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Montana State Level Registry for Provider Incentive Payments

1. File s Subject display field this displays the default subject This is populated when a document is selected Description text field if the Other Please Describe option is selected from the Subject pull down menu this field will appear It requires the user to enter a brief description of the document being attached File Name text field the file name will display once it is selected Select button allows you to select the file you would like to attach from a local drive Remove icon clicking this removes file reference from the window It will not be imported Add button adds another File field and Select button to allow the user to attach another file The file will be added under the same subject as the file above it Attach button adds the document or documents that were selected File s Attached X message allows you to know the number of files currently attached for this specific page Cancel and lose file changes button this will close the window discarding any changes SLR Eligible Professional User Guide 51 Add Files You may attach files with multiple subjects using this function Select the subject for the first attachment from the drop down list Use the Select function to choose your file Click the Add button to add another file Select the subject for the second attachment from the drop down list Use the Select function to choose your file When all documents are attached click
2. PQRI XML Format gt File Select Submit M Please select the Previous Screen button to go back or the Continue button to proceed x Cancel l Continue 10 Core Clinical Quality Measures Clinical Quality Measures or CQMs capture information about patient treatments and diagnoses instead of information about the number of patients in the EHR There are no passing percentages as these pages are simply intended to capture information about patients E CQM Core PY NOF 0013 NQF 0028 PQRI 114 NQF 0421 PORI 128 CQM Alternate CQM Additional Core CQMs are all required If your practice has seen no patients to which one of these CQMs would apply you will enter 0 in the Denominator field of that page s Detail SLR Eligible Professional User Guide 40 page For example the Core CQM 3 has 2 lines of Population Criteria each line having a Numerator Denominator and Exclusion field NQF 0421 PQRI 128 Description Percentage of patients aged 18 years a er with a calculated B If the user entered a zero in either of these Denominators the Alternate CQM Selection link will appear in the Navigation Menu and one of the three Alternate CQMs is now required If zero was entered into Denominator fields of three Core CQM pages then all three Alternate CQMs would be required 11 Alternate Clinical Quality Measures The Alternate CQM Selection page allows a user to select between one and t
3. 5 Your answer to the Question text field enter an answer for the Challenge Question that you selected above You ll need this information if ever forget your User ID or password 6 Phone Number text field enter your phone number as a ten digit number with no spaces dashes or parentheses 7 Email Address text field enter your email address 8 Confirm Email Address text field enter your email address again to ensure it was not misspelled 9 Create Account button select this button to save your account If you left a required field blank or entered information incorrectly you will receive an error message 10 Cancel and return to Login link select this button to cancel all the changes and return to the Login page SLR Eligible Professional User Guide 15 Create Account Is This You Name Address Create Login Enter the necessary information below and click Create Account Red asterisk indicates a required field User ID Password Confirm Password Select a Challenge Question Select Challenge Question x Your Answer to the Challenge Question Phone 3HE AHHH Hat E mail address name domain com Confirm E mail address name domain com Create Account gt Cancel and return to Login Once you click the Create Account button you will be routed to the final page for creating an account The final Create Account page displays the following 1 Account successfully cr
4. 2 Voluntary Password Change To change your password before the 45 days have passed select the My Account link in the top right hand corner of the SLR Home page In addition to changing your password you can also update contact information or change your Challenge Question or answer on this page The My Account page displays the following a User ID text field displays your current User ID and allows you to change it b Password link select the Click Here to Change link to open the Change Password page 1 Current Password text field enter your current password in this field 2 New Password text field enter a new password 3 Confirm New Password text field enter the new password to confirm it in this field 4 Change Password button click this to change the password and open the My Account page 5 Cancel and return to My Account link opens the My Account page without making a change c Select a Challenge Question pull down menu select a new Challenge Question d Your Answer to the Challenge Question text field if you select a new Challenge Question enter a new answer to the Question e Phone text field displays your current phone number and allows you to change it f Email Address text field displays your current email address and allows you to change it g Save My Account button saves any updated information you entered on this page Cancel and lose My Account changes link clears the information y
5. You can add providers to the Group but cannot remove providers Be very careful about those providers that you add 3 No Go back button click this button to close the window The professional will not be added to the Group 4 Yes Add to Group button click this button to add the professional to the Group If the provider is found but has opted to use his or her own volume numbers rather than those of a Group the pop up window displays a message that the provider has opted out from Groups 5 List of Providers table displays all the providers added your Group and is sorted alphabetically by last name Each provider s name identification numbers address and Specialty or Taxonomy codes are listed in the table The table also indicates whether the provider has been added to more than one Group Step 5 Enter Data for Providers Year Clicking the Enter Data on Behalf of Your Providers link on the Group Home page or in the Navigation Menu opens Step 5 of the process This page allows you to access the EP pages of the members of your Group and view add or edit the data for them Each provider that was added using the Manage Providers in Your Group page will appear in the table on this page 5 Enter Data on Behalf of Your Providers O1 Not started 0 1 ress 1 sd 0 S SAt Sub 8 Sa l Provider Pymt Multiple About Signed amp Name NPI TIN Yr Groups Elected You Eligibility Attestation Attached Submitted Actions 1 No Y
6. 1 About You Section Details Clicking the About You link on the EP Home page directs you to the 1 About You page This is where you enter your registration information The About You page displays the following SLR Eligible Professional User Guide 24 1 CMS Medicaid EHR Incentive Program Registration Record section Please note that it can take up to three day for the SLR to receive your data from the CMS a Data has not been received from the CMS Medicaid EHR Incentive Program Registration site message this message appears if your data has not been received by the SLR b Data has been received from the CMS Medicaid EHR Incentive Program Registration site message this message appears if the SLR has received your CMS data c View CMS Medicaid EHR Incentive Program Registration Data link this link is visible if your CMS data has been received Clicking the link opens a pop up window that displays the CMS data If you need to make a change to your CMS data you must make updates on the CMS site You cannot make changes to your CMS data through SLR and it takes between two and three days for changes at the CMS level to be applied to SLR d Visit CMS website link opens the CMS website The link is visible whether or not your data has been received 1 About You In addition to registration information you provided on the CMS Medicaid EHR Incentive Program Registration site the State of that you provide addition
