C.M.R. 10, 144, ch. 101, ch. I, § 144-101-I-2, subsec. 144-101-I-2.01

Current through 2024-46, November 13, 2024

Subsection 144-101-I-2.01 - INTRODUCTION AND STATUTORY AUTHORITY

This Rule establishes policies for the Medicaid Health Information Technology (HIT) electronic health record (EHR) initiatives. It includes requirements for Medicaid professionals and hospitals to receive incentive payments under the MaineCare Meaningful Use Program (Program) and/or to be deemed as having fully implemented an EHR.

The Program is overseen by the Director, State Health Information Technology Initiatives Program, within the Office of MaineCare Services (OMS).

The authority for implementing HIT initiatives derives from Section 4201 of the American Reinvestment and Recovery Act of 2009 and Sections 1903(a)(3)(F) and 1903(t) of the Social Security Act ( 42 U.S.C. §1396(b) ) and 22 M.R.S.A. §§42 and 3173. States must submit a State Medicaid Health Plan (SMHP) and an Implementation Advanced Planning Document (IAPD) or Update (IAPDU) and receive Center for Medicare and Medicaid Services (CMS) approval of the SMHP and the IAPD or IAPD-U prior to implementing the incentive payment Program. Maine's SMHP, IAPD-U, and OMS rules supplement federal law and rules, as amended, in areas where federal law and rules delegate authority to states. Maine's approved SMHP, IAPD, and IAPD-U can be found athttp://www.maine.gov/dhhs/oms/HIT/ehr_incent.htm#ehr_benes.

To be eligible for an incentive payment and/or to be deemed as having fully implemented an EHR, a professional or hospital must:

A. Be of a certain type of professional or hospital and meet Medicaid or needy individual patient thresholds established for that type of professional or hospital as shown in Sections 2.04 and 2.05; and

B. Adopt, implement or upgrade certified electronic health records before being approved for the first payment under the incentive program, or meet Meaningful Use provisions before being approved for subsequent payments; and

C. Meet all the requirements of this Rule and Maine's SMHP and IAPDU.

C.M.R. 10, 144, ch. 101, ch. I, § 144-101-I-2, subsec. 144-101-I-2.01