that is applicable to your selected volume period en Gave amp continue Review the Start Date and End Date information The 90 Day End Date has been calculated for you Click Save amp Continue to continue or click Previous to go back February 2015 37
341. t topic Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation lj Review Submit Attestation Meaningful Use Measures The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Note The Alternate Core Clinical Quality Measure topic is only required if any Core Clinical Quality has a denominator of zero Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed General Requirements Core Measures M
342. tage of patients aged 18 years and older with a diagnosis of CAD and prior MI who were prescribed beta blocker therapy Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine Percentage of women 40 69 years of age who had a mammogram to screen for breast cancer Percentage of adults 50 75 years of age who had appropriate screening for colorectal cancer Coronary Artery Disease CAD Oral Antiplatelet Percentage of patients aged 18 years and older Therapy Prescribed for Patients with CAD Heart Failure HF Beta Blocker Therapy for Left Ventricular Systolic Dysfunction LVSD Anti depressant medication management a Effective Acute Phase Treatment b Effective Continuation Phase Treatment Primary Open Angle Glaucoma POAG Optic Nerve Evaluation Diabetic Retinopathy Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy with a diagnosis of CAD who were prescribed oral antiplatelet therapy Percentage of patients aged 18 years and older with a diagnosis of heart failure who also have LVSD LVEF less than 40 who were prescribed beta blocker therapy Percentage of patients 18 years of age and older who were diagnosed with a new episode of major depression treated with antidepressant medication and who remained on an antidepressant medication treatment Percentage of patients aged 18 years and older with a diagnosis of POAG who have be
343. tain an up to date problem list of current More than 80 of all unique patients seen by MNumerator 135 and active diagnoses the EP have at least one entry or an indication Denominator 150 that no problems are known for the patient recorded as structured data Generate and transmit permissible More than 40 of all permissible prescriptions Excluded prescriptions electronically RX written by the EP are transmitted electronically using certified EHR technology EPCMUOS Maintain active medication list More than 80 of all unique patients seen by Numerator 35 the EP have at least one entry for an indication Denominator 100 that the patient is not currently prescribed any medication recorded as structured data EPCMU06 Maintain active medication allergy list More than 80 of all unique patients seen by WNumerator 185 the EP have at least one entry for an indication Denominator 220 that the patient has no known medication allergies recorded as structured data Record all of the following demographics More than 50 of all unique patients seen by WNumerator 51 the EP have demographics recorded as Denominator 89 Preferred language structured data Gender Race Ethnicity Date of birth EPCMUO8S Record and chart changes in the following vital More than 50 of all unique patients seen by MNumerator 89 EDIT signs the EP have blood pressure for patients age 3 Denominator 130 and over only and or height and weight for all Height ages recorded as str
344. te that is not listed click Add Location When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field amp Utilizing Certified EHR Technology Provider ID Location Name Must Select One Available Actions 123 First Street ie pepepepe pa iepa pa paia Dr Off New Location 123 Main Street Anytown AL 12345 Reset Save amp Continue 48 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals This screen gives details about the definition of a group clinic and the encounter data that would qualify towards patient volume If electing to use the group clinic volume the group clinic should submit their entire organization s patient volume and not limit patient volume in any way If a group clinic is organized into clearly defined specialty groups clinics then each specialty group clinic could count as a separate group clinic for the purpose of calculating patient volume For this to happen each specialty group clinic has to be organized as a separate group clinic with a separate billing number used for all of its claims and a clearly defined staff Click Begin to proceed to the screens where you will enter patient volumes Name JEREMY MAPIR Applicant NPI 2011062801 Personal TIN SSN stapt Payee TIN TT
345. teria e Have a minimum 30 Medicaid patient volume e Have a minimum 20 Medicaid patient volume and is a pediatrician e Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30 patient volume attributable to needy individuals Note Children s Health Insurance Program CHIP patients do not count toward the Medicaid patient volume criteria To apply for the Medicaid EHR Incentive Payment Program Eligible Professionals must first register at the CMS Medicare and Medicaid EHR Incentive Program Registration and Attestation System R amp A Once registered they can submit an application and attest online using MAPIR This manual provides step by step directions for using MAPIR and submitting your application to the Connecticut Medicaid EHR Incentive Payment Program February 2015 13 MAPIR User Guide for Eligible Professionals Before You Begin in MAPIR Before You Begin in MAPIR There are several pre requisites to applying for state Medicaid EHR Incentive payments using MAPIR 1 Complete your CMS Medicare amp Medicaid EHR Incentive Program Registration and Attestation System R amp A registration 2 Identify one individual from your organization who will be responsible for completing the MAPIR application and attestation information This person can also serve as a contact point for state Medicaid communications 3 Gather the necessary information to facilitate the completion