7. EHR Incentive Program Registration Data link opens a pop up window that displays your CMS record CMS Medicaid EHR Incentive Program Registration Record x General information Last Updated First Name Date 9 2 2011 Middle Name Last Name Suffix Address Line 1 Address Line 2 as City Personal NPI State Personal TIN Zip Personal TIN Type Phone Number Payee NPI Phone Extension Payee TIN E Mail Address Payee TIN Type EIN Confirmation Number EHR Cert ID 20000002GKUREAA Exclusions Program Participation Year 1 Federal Exclusions Program Option MEDICAID Provider Type Nurse_Practitioner State Rejection Reasons Provider Specialty m 3 Payment Information section located on the left of the home page the Payment section will display the following items on the Home page a How your payment is calculated message opens a pop up window that shows your payment for the current year This will appear after you enter information in the Confirm Eligibility section b Payment Calculation message allows you to check on the status of your payment once your attestation has been submitted 4 Reports section Located on the left of the home page the Reports section displays the following items when selected a Reports message you will see the following message when you don t have any data in the system to run a report on Reports will be available once your information is saved b Report Titles the titles of available report
8. Eligible Professional User Guide 26 Payee Medicaid ID If your designated payee has more than one Medicaid ID you must select the ID to receive payment 5 Contact Person section This allows you to enter an additional contact besides the one listed as the Eligible Professional i Contact Person Name text field enter the name of the contact ii Title text field enter the title of the individual iii Phone Number text field enter the phone number as ten digits with no spaces dashes or parentheses iv Email Address text field enter the contact s email address Initially this defaults to the address that was entered when the User Account was first created Contact Person ed to CMS in the registration proces Enter your contact information below Contact Person Name Title Program Manager Phone Number Email Address 6 Attach Documentation section if needed you may attach documents such as a Board Certification using this component 7 Save amp Continue button saves the information you entered If you have left a required field blank or entered information incorrectly an error message will appear Once all required fields are completed this section will be marked as complete The 2 Confirm Medicaid Eligibility page will open 8 Cancel and lose About You changes link clears the page of any information you have just entered and returns you to the Home page a After completing this in
9. Examples include but are not limited to blood tests microbiology urinalysis pathology tests radiology cardiac imaging nuclear medicine tests and pulmonary function tests Different Legal Entities A separate legal entity is an entity that has its own separate legal existence Indications that two entities are legally separate would include 1 they are each separately incorporated 2 they have separate Boards of Directors and 3 neither entity is owned or controlled by the other Discharge Instructions Any directions that the patient must follow after discharge to attend to any residual conditions that need to be addressed personally by the patient home care attendants and other clinicians on an outpatient basis 3 Distinct Certified EHR Each instance of certified EHR technology must be able to be certified and Technology operate independently from all the others in order to be distinct Separate instances of certified EHR technology that must link to a common database in order to gain certification would not be considered distinct However instances of certified EHR technology that link to a common uncertified system or component would be considered distinct Instances of certified EHR technology can be from the same vendor and still be considered distinct EHR Provider Incentive The EHR Provider Incentive Portal SLR is a Xerox application created for Portal SLR the capture and maintenance of state mandated informati
10. Medicaid patient volume requirements Eligible Professional EP For the purposes of the Medicaid EHR Incentive Program and SLR application documentation an eligible professional EP is defined as the following Physicians primarily doctors of medicine and doctors of osteopathy Nurse practitioner Certified nurse midwife Dentist Physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant To qualify for an incentive payment under the Medicaid EHR Incentive Program an EP must meet one of the following criteria Have a minimum 30 Medicaid patient volume Have a minimum 20 Medicaid patient volume and is a pediatrician Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30 patient volume attributable to needy individuals Children s Health Insurance Program CHIP patients do not count toward the Medicaid patient volume criteria End User License The End User License Agreement EULA details how the software can Agreement EULA and cannot be used Exchange Clinical information must be sent between different legal entities with distinct certified EHR technology and not between organizations that share a certified EHR technology Distinct certified EHR technologies are those that can achieve certification and operate independently of other certified EHR technologies The excha
11. Public Health Agency Explanation Expansion The Office of the National Coordinator for Health Information Technology ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information Office visits include separate billable encounters that result from evaluation and management services provided to the patient and include 1 Concurrent care or transfer of care visits 2 Consultant visits or 3 Prolonged Physician Service without Direct Face To Face Patient Contact tele health A consultant visit occurs when a provider is asked to render an expert opinion service for a specific condition or problem by a referring provider Any individual or organization to which the patient has granted access to their clinical information Examples would include an insurance company that covers the patient an entity facilitating health information exchange among providers or a personal health record vendor identified by the patient A patient would have to affirmatively grant access to these entities 3 Resources identified through logic built into certified EHR technology which evaluates information about the patient and suggests education resources that would be of value to the patient 3 The concept of only permissible prescriptions refers to the current restrictions established by the Department of Justi
12. SLR You will confirm your name and the address associated with your NPI and TIN Cancel and return to Login link opens the Login page SLR Eligible Professional User Guide 13 Create Accoun lf you are an Eligible Prof oup Practice Clinic Representative you cation information to start the process of Identify Yourself Enter the necessary information below and click Continue Red asterisk indicates a required field What is your role Select a role NPI TIN Enter the letters numbers from the image above Continue Cancel ang return to Login Clicking the Continue button opens the next page where you will confirm that the information the system has retrieved up is accurate The Create Account Confirmation page displays the following 1 NPI display field the NPI you entered on the Identify Yourself page 2 TIN display field the TIN entered on the Identify Yourself page 3 Medicaid ID display field the Medicaid ID associated with the NPI and TIN you entered 4 Name display field the name associated with the NPI and TIN you entered Address display field the address associated with the NPI and TIN you entered 6 Active display field will display true if the NPI TIN is active with the state Medicaid program and false if it is inactive 7 No Go back button returns to the previous page 8 Yes Continue button opens the next page to continue creating your account SLR Eligib
13. copyright this is ACS s copyright symbol and text SLR Eligible Professional User Guide 9 MONTANA Healthy People Healthy Commmities Depomed a Meats ttt A Nomas Menten Deadlines for Calendar Year 2012 Montana Medicaid EHR Incentive Payment Applications Registration for Montana Eligible Professionals EP and Eligible Hospitals EH began on November 7th 2011 The first year payment is based on the EP EH attesting to the adoption implementation or upgrade A VU to certified EHR technology the second year payment is based on Meaningful Use Registration and attestation for a 2012 payment must be made by the dates specified below Click here to leave this site and create an SLR account for accessing the Montana Medicaid EAR incentive Program ste Aen have an LR account Already have an SLR Ao Click here to go directly to the State Level Centers for Medicare amp Medicaid Services CMS Beginning January 3 2011 the Electronic Health Record EHR Information Center will be open to assist the EHR Provider Community with both program and system inquiries from 7 30 a m 6 30 p m Central Time Monday through Friday except federal holidays at 1 888 734 8433 primary number or 888 734 6583 TTY number a more info all inks open in new window Oct 12 2012 People with Medicare have More high quality choices Oct 04 2012 Medicare Fraud Strik
