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TennCare Medicaid Electronic Health Record (EHR)
Provider Incentive Payment Program

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TennCare is now accepting EHR Attestations under the Flex Rule

TennCare is now ready to accept provider EHR attestations for Program Year 2014 submitted under one of the options provided by the CMS Flex Rule. See the paragraph, and the links, below for more information.

CMS Announces New Flexibility Rule Concerning 2014 Attestations

On August 29th, CMS announced a new rule extending flexibility to providers participating in the EHR Incentive Program. Effective October 1, 2014, for Program Year 2014, providers may now use EHRs that have been certified under the:

  • 2011 Edition;
  • Combination of 2011 and 2014 Editions (sometimes referred to as the 2013 Hybrid); or
  • 2014 Edition.

Click here for additional information.

CMS 2014 CEHRT Flexibility Rule Implementation in Tennessee - Webinar
Presented in December 2014.

Welcome to the home page for the TennCare Medicaid EHR Provider Incentive Payment Program (PIPP), as established under the HITECH Act of 2009. Links on this page will provide you with access to additional information, FAQs, CMS, instructions, and other assistance to aid you in participating in the EHR Provider Incentive Payment Program. Updated information will be provided as the Program matures. The link to the left, “EHR Incentive Program”, provides links to the following topics.

The information provided on this web site focuses on the TennCare Medicaid EHR Provider Incentive Payment Program. Eligible Professionals (EPs) must choose between participating in either the Medicare or the Medicaid EHR Incentive Program. Eligible Hospitals (EHs) can receive payments from both programs if they enroll as dual eligible hospitals. Medicaid-only and children’s hospitals will receive their EHR incentive payment from TennCare.

The CMS web site also has a lot of information and FAQs. CMS has the overall responsibility for the EHR Provider Incentive Payment Program, and the CMS web site is very general in nature. You are more likely to find the answers you need here on TennCare’s web site to participate in the TennCare Medicaid EHR Incentive Program. If you want information about attesting under the MediCARE incentive program, you will need to go to CMS.

Important Information Concerning MEDICARE Payment Adjustments

As part of the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated payment adjustments to be applied to MEDICARE eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) which are not meaningful users of Certified Electronic Health Technology (CEHRT) under the Medicare OR Medicaid EHR Incentive Programs.  Payment adjustments will be applied beginning January 1, 2015 for MEDICARE EPs. EPs who first attest to Meaningful Use (MU) in 2014 must successfully achieve MU before October 1, 2014 to avoid MEDICARE payment adjustments. TennCare encourages these first year MU EPs to attest by August 1, 2014 to allow sufficient time to attest, and re-attest, within the attestation period if needed. However, TennCare will accept MU attestations for payment year 2014 until March 31, 2015. MediCAID EPs who can only participate in the MediCAID EHR Incentive Program and do not bill MEDICARE are not subject to these payment adjustments.

Payment adjustments will be applied beginning on October 1, 2014, for Medicare EHs. Payment adjustments for CAHs will be applied beginning with fiscal year 2015 cost reporting period.

EPs, EHs, and CAHs may apply to CMS for hardship exceptions to avoid the payment adjustments described above.

The links below provide important information from CMS about MEDICARE payment adjustments for TennCare EPs who are also eligible to participate in the MEDICARE EHR Provider Payment Incentive Program, and who have not achieved MU.

The links below provide important information from CMS about MEDICARE payment adjustments for TennCare EHs and CAHs who also participate in the MEDICARE EHR Provider Payment Incentive Program, and who have not achieved MU.

You may also want to check out the recent TennCare EHR Newsletter (April 25, 2014), which included a discussion on the upcoming MEDICARE payment adjustments.

Current Payment Information

This table is updated weekly showing the number of EPs and EHs who are being paid and the amounts that have been paid through the TennCare EHR Provider Incentive Payment Program. As providers advance from AIU to meaningful use of their EHR systems, we expect both number of providers and the amounts to rise. Haven’t enrolled yet? Go to Registration & Attestation to see how to begin.

TennCare EHR Newsletter

On a semi-regular basis (usually monthly), TennCare publishes an electronic newsletter to bring you the latest information about the EHR Provider Incentive Payment Program. We also copy and paste some newsletters from CMS that we feel may be of interest to you. With the upcoming changes to the program by the Stage 2 Final Rule, this newsletter is our best and quickest way to communicate with providers.

We have started a process of automatically enrolling all providers who are a part of the EHR Incentive Program. In case we miss you, or you are not yet enrolled, or just want to see what is being posted, you can subscribe (free) here. You can also click here to see past issues of the newsletters.