346. terisk indicates a required field Objective Use computerized provider order entry CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Measure More than 30 of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE PATIENT RECORDS Please select whether the data used to support the measure was extracted from ALL patient records or only from patient records maintained using certified EHR technology This data was extracted from ALL patient records not just those maintained using certified EHR technology This data was extracted only from patient records maintained using certified EHR technology EXCLUSION Based on ALL patient records Any EP who writes fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement Exclusion from this requirement does not prevent an EP from achieving meaningful use Does this exclusion apply to you Yes No If the exclusion does not apply please complete the following information Numerator The number of patients in the denominator that have at least one medication order entered using CPOE Denominator Number of unique patients with at least one medication in their medication list seen by the EP during the EHR reporting period te Reset
347. ternate Core Clinical Quality measures and three Additional Clinical Quality Measures You may complete as many Clinical Quality Measures as you want but are only required to complete six The following screens will allow you to attest to the Core Clinical Quality Measures The Alternate Core and Additional Clinical Quality Measures can be accessed from the Main Meaningful Use Measures screen The data for these measures must be obtained directly from the certified EHR system If a Clinical Quality Measure does not apply to the EP the EP would not have any eligible patients or actions for the measure denominator For the Core Clinical Quality Measures if the EP reports a zero for the Core Measure denominator then the EP must report results for up to three Alternate Core Measures potentially reporting on all six Core Alternate Core Measures If you submit zero denominators for all of the Core and Alternate Core Measures you still need to complete three of the Additional Clinical Quality Measures For the Core Clinical Quality Measures we expect the EP to report on measures which do not have a denominator of zero HELPFUL HINTS The Clinical Quality Measures can be completed in any order by selecting the Begin button For Clinical Quality Measures with multiple numerators and denominators all fields must be completed for the Clinical Quality Measure to be validated A provider may enter a zero if it is applicable to the measure You m
348. testation Meaningful Use Measures The Meaningful Use Measures you have attested to are depicted below Please review the current information to verify what you have entered is correct Meaningful Use General Requirements Review Please demonstrate that at least 50 of all your encounters occur in a location s where certified EHR technology is being utilized Please demonstrate that at least 80 of all unique patients have their data in the certified EHR during the EHR reporting period lt Enter Professional General Tips 1 gt lt Enter Professional General Tips 2 gt lt Enter Professional General Tips 3 gt _ Meaningful Use Core Measure Review _ Measure Code Core Measure 1 CPOE for nee Medication Orders Original Core Measure 2 Drug Interaction T EPCMUO2 Checks Core Measure 3 Maintain Problem LI EPCMUO3 List EPCMUO4 Core Measure 4 ePrescribing eRx Core Measure 5 Active Medication LI EPCMUO0S List Core Measure 6 Medication EIGI EPCMU06 Allergy List Entered Numerator 350 Denominator 1001 Percentage 34 Numerator 1 Denominator 1 Percentage 100 Exclusion 1 No Exclusion 2 No Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Addi
349. th list first two measures listed on the top half of the screen The remainder of the measures can be any combination from the remaining public health list measures or from the additional Meaningful Use Menu Measures listed In the example shown on the following page one public health measure and four measures from the additional Meaningful Use Measures listed are selected If a measure is selected and information is entered for that measure unselecting the measure will clear all information previously entered Click Save amp Continue to proceed or click Return to Main to go back Click Reset to restore this panel to the starting point February 2015 227 MAPIR User Guide for Eligible Professionals Program Year 2014 228 Name Or Medicaid Provider Applicant NPI 39999599999 Personal TIN SSN 999999099 Payee TIN ggg Payment Year i Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Instructions Eligible Professionals must report on a minimum of five 5 Meaningful Use Menu Measures EPMMU09 and EPMMU10 are the Public Health measures Eligible Professionals are required to attest to at least one 1 Public Health measure and four 4 other Menu measures or attest to two 2 Public Health measures and three 3 other menu measures If an Eligible Professional can be excluded from both Public Health measures the Eligible Professiona
350. than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient has no known medication allergies recorded as structured data More than 50 of all unique patients seen by the EP have demographics recorded as structured data More than 50 of all unique patients seen by the EP during the EHR reporting period have blood pressure for patients age 3 and over only and height and weight for all ages recorded as structured data More than 50 of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data Implement one clinical decision support rule More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely available to the patient within 4 business days after the information is available to the EP online access to their health information with the ability to view download and transmit toa third party Clinical summaries provided to patients for more than 50 of all office visits within 3 business days Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164 308 a 1 and implement security updates as necessary and correct identified security deficiencies as part of its risk management process Return to Main Numerator 350 Denominator 1001 Numerator 1 Denominator 1 Exclusion 1 No Exclusion 2 No Nume