14. does not qualify for an EHR Incentive payment by achieving the necessary 30 But one or two members of the group may still qualify using their own volume Clicking this radio button opens the Group Practice Eligibility gt gt Opt Out window 1 Reason for Opting Out field this time the window contains this field Enter the reason you have decided not to use the group volume and then click the OK button Group Practice Eligibility Opt Out x Are you sure you want to opt out of any group clinic volumes If you proceed by clicking OK all other providers associated with the group will be unable to use the group clinic volumes to determine their Medicaid volumes You may contact the ACS Help Desk at 866 879 0109 to discuss the implications Clicking Cancel will reset your choice without saving any data Reason for opting out 5 Practice Eligibility Details section This is the section title a Enter Representative Period pull down menu select the appropriate period from which the patient volume numbers will be used SLR Eligible Professional User Guide 29 SLR Eligible Professional User Guide Year n Start Date text field enter the date of the first day of your representative period The system will automatically display the end date based on the Representative Period 1 Calendar icon Clicking this icon opens up a calendar from which you can click on a date to select it Year n End Date display field the e
15. selected reporting period Total Medicaid Encounters 43 Please enter your total Medicaid Patient Encounters for the selected reporting period Do you have Medicaid Patients O from more than one State Yes No Do you practice predominately in a Federally Qualified Health ie N O O Care Center FQHC Rural FQHC RHC IHS MOA IHS None Health Center RHC or Indian Health Service IHS MOA Eligibility Formula 1 Calculate s Meets Medicaid Eligibility Requirements section messages will instruct you about whether you have met the requirements for eligibility i Yes displays if the result of the formula you selected meets the following criteria e 220 for Pediatricians e 230 for all other Provider Types 31 SLR Eligible Professional User Guide ji No you may wish to adjust your reporting period displays if the result of the formula you selected does not meet the criteria listed above t Attach Documentation Section documents such as a Practice Management report could be attached using this tool u Save amp Continue button saves the information you have just entered If you have left a required field blank or entered information incorrectly you will receive an error message If you do not meet the requirements you will not be able to proceed v Cancel and lose Medicaid Eligibility changes link clears the page of any information you have just entered Save amp Continue A Cancel and lo
16. still locked A locked page cannot be accessed until the previous pages have been completed Each section will also have a description The title of each section provides a link to that section i About You ii Confirm Medicaid Eligibility iii Attestation of EHR This link will not be active until you ve already completed your registration and eligibility iv Review and Sign Agreement This link will not be active until you have completed the Attestation of EHR section v Send Year X Attestation This link will not be active until you ve reviewed signed and uploaded your signed attestation agreement Once you submit the attestation all of the other sections will be locked for editing and will display your information as view only 7 Footer section Located at the bottom of the page the footer displays the following items a Privacy link clicking this link opens a new window with a Privacy Statement displayed b Terms of Use link clicking this link opens a Legal Statement for the site c Accessibility link clicking this link opens a new window with the website s Accessibility policy displayed d ACS Xerox Copyright This is ACS s copyright symbol and text Workflow Section Details This section describes in more detail the specific steps to take when applying for the Provider incentive This begins with Step 1 the About You section where you will enter your registration and contact information Step
17. technology All of these capabilities could be part of the certified EHR technology or outside systems and programs that support the privacy and security of certified EHR technology 1 American Recovery and Reinvestment Act of 2009 Wikipedia The Free Encyclopedia Wikimedia Foundation Inc Last modified November 18 2010 Date accessed November 22 2010 SLR Eligible Professional User Guide 54 Term Acronym Business Days Centers for Medicare and Medicaid Services CMS Clinical Decision Support Clinical Summary CMS Certification Number CCN CMS Medicaid EHR Incentive Program Registration site Computerized Physician Order Entry CPOE Explanation Expansion Business days are defined as Monday through Friday excluding Federal or State holidays on which the EH or their respective administrative staffs are unavailable The Centers for Medicare and Medicaid Services CMS is a United States Federal Agency which administers Medicare Medicaid and the Children s Health Insurance Program CHIP HIT functionality that builds upon the foundation of an EHR to provide persons involved in care decisions with general and person specific information intelligently filtered and organized at point of care to enhance health and health care An after visit summary that provides a patient with relevant and actionable information and instructions containing the patient name provider s office contact
18. the Program Year and status of the Attestation association About You section displays the information saved when you completed the About You section Confirmation of Eligibility section displays the information saved when you completed the Confirm Medicaid Eligibility section Summary of Meaningful Use Core Measures displays Core Objective measures if these were entered Summary of Meaningful Use Menu Measures Summary of Core Clinical Quality Measures Summary of Alternate Core Clinical Quality Measures Summary of Additional Clinical Quality Measures You can print this report after you have saved any of your information in the SLR Web application If you print the report before all of the areas have been completed only those sections with saved information will print on the report You can also filter the report by year SLR Eligible Professional User Guide 49 Viewing Payment Status Payment Calculations Payment Information and Calculations for Eligible Professionals How your payment is calculated message Located to the left of the page this link opens a pop up that displays the amount that your State is dispersing for the current participation Year Attaching Files The Attach Documentation Section Attach Documentation sections are available in several pages of the SLR These identify documents that must be attached like a Cost Report Software Sales contract and the Attestation Agreement itself and i
19. to provide contact information The contact information is especially important as one of the primary reasons to have a Group user is to provide a single point of contact for the Group to State auditors that are reviewing the SLR submissions By default this information will be the same as the user registered in the system 1 About Your Group Contact Person Enter your contact information below Red asterisk indicates a required field Contact Person Name lt a Title y Phone Number lt a Entel je numbel e Email Address 2 e 1 Name text field enter your name 2 Phone Number text field enter your phone number Initially it defaults to the phone number that you entered while creating your User Account a 9999999999 no spaces dashes parentheses shows you how the system would like you to enter your phone number 3 Email Address text field enter your email address Initially it defaults to the email address that you entered while creating User Account b name domain com displays the correct format for your email address 4 Save amp Continue button saves the information you have just entered If you have left a required field blank or entered information incorrectly you will receive a system message Once all required fields are completed this section will be marked as complete SLR Eligible Professional User Guide 44 5 Cancel and Lose About Your Group changes link clears the page of any informati
20. Certified EHR Information section is complete The system will move you to Step 4 Step 4 Manage Providers in Your Group Clicking the Manage Providers in Your Group link on the Group Home page or in the Navigation Menu opens Step 4 of the process This page allows you to search for and add Eligible Professionals to your Group They must exist in the SLR database before they can be added so they must register with CMS before you perform this step 4 Manage Providers in Your Group ate the pro ers I our group ou ave tne a ty to enter attestation data o 1 Providers in Your Group Add Provider Locate Provider Last Name First TIN Pymt Multiple Name NPI Number Number Number ae Yr Address Specialty T axonomy Groups 16 No 1 Providers in Your Group section enter the NPI and TIN of the professional you wish to add to the Group and click the Locate Provider button An error message will appear if the professional was not found A pop up confirmation window will appear if the provider was found in the system SLR Eligible Professional User Guide 46 Is this the Provider you want to add x No Go Back x Yes Add to Group 2 Is this the provider you want to add window this displays the identification numbers name address and Specialty Codes of the provider found using the query fields This additional information helps you to identify the correct medical professional to add to your Group Note