351. the topic as displayed in the example below You can continue to edit the topic measure after it has been marked complete Click the Edit button to further edit the topic click Clear All to clear all topic information you entered or click Begin to start the next topic Name Dr Medicaid Provider O RTA pplican Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year i Program Year 2013 Eligibility Patient Volumes Attestation E Review Submit Get Started R amp A Contact Info Attestation Meaningful Use Measures The data required for this attestation is grouped into topics In order to complete your attestation you must complete ALL of the following topics General Requirements Core Measures Menu Measures Core Clinical Quality Measures and Additional Clinical Quality Measures The application will display a check mark icon by a topic when all required data has been entered The progress level of each topic will be displayed as measures are completed Note The Alternate Core Clinical Quality Measure topic is only required if any Core Clinical Quality Measure has a denominator of zero Available actions for a topic will be determined by current progress level To start a topic select the Begin button To modify a topic where entries have been made select the EDIT button for a topic to modify any previously entered information Select Previous to return Completed Topics Gen
352. the EHR Denominator 1010 EPMMUOS3 Imaging results consisting of the image More than 10 percent of all tests whose Excluded itself and any explanation or other result is one or more images ordered by reporting period have a structured data entry for one or more first degree relatives Return to Selection List Click Return to Main to return to the Measure Topic List February 2015 145 MAPIR User Guide for Eligible Professionals Stage 2 If all measures were entered and saved a check mark will display under the Completed column for the topic You can continue to edit the topic measure after it has been marked complete Click Edit to further edit the topic or click Clear All to clear all topic information you entered Click Begin to start the next topic Proceed to the Meaningful Use Clinical Quality Measures Stage 1 and Stage 2 on page 152 Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN o999909999 Payee TIN 999999999 Payment Year J Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Meaningful use measures are grouped into topics Please complete all of the following topic areas General Requirements Core Measures Menu Measures and one of Clinical Quality Measures COMs options The following icon will display to the left of the topic name when the minimum required entries are completed
353. the EP during the EHR and provide those resources to the reporting period are provided patient patient if appropriate specific education resources EPMMUO8 The EP who transitions their patient to The EP who transitions or refers their another setting of care or provider of patient to another setting of care or care or refers their patient to another provider of care provides a summary of provider of care should provide a care record for more than 50 of summary of care record for each transitions of care and referrals transition of care or referral EPMMUO9 Capability to submit electronic data to Performed at least one test of certified Immunization registries or immunization EHR technology s capacity to submit information systems and actual electronic data to immunization submission in accordance with registries and follow up submission if applicable law and practice the test is successful unless none of the immunization registries to which the EP submits such information have the capacity to receive the information electronically February 2015 229 MAPIR User Guide for Eligible Professionals Program Year 2014 The following is a list of the Meaningful Use Menu Measures that you may attest to Click on the Screen Example to see an example of the screen layout Meaningful Use Menu Measure Menu Measure 10 230 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals Screen 1 The following Meaningful
354. the required number of menu measures you will recerve a checkmark indicating the section is complete The checkmark does not mean you passed or failed the measures Evaluaton of MU measures are made after the applcaton is submitted To return to the Attestation Meaningful Use Measures selection screen select the Return to Main button at the bottom of the page 138 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals From the Meaningful Use Menu Measures Selection screen choose a minimum of three Meaningful Use Menu Measures to attest to If a measure is selected and information is entered for that measure unselecting the measure will clear all information previously entered Click Save amp Continue to proceed or click Return to go back Click Reset to restore this panel to the starting point Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation E Review Submit Attestation Meaningful Use Measures Instructions Eligible Professionals must report on a minimum of three 3 Meaningful Use Menu Measures Of the six 6 menu measures a minimum of three 3 measures can be met only tf the measures are not excluded If an Eligible Professional cannot answer at least three 3 menu measures without taking an exclusion then the Eligible Professional
355. them Once all locations are added you will enter the required Patient Volume information If you do not have any locations to add you can Click Save amp Continue to continue to the next section Review the listed locations Add new locations by clicking Add Location Dr Medicaid Provider Applicant NPI 9999999999 Personal 999999999 i 999999999 TIN SSN Payee TIN Payment Year 1 Program Year 2011 REA Contact Info Eligibility Patient Volumes E Attestation Review Patient Volume FQHC RHC Group CO has the following information on the locations in which you practice Please select the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or site that is not listed click Add Location When ready click the Save amp Continue button to review your selection click Previous to go back or click Refresh to update the list below Click Reset to restore this panel to the starting point Red asterisk indicates a required field Utilizing Certified EHR Technolog Provider ID Location Name Available i i J a Actions Must Select One i as 123 First Street i N Doctor Office Donroe Anytown PA 12345 1234 Tadd Location Refresh 58 February 2015 Step 4 Patient Volumes MAPIR User Guide for Eligible Professionals If you clicked Add Location on the previous screen you will see the f
356. tional Information Patient Records All February 2015 Stage 1 This is screen 2 of 4 of the Meaningful Use Measure Review EPCMUO EPCMUOS EPCMUO9 EPCMU10 EPCMU11 EPCMU12 EPCMU13 Core Measure 7 Record Demographics Core Measure 8 Record Vital Signs Core Measure 9 Record Smoking Status Support Rule Core Measure 11 Patent Electronic Access Core Measure 12 Clinical Summaries Core Measure 13 Protect Electronic Health Information Meaningful Use Menu Measure Review EPMMUO1 EPMMUO3 EPMMUOS EPMMU06 EPMMUOS Menu Measure 1 Drug Formulary Checks Menu Measure 3 Patient List Menu Measure 5 Patient Specific Education Resources Menu Measure 6 Medication Reconciliation Menu Measure 8 Immunization Registries Data Submission Additional Information Immunization Registry Immunization Reg Test Successful Yes Test Date amp Time 10 23 2013 09 20 PM Follow Up Submission Yes February 2015 Numerator 1 Denominator 1 Percentage 100 Exclusion 1 No Exclusion 2 No Exclusion 3 No Exclusion 4 No Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Numerator 1 Denominator 1 Percentage 100 Entered Numerator 356 Denominator 989 Percentage 35 Numerator 875 Denominator 1098 Percentage 79 MA
357. tives until a minimum of five Meaningful Use Menu Measures Objectives have been selected even if an exclusion applies to all of the menu measure objectives that are selected Measure Number EPMMUO1 EPMMU02 EPMMU03 Generate lists of patients by specific conditions to use for quality improvement reduction of disparities research or outreach Send reminders to patients per patient preference for preventive follow up care Implement drug formulary checks Incorporate clinical lab test results into EHR as structured data EPMMUO5 The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary of care record for each transition of care or referral EPMMU07 The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period More than 40 of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data
358. to e Meaningful Use of the certified EHR technology Providers will need to attest to a 90 day period of meaningful use from the current calendar year for their second payment year but will need to attest to a full year of meaningful use for all subsequent payment years 8 February 2015 Introduction to Connecticut Medicaid EHR Incentive Program MAPIR User Guide for Eligible Professionals e For 2014 only all EPs regardless of their stage of meaningful use are only required to demonstrate meaningful use of a 3 month EHR reporting period CMS is permitting this one time 3 month reporting period only so that providers who must upgrade to 2014 Certified EHR Technology will have adequate time to implement their new Certified EHR systems The CMS Final Rule describes multiple stages for determining meaningful use MU each with its own separate measurements and criteria The stages represent a graduated approach to arriving at the ultimate goal Only Stage 1 was described in detail in the Final Rule On September 4 2012 CMS published a final rule that specifies the Stage 2 criteria The criteria for Stage 3 and beyond will be described in future rulemaking An Eligible Professional who works at multiple locations but does not have certified EHR technology available at all of them e Will attest that 50 of their total patient encounters are at locations where certified EHR technology is available e Will base all meaningful use measures only on
359. tory requirements The Department may disallow or recover any amounts paid or pending to the provider for which required documentation is not maintained or not provided to the department upon request For purposes of documenting AIU the provider shall make available to the department all relevant documents including but not limited to one or more of the following documents as directed by the department 1 Contract 2 software license 3 receipt or evidence of cost 4 purchase order 5 evidence of cost or contract for training or 6 payroll record demonstrating hiring of staff to assist with the implementation After conducting an audit if the Department finds that the provider was not eligible for payments made to the provider the Department may disallow and recover those funds The provider shall promptly repay all disallowed funds to the department not more than forty five days after receiving notice of the disallowance In addition to taking any other lawful actions the department may also offset such funds against current or future payments that the department otherwise would have made to the provider A provider aggrieved by a decision in a final written audit conducted under this section may request a written review from the Department The provider shall request such review in writing and not later than thirty days after the Department s final audit report was issued together with a detailed written description of
360. ts Core Measures Menu Measures Please select one of the following three Clinical Quality Measure set options Only one Clinical Quality Measure COM set can be completed If you would like to switch to a different COM set after one is started use the Clear All button on the previously selected COM set to enable the Begin button on a different COM set Please note that the previously entered information will be cleared once the Clear All button is selected Clinical Quality Measure General Clinical Quality Measure Adult Set Clinical Quality Measure Pediatric Set Note When all topics are marked as completed select the Save amp Continue button to complete the attestation process Previous Save amp Continue February 2015 83 MAPIR User Guide for Eligible Professionals Meaningful Use General Requirements If you are in Meaningful Use Stage 1 proceed to the next page If you are in Meaningful Use Stage 2 proceed to page 118 84 February 2015 Stage 1 Stage 1 MAPIR User Guide for Eligible Professionals Meaningful Use Core Measures This screen provides information about the Meaningful Use Core Measures for Stage 1 Click Begin to continue to the Meaningful Use Core Measure List Table 2011062801 As part of the meaningful use attestation Ehgible Professionals EPs are required to complete 13 Core Measures in Stage 1 Certain objectives do provide exclusions If an EP meets the c