21. Eligible Professional User Guide 2 Table of Contents Table of Contents Introduction SLR Application Availability Problem Reporting Overview Dates 6 Application Architecture Materials and Preparations Method Login Accessing the SLR SLR login from the Provider Outreach Web portal SLR login directly from the SLR login URL Creating a New SLR Account for Eligible Professionals and Group Representatives Accepting the End User License Agreement EULA Changing Your Password Navigating SLR Hard and Soft Stops Save and Continue Navigation Bar Applying for the Incentive as an Eligible Professional EP Home Page Workflow Section Details Step 1 About You Section Details Step 2 Confirm Medicaid Eligibility Details Step 3 Attestation of EHR Details AIU Method Page EHR Certification Page Meaningful Use Section Step 4 Review and Sign Attestation Step 5 Send Year X Attestation Details Applying for the Incentive as a Group Administrator Group Home Page Workflow Section Details Step 1 About Your Group Section Details Step 2 Confirm Group Medicaid Eligibility Step 3 Group Certified EHR Information Step 4 Manage Providers in Your Group SLR Eligible Professional User Guide 11 13 17 18 20 20 20 20 22 22 24 24 28 32 33 34 35 42 42 43 43 43 44 45 45 46 Step 5 Enter Data for Providers Year Accessing Reports Reports for Eligible Professionals Viewing Payment Status Payment Calculations Payment
22. Explanation Expansion An encounter during which the provider performs a medication reconciliation due to new medication or long gaps in time between patient encounters or for other reasons determined appropriate by the provider Essentially an encounter is relevant if the provider judges it to be so Note Relevant encounters are not included in the numerator and denominator of the measure for this objective RHCs must be located in rural underserved areas and must use one or more physician assistants or nurse practitioners RHCs can be public private or non profit and are intended to increase primary care services for Medicaid and Medicare patients in rural communities An advantage of RHC status is enhanced reimbursement rates for providing Medicaid and Medicare services in rural areas Those conditions listed in the active patient problem list The State Level Registry SLR is a Xerox application created for the capture and maintenance of state mandated information related to the payment of provider incentive payments provided for under the ARRA A Taxpayer Identification Number TIN is an identification number used by the Internal Revenue Service IRS in the administration of tax laws The movement of a patient from one setting of care hospital ambulatory primary care practice ambulatory specialty care practice long term care home health rehabilitation facility to another In computing a Uniform Resource Locato
23. Information and Calculations for Eligible Professionals Attaching Files The Attach Documentation Section Timing Out Troubleshooting Accessing Help Help Text Displays Definitions SLR Eligible Professional User Guide 47 49 49 50 50 50 50 52 52 52 53 54 Introduction The overall goal of the User Manual is to help guide medical professionals through the process of completing their State s application for the Centers for Medicare amp Medicaid Management s CMS s EHR Incentive Payment This application is submitted through the State Level Registry a web tool designed to capture all information needed for the approval of the EHR payment and to submit the application to your State Users are called Eligible Professionals EPs because medical personnel other than physicians can also apply for the incentive payment Nurse Practitioners are one example SLR Application Availability The SLR application is on the Web and is available 24 hours a day 7 days a week and is accessible from the internet Problem Reporting For general Help all SLR web pages have a Help Link that opens up a copy of this User Manual For SLR technical support you can contact the ACS Help Desk designated to support the SLR Phone 866 879 0109 Email SLRHelpdesk acs inc com Fro questions about the Montana EHR incentive payment program contact a Montana representative Email MedicaidEHR mt gov http medicaidprovider hhs mt gov pr
24. Information section contains a field and instructions for retrieving the correct EHR Certification Number from the ONC website e EHR Certification Number text field enter your group s EHR Software s Certification Number in the EHR Certification Number field The field will be validated when the Save Certified EHR Technology button is selected Your EHR Certification Information EHR Certification Number Q000000010C7MAA d SLR Eligible Professional User Guide 45 4 Supporting Documentation section use this component to add a contract Work plan Action plan or other document associated with your practice s EHR software A document is not required on this page Supporting documentation ollowing attachments are optional WF File Name Subject No records to display Add Files 4 Remove Selected 5 Save Certified EHR Technology button saves the EHR system information _ Save Certified EHR Technology P Cancel and lose Certified EHR Technology changes 6 Cancel and lose certified EHR Technology changes link this will cancel any changes made to this page The page will refresh restoring the original values and files to the fields on the page 7 lt lt Back to Dashboard Select this link to return to the Group Home page Once you have successfully saved the information in the Group Certified EHR Information page the status icon on your Home page will change to indicate that the Group
25. Montana State Level Registry for Provider Incentive Payments Eligible Professional User Manual Montana State Level Registry tor Provider Incentive Payments January 2013 Version 2 5 Revision History Version Number Date Description Author 1 0 11 16 2010 Draft document Annie Washington Madhuri Pamidipati David Morton 01 16 2011 CMS tule changes Annie Washington 1 3 03 01 2011 System changes during client UAT split Annie Washington guide into EP EH and Group versions 09 12 2011 Montana specifications Gwendolyn Carnes 02 17 2012 Revising to the V2 interface Will Graeter 2 27 2012 Added Xerox branding material Will Graeter 2 1 06 11 2012 Added Account Creation Is This You Will Graeter and EHR Reporting Period Add New Location instructions 11 1 2012 2 4 updates including Payee Medicaid Will Graeter ID 01 13 2013 Updates from the 2 5 release Will Graeter Confidentiality Statement This document is produced for Xerox Government Health Solutions and its State clients and cannot be reproduced or distributed to any third party without prior written consent No part of this document may be modified deleted or expanded by any process or means without prior written permission from Xerox 2013 Xerox Corporation All rights reserved XEROX and XEROX and Design are trademarks of the Xerox Corporation in the United States and or other countries Other company trademarks are also acknowledged SLR
26. Objectives and these are listed in the Navigation Menu when the MU Attestation Type is selected Core Objectives generally consist of an acknowledgement that you have met the obligations or a Numerator and a Denominator There are 14 Core Objectives if the provider is Attesting for 2012 or 2013 CMS has removed one of their Code Objectives if you attested for 2011 there were 15 Stages 2 and 3 will likely have more changes in the number of measures For example for the Objective Maintain Active Medication Listthe user would enter the number of unique patients seen by the EP during the EHR reporting period as a Denominator In the Numerator field the user would enter the number of patients in the denominator who have a medication recorded as structured data added to the number of patients that are not currently prescribed any medication Objectives also have a measure validation if the Numerator divided by the Denominator and rendered as a percentage does not exceed the percentage stated in SLR Eligible Professional User Guide 39 the Measure field on each Detail page the measure is failed For example Maintain Active Medication List has a Measure of 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 8 Menu Objectives Users must select at least one of the two Public Health Objectives on the Menu Sele