361. ttestation topic list MAPIR User Guide for Eligible Professionals 9999999999 999999999 2014 Review Submit Meaningtul Use Core Measure List Table Measure E i EPCMUO1 EPCMUO02 EPCMUO03 EPCMU04 EPCMUOS5 EPCMUO06 EPCMUO7 EPCMU08 EPCMUO09 EPCMU10 EPCMU11 EPCMU12 EPCMU13 February 2015 Use computerized provider order entry CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state local and professional guidelines Implement drug drug and drug allergy interaction checks Maintain an up to date problem list of current and active diagnoses Generate and transmit permissible prescriptions electronically eRX Maintain active medication list Maintain active medication allergy list Record all of the following demographics Preferred language Gender Race Ethnicity Date of birth Record and chart changes in the following vital signs Height Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children O 20 years including BMI Record smoking status for patients 13 years old or older Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance to that rule Provide patients the ability to view online download and transmit their health in
362. ubject to the EP s discretion to withhold certain information Use certified EHR technology to identify patient More than 10 of all unique patients seen by the specific education resources and provide those EP during the EHR reporting period are provided resources to the patient if appropriate patient specific education resources EPMMUO The EP who receives a patient from another The EP performs medication reconciliation for more setting of care or provider of care or belewes an encounter is relevant should perform medication patient is transitioned into the care of the EP reconciliation EPMMU08 The EP who transitions their patient to another The EP who transitions or refers their patient to setting of care or provider of care or refers their another setting of care or provider of care provides patient to another prowider of care should provide a summary of care record for more than SO of a summary of care record for each transition of transitions of care and referrals care or referral Return to Main Save amp Continue If all measures were entered and saved a check mark will display under the Completed column for the topic You can continue to edit the topic measure after it has been marked complete 238 February 2015 Program Year 201400 MAP IR User Guide for Eligible Professionals Click the Edit button to further edit the topic click Clear All to clear all topic information you entered or click Begin to start the next topic
363. ublic Health measures either Immunization Registries Data Submission or Syndromic Surveillance Data If you exclude from one 1 Public Health measure you must answer both If you meet the exclusion criteria for both Public Health measures you must claim exclusions for both Public Health objectives and report on five 5 additional menu objectives from outside the Public Health menu set without taking any additional exclusions If you can pass one 1 Public Health measure you must pass four 4 of the remaining measures without taking any exclusions If you cannot pass four 4 without excluding you must answer all the remaining Menu Measures through a combination of meeting the exclusion criteria or meeting the measure When ready click the Save amp Continue button to review your selection or click Return to Main to go back Click Reset to restore this panel to the starting point Measure Number EPMMU08 Capability to submit electronic data to immunization registries or immunization information systems and actual submission in accordance with applicable law and practice Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Public Heath Measure Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful unless no
364. ublic health agencies to which an EP submits such information have the capacity to receive the information electronically You must submit additional menu measure objectives until a minimum of five Meaningful Use Menu Measures Objectives have been selected even if an exclusion applies to all of the menu measure objectives that are selected Implement drug formulary checks The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period Incorporate clinic lab test results into EHR as More than 40 of all clinical lab test results structured data ordered by the EP during the EHR reporting period whose results are either in a positive negative or numerical format are incorporated in certified EHR technology as structured data Generate at least one report listing patients of the use for quality improvement reduction of EP with a specific condition disparities research or outreach EPMMU04 Send reminders to patients per patient preference More than 20 of all unique patients 65 years or for preventive follow up care older or S years old or younger were sent an appropriate reminder during the EHR reporting period Provide patients with timely electronic access to At least 10 of all unique patients seen by the EP their health information including lab results are provided timely available to the patient within problem list medication lists and allergies w
365. ubmit tab to continue with your review Please note that you may still submit the application with errors but the errors may impact the approval determination As a Hospital Based physician you are not eligible to Review 3 participate Save amp Continue February 2015 179 MAPIR User Guide for Eligible Professionals Step 7 Submit Your Application To upload files click Browse to navigate to the file you wish to upload Note Excel Word and Portable Data Format PDF files up to 10 megabytes MB in size are acceptable documentation to upload Applicant NPI 2011062801 ri 1 Program Year ls Beeni Yo l a Fle DEGR YR will BE Gaur ee Do WS DREUT EA Foe ig TE Sete Flee mU SS pA OS Se GPR ST oe FS es no ree Than LO ME The Digaing is a ist Of oo in Pewee es Documentation required for A I U of Certified EHR Technology a CMS Cecntcanon EAR D Cart page 2014 eaten snowing Ceca icacon ID anc cetie ESR product s uted ts must come from the Cense saan IT Praduct Witt CHL wens EE imaces Puen Oroa for Cermies Berron Haan Retors Tecnnaiagy CEMAT Leene Agreement with fed Shyness Docu SRST SuSSOTING DATAT volute CeLCUEtIONS 6 6 Practice Management System resorts EXCEL format preferred Al Payers Lict ckeany showing Medicaid and non Medicald patient containing a Patets Name a Gate of Semice a Oeste of Btn a Medicaid ID where acolcanice In addition te the above Meme EP s attesting to Meaningful Ure MU m
366. uctured data Weight Blood pressure Calculate and display body mass index BMI Plot and display growth charts for children including BMI EPCMUO9 Record smoking status for patients 13 years More than 50 of all unique patients 13 years Numerator 45 old or older old or older seen by the EP have smoking Denominator 81 status recorded as structured data EPCMU11 Implement one clinical decision support rule Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance to that rule Provide patients with an electronic copy of More than 50 of all patients who request an WNumerator 61 their health information including diagnostic electronic copy of their health information are Denominator 105 test results problem list medication lists provided it within 3 business days medication allergies upon request EPCMU13 Provide clinical summaries for patients for each Clinical summaries provided to patients for Excluded office visit more than 50 of all office visits within 3 business days Protect electronic health information created or Conduct or review a security risk analysis per maintained by the certified EHR technology 45 CFR 164 308 a 1 and implement security through the implementation of appropriate updates as necessary and correct identified technical capabilities security deficiencies as part of its risk Management process CT Return to Main February 2
367. uded from recording height length and weight Lf this exclusion u a numerator and denominator is required Numerator Number of patients in the denominator who have at least one entry of their height length and weight fall ages and or blood pressure ages 3 and over recorded as structured data Denominator Number of unique patients seen by the EP during the EHR reporting period Numerator 89 Denominator 130 m Reset CSavee continue gt may only select Yes to one exclusion Program Year 2014 February 2015 Program Year 2014 MAPIR User Guide for Eligible Professionals If Exclusion1 applies to you answer the Patient Records question select Yes to Exclusion1 select No to all other exclusions and enter a numerator and denominator If Exclusion2 applies to you answer the Patient Records question select Yes to Exclusion2 and do not enter a numerator and denominator If Exclusion3 applies to you answer the Patient Records question select Yes to Exclusion3 select No to all other exclusions and enter a numerator and denominator If Exclusion4 applies to you answer the Patient Records question select Yes to Exclusion4 select No to all other exclusions and enter a numerator and denominator Click Save amp Continue to review your selection click Previous to go back or click Reset to restore this panel to the starting point The screen on the following page shows an example where Exclusion2 applies therefo
368. uide for Eligible Professionals Stage 2 Screen 8 The following Meaningful Use Core Measure uses this screen layout Core Measure 9 and 11 Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year 2 Program Year 2014 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation m Submit Attestation Meaningful Use Measures Core Measure 9 Protect Electronic Health Information Click HERE to review CMS Guidelines for this measure When ready click the Save amp Continue button to review your selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Objective Protect electronic health information created or maintained by the Certified EHR Technology CEHRT through the implementation of appropriate technical capabilities Measure Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164 308 4 1 including addressing the encryption security of data stored in CEHRT in accordance with requirements under 45 CFR 164 312 a 2 vv and 45 CFR 164 306 d 3 and implement security updates as necessary and correct identified security deficiencies as part of the provider s risk management process for EPs Did you meet this measure Yes No Previous Save amp Continue 130 February 2015 Stage 2 MAPIR User Guide for Eligible Profess
369. umerator i Denominator 45 100 125 200 156 200 178 200 16 7 200 ay 100 Exclusion 24 Numerator 1 25 Denominator Numerator 2 Denominator Numerator 3 Denominator Numerator 4 Denominator Numerator 5 Denominator Numerator 6 Denominator Numerator Denominator Numerator amp Denominator Numerator 9 Denominator 100 a5 100 45 100 55 100 65 100 75 100 BS 100 95 100 90 100 Numerator 10 80 Denominator 100 Numerator 11 70 Denominator 100 Numerator 12 60 Denominator 100 February 2015 253 MAPIR User Guide for Eligible Professionals Program Year 2014 Name Dr Medicaid Provider Applicant NPI 3999959999 Personal TIN SSN 999999099 Payee TIN 230300030 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation H Review Submit Attestation Meaningful Use Measures Instructions You have entered a denominator of zero for one or more of your Core Clinical Quality Measures You must submit one Alternate Clinical Quality Measure for each Core Clinical Quality Measure where you have entered a zero Denominator Please select the Alternate Core Clinical Quality Measure s from the list below Please Note Unchecking an Alternate Core Clinical Quality Measure will result in the loss of any data entered for that measure An Alternate Clincal Quality Measure with a denominator of zero should only be sele
370. ur selection or click Previous to go back Click Reset to restore this panel to the starting point Red asterisk indicates a required field Location Name fyew Location Address Line 1 133 Main Street Anytown Alabama February 2015 47 MAPIR User Guide for Eligible Professionals Patient Volume Group For each location check whether you are Utilizing Certified EHR Technology Note You must indicate if you are using certified EHR technology at every location listed on this screen by selecting Yes or No in the Utilizing Certified EHR Technology column Click Edit to make changes to the added location or Delete to remove it from the list Note The Edit and Delete options are not available for locations already on file Click Save amp Continue to review your selection or click Previous to go back Click Reset to restore this panel to the starting point or last saved data Dr Medicaid Provider i Applicant NPI 9999999999 Personal TIN SSN 999999999 Payee TIN 999999999 Payment Year i Program Year 2013 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation F F Review Submit ___ Patient Volume Group Part 3 of 3 CO has the following information on the locations in which you practice Please select the check box for locations where you are meeting Medicaid patient volume requirements and or utilizing certified EHR technology If you wish to report patient volumes for a location or si