27. age select the Create Account button Need to Create an Account wo If you are an Eligible Professional Eligible Hospital Representative or Group Practice Clinic Representative you can create a user account for the SLR If you have not already created a User ID please select the Create Account button below to create a new User ID Create Account 4 The Create Account page displays the following 1 What is your role pull down menu identify your Provider Type by selecting an option from the menu As an individual physician or medical professional select Individual Eligible Professional NPI text field enter your National Provider Identifier NPI number If you have more then one NPI use the one that you used while registering with the CMS Medicaid EHR Incentive Program Registration Site If the number entered is not recognized an error message will appear and you will not be able to proceed TIN text field enter your Taxpayer Identification Number TIN which is either your Employer Identification Number EIN or your Social Security Number SSN CAPTCHA image a computer generated image Generate New Image link refreshes the image above if you are unsure of what numbers and letters are being displayed Enter the letters numbers from the image above text field enter the letters and or numbers you see in the CAPTCHA image This is a security feature Continue button select this button to open the
28. al information to be used to help determine your eligibility to participate in the Montana Medicaid Incentive Program Z Red asterisk indicates a required field CMS Medicaid EHR Incentive Program Registration Record Data has been received from the CMS Medicaid EHR Incentive Program Registration site View CMS Medicaid EHR Incentive Program Registration Data Visit CMS website a 2 Print Registration Information link opens a PDF that contains contact information filing information and license information 3 Attestation section a lattest checkboxes you must agree to one of three statements in order to be eligible to continue the standard or a Pediatrician or Physician Assistant statement Agree by clicking the checkbox next to the appropriate statement b Why is this important Link clicking this opens a pop up window explaining why you need to agree to this qualification SLR Eligible Professional User Guide 25 Attestations attest that I DO NOT perform 90 or more of my Montana Medicaid Program services in an inpatient hospital POS 21 or emergency room POS 23 setting Why is this important 7 C Iattest that ama pediatrician and am eligible for a reduced incentive payment if achieve 20 Montana Medicaid Program eligibility 7 o attest that am a Physician Assistant that practices predominantly in a PA led FQHC or RHC oS 4 License Information section Not all of the fields listed below wi
29. at you have seen during the period Panel Members are patients for whom you receive payments on other than a fee for service basis Do you practice predominately in a Federally Qualified radio buttons select one of the buttons if you practice more than 50 of the time in one of these types of health center This field is required for Physician s Assistants who must practice in a FQHC RHC or IHS i If you select any option besides None a Medically Needy Individuals Patient Encounters text field will appear Enter your patient encounters for the medically needy patients you serve 30 i More info link opens a pop up window that explains what CMS considers medically needy patients j Eligibility Formula 1 section select this formula for your eligibility calculation to use total patient encounters and total Medicaid encounters as well as the medically needy patient encounters if applicable to calculate your result i Use this formula radio button indicates you are using this formula ii Calculate button calculates the results of Eligibility Formula 1 If the numbers qualify a message will be displayed below the section Practice Eligibility Details Enter your eligibility information below Red asterisk indicates a required field Enter Representative Period 90 day period m Year 2 Start Date 4 4 2011 Al Year 2 End Date Total Encounters 499 Please enter your total patient encounters for the
30. ate must fall within the current calendar year Reporting AlU is First Year MU is First Year Year 1 None 90 days Stage 1 MU Year 2 90 days Stage 1 MU Calendar year Stage 1 MU Year 3 90 days if Year 3 is 2014 90 days if the Year 3 is 2014 otherwise Calendar Year Calendar year Stage 1 MU if Year Stage 1 MU 3 is 2013 otherwise Stage 2 Year 4 90 days if Year 4 is 2014 90 days if Year 4 is 2014 otherwise Calendar year otherwise Calendar year MU MU Stage 2 Stage 2 Year 5 Calendar year MU Stage 2 Calendar year MU Stage 3 planned Year 6 Calendar year MU Stage 3 Calendar year MU Stage 3 planned planned The system itself will only allow choices to the providers that are appropriate for the year and their stage in the process Start Date field and End Date fields have an icon El that will open a Calendar Utility that allows a user to select a date rather than enter it into the field 90 Day Reporting Period Start Date fz End Date E 3 Meaningful Use Import This page allows providers to import Core and Menu objective data Data imported in this manner will display on the individual Core and Menu Objective detail pages as read only data All validations performed on individual Core and Menu pages will be enforced and the appropriate visual indicators will be displayed in the navigation tree Click the MU Import Control Document link to open
31. been added to a Group Group members have a single point of contact for the SLR process and have their Eligibility information added by a Group Administrator rather than entering it themselves Group Practice Eligibility o wish to change my Group Association Do you want to use group practice eligibility information more info an No Ye practice in more than one group clinic and am electing to use volumes from group a Iwish to change my Group Association checkbox this allows you to select a different Group if you belong to more than one Group Once you select a Group that Group s eligibility numbers will populate this page Select this checkbox and then select a different Group from the pull down menu below to change your Group affiliation b Do you want to use Group practice eligibility information radio buttons select the Yes radio button to use the eligibility numbers of your Group or practice Select the No radio button to use only your own patient encounter numbers c More info link opens a pop up explaining how Groups work in SLR The most important thing to remember is this CMS rules dictate that all professionals within a Group or clinic must use the same methodology for determining Medicaid eligibility If you elect to opt out of using the Group volumes all other professionals within your Group will be unable to use the Group volumes to determine their eligibility All providers associated with that Gr
32. bsite related to electronic health record EHR technologies and the incentive program h Healthcare IT News section clicking a link in this section opens up a new window and displays an article related to Healthcare IT news 3 Primary Page Body Content section Located in the middle of the page the primary page content entails the following sections Welcome text This is an overview of the Provider Outreach Web portal Want to get a jump start Click Here section clicking this link opens up a new window and will guide you through the process of gathering information to complete the SLR the link to create an account c Regional Extension Centers REC section clicking a link in this section opens up a new window and displays the REC website a Stealth Sechnotogy Sewtces REGIONAL EXTENSION CENTER adnagion of MOUNTAIN PACIFIC QUALITY HEALTH waw hisrec com 06 457 5888 4 Important Web Resources section clicking a link in this section opens up a new window and displays the associated website 5 Footer section Located at the bottom of the page the footer displays the following items a Privacy link opens the approved Statewide Policy for Internet Privacy and Security in a new window b Terms of Use link Clicking this link opens a new window with a Terms of Use policy displayed c Accessibility link Clicking this link opens a new window with the website s Accessibility policy displayed d ACS Xerox
33. ce on electronic prescribing for controlled substances in Schedule II V The substances in Schedule II V can be found at http www deadiversion usdoj gov schedules orangebook e_cs_sched pdf Any prescription not subject to these restrictions would be permissible 3 The language by which the patient prefers to communicate The authorization by a provider to a pharmacist to dispense a drug that the pharmacist would not dispense to the patient without such authorization 2 A list of current and active diagnoses as well as past diagnoses relevant to the current care of the patient For the purposes of the EHR Provider Incentive Portal SLR application documentation a Provider refers to both EPs and EHs An entity under the jurisdiction of the U S Department of Health and Human Services tribal organization State level and or city county level administration that serves a public health function 15 The Office of the National Coordinator for Health Information Technology ONC The Office of the National Coordinator for Health Information Technology United States Department of Health amp Human Services Date accessed November 22 2010 SLR Eligible Professional User Guide Term Acronym Relevant Encounter Rural Health Clinic RHC Specific Conditions State Level Registry SLR Taxpayer Identification Number TIN Transition of Care Uniform Resource Locator URL Unique Patient Up to date
34. count for accessing the Montana Medicaid EHR incentive Program site SLR login directly from the SLR login URL If you have already created an account you can also get to the SLR s Login page by entering the URL into your browser https mt arraincentive com Type the Montana State Level Registry URL in the address field and press the Enter key on your keyboard From here you will reach the SLR Web application Login page You ll have three chances to enter in the correct login information before the system locks your account If that happens call the Help Desk for assistance Throughout the SLR application red asterisks display on various fields This symbol indicates that this field is required to be completed in order to continue through the application The Login page displays the following 1 User ID field enter your User ID Password field enter your password Login button verifies the User ID and password you entered and opens the End User License Agreement EULA 4 Forgot User ID link selecting this will open a Forgot User ID pop up asking you for your National Provider Identifier NPI and Tax Identification Number TIN as well as the answer to the Challenge Question you selected when you first created the account Once you have entered those correctly the system will email the User ID to the email address entered when you created your account SLR Eligible Professional User Guide 11 Forgot User ID Id
35. ct reduced cost for medications for outpatients etc The purpose of the Health Insurance Portability and Accountability Act is to improve the Medicaid program and the efficiency and effectiveness of the health care system by encouraging the development of a health information system through the establishment of standards and requirements for the electronic transmission of certain health information Health Information Technology HIT refers to the use of technology in managing health information For example the use of electronic health records instead of paper medical records The Health Information Technology for Economic and Clinical Health Act of 2009 HITECH amends the Public Health Service Act by adding a number of funding opportunities to advance health information technology The process of identifying the most accurate list of all medications that the patient is taking including name dosage frequency and route by comparing the medical record to an external list of medications obtained from a patient hospital or other provider 3 The National Provider Identifier NPI is a Health Insurance Portability and Accountability Act HIPAA Administrative Simplification Standard The NPI is a unique identification number for covered health care Providers The denominator should include the following visits to the ED e The patient is admitted to the inpatient setting place of service POS 21 through the ED I
36. ction page and select a minimum of five of the Menu Objectives in general When Menu Objectives are selected from the Menu Selection page the selections will appear as options in the Navigation Menu when the Save amp Continue button is selected on the page Other than being selected Menu Objectives are similar in structure and content to the Core Objectives 9 Core Clinical Quality Measures Import This page allows providers to import CQM data in the same way the associated page allowed the import of Core and Menu objective data Data imported in this manner will display on the individual CQM Detail pages as read only data Validation performed on individual pages will be enforced and the appropriate visual indicators will be displayed in the navigation tree Clinical Quality Measures Import Instructions Use the CQM Import functionality to import your Core and Menu Objective data The import function will import all records in the file or none of the records in the file if an error occurs with the import The data imported will display on the individual CQM pages as read only All validations performed on the CQM pages shall apply and shall be used to display the appropriate visual indicators in the navigation tree If all required data is not populated for the CQM data then you will be required to manually enter and save Select the appropriate format used to import your Clinical Quality Measure data File Import CQM Import File Format
37. dentify documents that are optional Attach Documentation ents are required The following attachments are optional File Name Subject Fully Executed Contract g Vendor Letter Oo Add Files gt Remove Selected A table lists those attachments that have already been added to the section in three columns 1 File Name column the name of the uploaded file Selecting the filename will open the file for viewing provided your PC has an application that can open the file 2 Subject column the subject of the uploaded file selected by the user when the file was attached 3 Selecting a checkbox in the unnamed column and clicking the Remove Selected button will remove the file from the list and delete the file from SLR SLR Eligible Professional User Guide 50 Attach Documentation The following attachments are optional P Eligibility Workbook Practice Management Report Other Please Describe File Name Subject Remove blank doc docx Practice Management Report AddFiles Remove Selected X Clicking the Add Files button opens the Add Files pop up window 1 10 11 Close icon clicking the blue X in the upper right hand corner closes the Add Files window without attaching a file Subject pull down menu select an option to identify what type of document or documents you are attaching These will be restricted to subjects that are appropriate for the section of SLR you are viewing
38. e MU providers will enter data that has been captured by their EHR Software A report within your EHR system should be available to help you enter the correct information in the MU fields In the provider s second participation year clicking the 3 Attestation of EHR link shall open the EHR Certification page directly as the user has the option to adopt implement or upgrade their software in the first year of participation only Providers may elect to enter Meaningful Use data during their first year of Attestation but must enter MU information during each year after their first year The first year of MU is called Stage 1 and fields are grouped into a series of Objectives and Clinical Quality Measures Stage 2 of the Meaningful Use program will begin in 2014 and this will require more fields to be populated and data to be captured When providers attest for MU they will enter the data captured by their software for a specified time period either 90 days or a full year of data Note Meaningful Use measures are based solely on your encounters that occurred at locations where the certified EHR solution is available In order to qualify for the EHR Incentive payment 80 of patients must have records in the EHR solution Eligible Professionals who work at multiple locations but don t have certified EHR technology available at all of their locations must have 50 of their total patient encounters at locations where the EHR technology is a
39. e amp Medicaid Services CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 3 HITECH Attestation Mockups EP and HITECH Attestation Mockups EH Version 9 CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date published 3 8 2011 Frequently Asked Questions about Accrediting Hospitals in Accordance with their CMS Certification Number CCN The Joint Commission Article date July 15 2010 Date accessed November 22 2010 5 Grumman nets 34M CMS data repository project CMIO Contracts and Installations TriMed Media Group Inc Article date May 17 2010 Data accessed November 22 2010 Computerized Provider Order Entry AHRQ Agency for Healthcare Research and Quality United States Department of Health amp Human Services Date accessed November 22 2010 SLR Eligible Professional User Guide Term Acronym Explanation Expansion Computerized Provider CPOE entails the provider s use of computer assistance to directly enter Order Entry CPOE medication orders from a computer or mobile device The order is also documented or captured in a digital structured and computable format for use in improving safety and organization E CPOE See Computerized Provider Order Entry Diagnostic Test Results All data needed to diagnose and treat disease
40. e Force Charges 91 dusts F 430 Mil False Biling Sep 27 2012 EMR and HIPAA all inks open in new window Oct 22 2012 to include Meaningful EHI incent vi Meani iL Mi Oct 21 2012 MR Uj ws Tablet and f Errors Heal Scene Oct 20 2012 Data Capture Electronic Data and Terms of Use and Aftaiat Welcome to the Montana State Level Registry SLR Provider Outreach Page Montana providers must register with the CMS registration and attestation system formerly known as NLR prior to registering with the Montana State Level Registry The tools in this Provider Outreach Page will help you start collecting and organizing the information you will need in order to register with Montana s SLR As the healthcare landscape continues to modemize recent o j legislation was passed to encourage the adoption of Electronic Healthcare Record EHR technology in Want to get a documenting patient care As a result of the American jump start Recovery and Reinvestment Act of 2009 beginning in 2011 eligible Medicaid providers are offered financial incentives for the implementation and meaningful use of Health Information Technology HIT in the management of patient populations The State of Montana Department of Public Health and Human Services has elected to participate in the HIT incentive program Our primary goal is to provide an effective means of administering and distributing incen