371. ures and three Additional The EP must report results for up to three Alternate Core Measures if the EP reports a zero for the Core Measure denominator The data for these measures must be obtained directly from the certified EHR system If a Clinical Quality Measure does not apply to the EP the EP would not have any eligible patients or actions for the Alternate Measure denominator The following screen will allow you to attest to the Alternate Core Clinical Quality Measures HELPFUL HINTS l The Clinical Quality Measures can be completed in any order by selecting the Begin button For Clinical Quality Measures with multiple numerators and denominators all fields must be completed for the Clinical Quality Measure to be validated A provider may enter a zero if it is applicable to the measure You may review the completed measures by selecting the Edit button After completing the required number of Core Clinical Quality Measures a green checkmark is displayed indicating the section is complete More information about the Clinical Quality Measures is available at https www cms gov apps ama license asp file QualityMeasures Downloads EP_MeasureSpecifications zip Please review this page and accept the terms You will then be able to access all of the Clinical Quality Measures Exclusions related to the Clinical Quality Measures must be whole numbers If you do not have an exclusion enter a zero All fields need to be co
372. urt aie fubml the following tupporting documentation Dainos sereen no Diou of repont fom the cated BHR tecnndiogy supporting a8 Core measures attested to in HARA CSNDOSCd SCPSETENOTS DOUES Of Meports fom the cercties EHA tecnndiogy Upota S Henu Mesures attested to in HARA POF prirhouts of report fom the cectmes EHA tecnnciegy supserting 9 out of 46 CO Ms attested to in HARJA Screenshots sre NOT acceptable DFH HU State Testing Cectiticate MUST Portal immunization Test PUSS meath mesinga use Measure enchslon letter F applica Securnty Rick Analy sk Prepayment Checkikt When ready click the Save amp Continue Dutton to review your selection or click Previous to go back Click Reset to restore this pane to the starting point Te UROS 5 Sa Tye She ful poih or ccs he DOW STO Filet Mutt pe ina p7 Wa Sx doc OF docx Armat and fo greater than 10 MB in sire gt 180 February 2015 Step 7 Submit Your Application MAPIR User Guide for Eligible Professionals The Choose file dialog box will display Navigate to the file you want to upload and select Open Choose file x ex Ea Look im amp MAPIA File Upload do T MAPIR File Upload pa My Recent Documents 3 Desktop nT biy D ocuments Ma Computer bly Network File name MAPIR File Upload pdf Open T Places Files of type an Files Cancel me February 2015 181 MAPIR User Guide for Eligible
373. vansnesera bods pee aaseadieas eaneteeisandaea EEA 6 Adopt Implement or Upgrade AIU and Meaningful USeC cccccsssssccccceeceeessececceeeeaeeeeecceeeeeeuenseeeeeeseeaaegeeeeeeeeeas 8 Attestations and AU CIES cannoni Ea E ET E OE TA NE A OE 10 Overpayment eaa e A A A E E AA 12 FAV 9 21 Sann a a A a A AA 12 Medical Assistance Provider Incentive Repository MAPIR System cccsscsssscsssccsceccsceccscessscssecees 13 Before You Begin in WMAP IR sce scccetcavonstearssanetioncctticesccaietawsvantunosconcwausoestut Aas aaa iaaa a a soa enDi 14 Complete yo r R amp A Tee IStPAUO Micacvefntvackteasveansicaduned enie eie iiA Conds panddadcyavenidednictadubed E idea aeiee teiaa 14 Identify one individual to complete the MAPIR application cscsccccsseccccceseecceceesecceeaeeeceesaeeeceeseeaeceessuaeeeseuaeecessugeeeeees 15 Gather the necessary information to facilitate the completion of the required data cccccccsssscceceeececceeeeeesaeeceeseaeeees 15 Usine MAPIR sosirea kien a a a a a O 16 Step 1 Getting Starte dossierrean A 18 Step 2 Confirm R amp A and Contact Info sessesessesesssoessssesssoessssessssesssoessssessssecssososssesesssossssossssossee 27 Step 3 EID ICY osonu a a a a a a ous rapes erentonaeeause 31 Step 4 Patient VOIMES eccccsscsccasececacecsccawscnncusacesacessesnestaasacnciassenscuresasngeansaaesneis acces assonieasenosasaneaeeess 35 Patient Volume Practice Type Part 1 of 3 wiss
374. ve Capability to submit electronic data to immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice Measure Successful ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period The Eligible Professional must attest Yes or No to the following criteria under the umbrella of ongoing submission Ongoing submission was already achieved for an EHR reporting period in a prior year and continues throughout the current reporting period using either the current standard at 45 CFR 170 3141 and C2 or the standards included in the 2011 Edition EHR certification criteria adopted by ONC during the prior EHR reporting period when ongoing submission was achieved Yes No Registration with the public health agency or other body to whom the information is being submitted of intent to initiate ongoing submission was made by the deadline within 60 days of the start of the EHR reporting period and ongoing submission as achieved ves No Registration of intent to initiate ongoing submission was made by the deadline and the authorized provider or hospital is still engaged in testing and validation of ongoing electronic submission Yes No Registration of intent to initiate ongoing submission was made by the deadline and the authorized provider
375. where prohibited and in accordance with applicable law and practice EPMMUO1 EPMMUO2 Record electronic notes in patient records EPMMUO3 Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT Record patient family health history as structured data EPMMUO4 electronic syndromic surveillance data from Certified EHR Technology to a public health agency for the entire EHR reporting period Enter at least one electronic progress note created edited and signed by an EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period The text of the electronic note must be text searchable and may contain drawings and other content More than 10 percent of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through CEHRT More than 20 percent of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first degree relatives Return to Selection List 144 February 2015 Stage 2 MAPIR User Guide for Eligible Professionals Once you have attested to all the measures for this topic click Return to Selection List to return to the Meaningful Use Menu Measure Selection screen Name Dr Medicaid Provider Applicant NPI 9999999999 Personal TIN SSN 99999090000 Payee TIN 999999999 Paym