41. eated display message signifies that you have successfully created your SLR account 2 Continue to Login button opens the Login page SLR Eligible Professional User Guide 16 Accepting the End User License Agreement EULA After your first login to the system you will be presented with the End User License Agreement EULA You must read and agree with the EULA in order to continue The End User License Agreement page displays the following 1 Agree with the End User License Agreement checkbox selecting this checkbox indicates that you agree with the associated statement 2 Print EULA link clicking this link will open a new window containing a printable version of the EULA A Print window will also open 3 Continue button opens the SLR home page 4 Cancel and return to Log in link returns you to the Login page SLR Eligible Professional User Guide 17 Changing Your Password Your password will be effective for 45 days When you log in and 45 days have passed since you created the previous password a Reset Password page will appear You can change your password on this page 1 After 45 days the Reset Password page displays New Password text field enter a new password a b Confirm New Password text field enter the password again 9 Save button selecting this button saves your new password d Cancel button clears entries made into the two text fields above and no change is made to your password
42. entify Yourself Select ser role for which you registered then enter the appropriate IDs and click Continue Red asterisk indicates required fields What is your role Select a role NPI TIN Continue gt Cancel and return to Login 5 Forgot Password link select when you have forgotten your password The system will ask you for your User ID as well as the answer to the Challenge Question you picked when creating your account Once you have entered those correctly the system will email a link to reset your password to the email address you entered when you created your account 6 Create Account button select this if you need to create a new SLR account Existing Users Need to Create an Account Enter the User ID and p word you created to login to the SLR If you have not already created a User ID please select the Create Account option to create a new User ID Red asterisk indicates a required field please select the Create Account button below User ID User ID Password Create Account 9 Login Forgot User ID Forgot Password SLR Eligible Professional User Guide 12 Creating a New SLR Account for Eligible Professionals and Group Representatives To create a new account from the Provider Outreach page select the leave this site and create an SLR account link located on the left side of the Provider Outreach Jumpstart page To create a new account from the Login p
43. es v x 1 Manage Providers button clicking this will open the Manage Providers in Your Group page which is used to add providers to your Group 2 Of n Providers Not started n In progress n Completed n Signed amp Attached n Submitted n message next to the Manage Providers bution is a SLR Eligible Professional User Guide 47 status line that provides a running count of the providers in your Group and their progress in each stage of the process 3 Provider Action List table displays all the members of the providers in the Group each provider will have the following columns referencing their data a b c d Provider Name column displays the name of the provider NPI column the provider s NPI information TIN column the provider s TIN information Pymet Yr column the Payment Year to which the provider is attesting Elected column indicates whether the provider has joined your Group or not About You column contains a status icon that indicates whether this section for a provider is complete or not W indicates that the step is complete indicates that the step has been started but not finished indicates that the step has not been started Eligibility column contains a status icon Attestation column contains a status icon Signed amp Attached column contains a status icon Submitted column contains a status icon Actions pull down menu allows the user to open the associated pa
44. ext that displays on the page Help text instructs you on how to respond to a particular field or it provides some additional information about the field or the page The blue text from the below example Enter phone number without dashes This is help text Contact Person Name Sf Title y Phone Number y Ente 1e numbe ut dashes Email Address Sf SLR Eligible Professional User Guide 53 Definitions This section lists any glossary terms specifically applicable to this document Term Acronym Explanation Expansion Active Medication List A list of medications that a given patient is currently taking Admitted to the Emergency There are two methods for calculating ED admissions for the denominators Department for measures associated with Stage 1 of Meaningful Use objectives Eligible hospitals and CAHs must select one of the methods below for calculating ED admissions to be applied consistently to all denominators for the measures That is eligible hospitals and CAHs must choose either the Observation Services method or the All ED Visits method to be used with all measures Providers cannot calculate the denominator of some measures using the Observation Services method while using the All ED Visits method for the denominator of other measures Before attesting eligible hospitals and CAHs will have to indicate which method they used in the calculation of denominators All ED Visits Method An alte
45. formation you can proceed to your eligibility information by selecting the Save amp Continue button The status icon on your home page will change to indicate that your registration section is complete The green background of the first section and the icon indicate that this section has been completed Now that you have entered your registration you can move onto completing your eligibility information by returning to the dashboard and selecting the next step Also the status icon on your home page will change to indicate that your registration section is complete SLR Eligible Professional User Guide 27 Step 2 Confirm Medicaid Eligibility Details Clicking the Confirm Eligibility link on the EP Home page opens the Confirm Medicaid Eligibility page which allows you to enter specific practice information This information is then used in the calculation that determines your Medicaid eligibility for the Provider Incentive program The Confirm Medicaid Eligibility page displays the following 1 lt Back to Dashboard link clicking this link will return you to the home page 2 Print Registration Attestation link opens a PDF document that contains all the information captured by SLR so far in the process 3 More Info link opens a PDF file that provides more detailed information about entering your Medicaid eligibility for the provider incentive program 4 Group Practice Eligibility section This section will appear only if you have
46. fully saved the signed attestation the status icon on your home page will change to indicate that Step 4 is complete The system will now let you move onto Step 5 Step 5 Send Year X Attestation Details Clicking the Send Year X Attestation link opens a pop up window allowing you to send your attestation to the State The Send Attestation to State window displays the following 1 Send Attestation button clicking this will submit your attestation application to the State All steps in the workflow section of your home page will be locked down You will not be able to make any more changes to the section but can still view the information you entered on a report The Send Attestation to State window will appear displaying the expected time period for payment and other payment related information 2 Cancel and Do No Send link returns you to the Home page After sending the Attestation Agreement a System Message will arrive that designates the time and date System Messages 1 Subject Date Received From our attestation has been submitted 11 30 2011 4 45 21 PM SLR Eligible Professional User Guide 42 Applying for the Incentive as a Group Administrator A Group is a practice or clinic that is comprised of multiple Eligible Professionals All of these individual providers may decide to apply for the EHR Incentive Payment using the patient encounter numbers of the practice or clinic A representative from your Group will serve a