376. xcluded Numerator 2 234 Denominator 2 803 Measure 3 Excluded Exclusion 1 No Exclusion 2 Excluded Numerator 890 Denominator 1010 Exclusion No Numerator 899 Denominator 1002 Exclusion No Numerator 87 Denominator 105 Measure 1 Yes Measure 2 Exclusion No Measure 2 Yes Exclusion Measure 1 amp 2 Excluded Exclusion No Numerator 654 Denominator 1045 135 MAPIR User Guide for Eligible Professionals EPCMUO8 EPCMUOS EPCMU1O EPCMUL1 EPCMU12 L EPCMU13 EPCMU14 EPCMULS EPCMUI16 EPCMU1 136 Provide clinical summaries for Protect electronic health information created or maintained by the Certified EHR Technology CEMHRT through the implementation of appropriate technical capabilities into Certified EHR Technology CEHRT as structured data Generate lists of patients by specific conditions to use for quality improvement reduction of identify patients who should receive reminders for preventive follow up care and send these patients the reminders per patient preference from Certified EHR Technology to identify patient specific education resources and provide those resources to the patient The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation The EP who transitions their patient to another setting of care or provider of ca
377. y for the entire EHR reporting period EPMMU03 Generate lists of patients by specific Generate at least one report listing conditions to use for quality patients of the EP with a specific improvement reduction of disparities condition research or outreach EPMMU05 Use certified EHR technology to identify More than 10 of all unique patients patient specific education resources and seen by the EP are provided patient provide those resources to the patient if specific education resources appropriate 108 February 2015 Stage 1 MAPIR User Guide for Eligible Professionals Once you have attested to all the measures for this topic click Return to Selection List to return to the Meaningful Use Menu Measure Selection screen Name Dr Medicaid Provider Applicant NPI Personal TIN SSN 999999999 Payee TIN Payment Year 1 Program Year Get Started R amp A Contact Info Eligibility Patient Volumes Attestation a Attestation Meaningful Use Measures Mean ngful Use Menu Measure Worksheet Review 9999999999 999999999 2014 To enter or edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to Selection List button to access the main measure topic list Measure Number EPMMUO1 Implement drug formulary c
378. y of their health information including diagnostic test results problem list medication lists medication allergies upon request Provide clinical summaries for patients for each office visit Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities EP have at least one entry or an indication that no problems are known for the patient recorded as structured data More than 40 of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data More than 80 of all unique patients seen by the EP have at least one entry or an indication that the patient has no known medication allergies recorded as structured data More than 50 of all unique patients seen by the EP have demographics recorded as structured data You must choose between two options for this measure Select the edit button to continue More than 50 of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data Implement one clinical decision support rule More than 50 of all patients who request an electronic copy of their health information are provided it within 3 business days
379. you must select nine 9 CQMs from three 3 different domains before proceeding to the next screen If you do not want to complete these nine measures then select the Return to Main button below and use the Clear All button on the previously selected Clinical Quality Measure General set line to enable the Begin button on a different CQM set The previously entered information will be cleared once the Clear All button is selected February 2015 Stages 1 and 2 February 2015 MAPIR User Guide for Eligible Professionals CMS143 v3 Primary Open Angle Glaucoma POAG Optic Nerve Clinical Process Effectiveness Evaluation S144 v3 Heart Failure HF Beta Blocker Therapy for Left Clinical Process Effectiveness Ventricular Systolic Dysfunction LVSD S145 v3 Coronary Artery Disease CAD Beta Blocker Therapy Clinical Process Effectiveness Prior Myocardial Infarction MI or Left Ventricular Systolic Dysfunction LVEF lt 40 S148 v3 Hemoglobin Aic Test for Pediatric Patients Clinical Process Effectiveness S158 v3 Pregnant women that had HBsAg testing Clinical Process Effectiveness S159 v3 Depression Remission at Twelve Months Clinical Process Effectiveness Dementia Cognitive Assessment Clinical Process Effectiveness Depression Utilization of the PHQ 9 Tool Clinical Process Effectiveness Adult Major Depressive Disorder MDD Suicide Risk Clinical Process Effectiveness Assessment S163 v3 Diabetes Low Density
380. zero an Alternate Core Clinical Quality Measure must also be submitted NQF 0421 PQORI 128 Title Adult Weight Screening and Follow up Description Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current visit documented in the medical record AND if the most recent BMI is outside parameters a follow up plan is documented Population Criteria 1 Numerator 1 35 Denominator 80 Exclusion 10 population Criteria 2 Numerator 2 20 Denominator 0 Exclusion 5 Reset Save amp Continue ge 244 February 2015 Program Year 201400 MAPIR User Guide for Eligible Professionals The following screen displays the Meaningful Use Core Clinical Quality Measures Worklist Table with data entered for every measure Click Return to Main to return to the Measures Topic List Name Dr Medicaid Provider Applicant NPI 9999999959 Personal TIN SSN 999999099 Payee TIN 33999743 Payment Year 1 Program Year 2012 Get Started R amp A Contact Info Eligibility Patient Volumes Attestation ii Review Submit Attestation Meaningful Use Measures Meaningful Use Core Clinical Quality Measure Worklist Table To edit information select the EDIT button next to the measure that you would like to edit All progress on entry of measures will be retained if your session is terminated When all measures have been edited and you are satisfied with the entries select the Return to M

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