47. ge and enter data into SLR for that user Select an option for the menu such as About You Eligibility or Attestation and the corresponding page of that user will open Entering on behalf of Back to Provider List Contact Person Attach Documentation When opened the SLR page of your Group s provider will be topped by a special header identifying the provider you are entering information for such as in the example above The header section also has a lt Back to Provider list button which returns you to the Group Administrator Step 5 page SLR Eligible Professional User Guide 48 Accessing Reports Reports for Eligible Professionals Located to the left of the page the Reports section displays the following items 1 Reports message the following message appears if you don t have any data in the system to run a report Reports will be available once your information is saved 2 Provider SLR Application Information link once some information has been saved to the SLR web application this link appears Clicking this link opens a pop up window with the Provider SLR Application Information report results This report prints all of the Attestation information that you have already entered The Registration and Attestation Summary report displays the following a g h Identifying Information section displays the information you entered when you created your SLR account Filing Information displays
48. he selected attestation method AIU Method pull down menu select Adopt Implement or Upgrade from the menu to best describe your EHR Technology use at this point more info link opens a pop up window explaining the type of documentation that needs to be attached for the selected attestation method Please describe briefly how you meet text area allows you to describe how you meet the criteria for the AIU method selected Attach Documentation section Missouri requires a fully executed contract with an EHR Vendor to be attached to the page An Invoice Receipt or Vendor Letter can also be added Save amp Continue button selecting this will open the EHR Certification page after SLR ensures that all fields on this page are populated SLR Eligible Professional User Guide 33 EHR Certification Page This page allows you to identify your EHR Technology and attach supporting documentation It appears for both AIU and MU 1 Understanding checkbox signifies that you agree with the statement of understanding next to the checkbox When you check this box additional fields display If you do not check this box the system will not allow you to continue a I understand that it is my responsibility as the provider to ensure This is a statement of understanding as to your responsibility to demonstrate that your EHR technology is certified through the ONC When you check the box before this statement you will be required to co
49. hree CQMs depending on how many Core CQMs had a zero in a Denominator field Clicking the Save amp Continue button will open the Detail page entered of the first selected Alternate CQM 12 Additional Clinical Quality Measures Users are required to select three Additional CQMs from among the options on the Additional CQM Selection page Clicking the Save amp Continue button will open the Detail page of the first selected Additional CQM Attestations for 2013 will have the following changes made to the Objective Measures for EPs e Computerized Provider Order Entry added an alternate measure Over 30 of medication orders created by the provider during the EHR Reporting period are recorded using CPOE e ePrescribing added a second exclusion for providers that do not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the provider s location e Vital Signs added an alternate measure Over 50 of all unique patients seen during the Reporting Period have blood pressure over the age of two height and weight for all ages recorded as structured data e Vital Signs two additional exclusions were added A provider who believes height and weight are relevant to their scope of practice but blood pressure is not is or the reverse is true is excluded from recording blood pressure e Exchange Clinical Information removed this measure The year 2014 will see mo
50. in the subgroup all of which must be completed by the user Once all the pages in a navigation group have been completed and all have passed their validation criteria then the subgroup will receive a completed icon W Clicking the collapse icon will hide the title of the individual pages in a subgroup PY 1 About You 2 Confirm Medicaid Eligibility E 3 Attestation of EHR EHR Certification amp EHR Reporting Period MU Import MU Menu Objectives CQM Import COM Core CQM Additional Icon Legend amp Complete Warming 1 Hard Stop 38 SLR Eligible Professional User Guide 5 Selection Pages and Detail Pages Each group of measures includes a Selection page which provides a place for the user to select or at least access the measures The Menu Objective Selection page allows a user to select Objective measures since a user must select only five of the ten measures Users cannot select a measure on the Core CQM or Core Objective Selection pages since all core measures are required Each measure within a group also includes a Detail page where users will record the applicable data Select the Save amp Continue button on each measure Detail page to move unto the next measure requiring input or the next Selection page Detail pages include an Attach Documentation section so that users can associate a document that is relevant to the measure 6 Exclusions Sometimes the measure will not apply to your particu
51. information date and location of visit an updated medication list updated vitals reason s for visit procedures and other instructions based on clinical discussions that took place during the office visit any updates to a problem list immunizations or medications administered during visit summary of topics covered considered during visit time and location of next appointment testing if scheduled or a recommended appointment time if not scheduled list of other appointments and tests that the patient needs to schedule with contact information recommended patient decision aids laboratory and other diagnostic test orders test laboratory results if received before 24 hours after visit and symptoms A number assigned to hospitals by the Centers of Medicare and Medicaid Services the CMS Certification Number CCN is the hospital s identification number that is link to its Medicare provider agreement The CCN is used for CMS certification and also for submitted and reviewing the hospital s cost reports The national d that supports the administration and incentive payment disbursements of Medicare and Medicaid programs to medical professionals hospitals and other organizations Computerized Physician Order Entry CPOE refers to any system in which clinicians directly enter medication orders and or tests and procedures into a computer system which then transmits the order directly to the pharmacy Centers for Medicar
52. lable at all locations must SLR Eligible Professional User Guide 35 e Have 50 of their total patient encounters at locations where certified EHR technology is available e Base all meaningful use measures only on encounters that occurred at locations where certified EHR technology is available Select Add New Location l and the default address associated with the NPI TIN will be displayed and may be changed if required Any new locations added will require all data to be entered There will be no default values displayed The Add New Location table displays the following i Street text field enter the street ji City text field enter the city iii State pull down list field select a state from the available list iv Zip text field enter the zip code v Numerator text field enter the number of patient encounters in the denominator at the specified location during the reporting period vi Denominator text field enter the number of patient encounters at the specified location during the reporting period vii EHR Technology pull down list select yes if certified EHR technology was used at the specified location or no if it was not used viii Percentage the sum of all numerators for locations where certified EHR technology is present divided by the sum of all denominators entered ix Insert link adds the record to the Add New Location table x Cancel link cancels the operation xi Remove link will remove the as
53. lar practice Pediatricians for example have no patients over 65 years old To account for this measures of this nature include Exclusion Yes and No radio buttons The measure s data fields will appear if the Exclusion does not apply There can also be more than one Exclusion per Measure Exclusion 1 Based on ALL patient records An EP who sees no patients 2 years or older 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 Based on ALL patient records An EP who believes that all three vital signs of height weight and blood pressure have no relevance to their scope of practice 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 Complete the following information Numerator Number of patients in the denominator who have at least one entry of their height weight and blood pressure are recorded as structured data Denominator Number of unique patients age 2 or over seen by the EP during the EHR reporting period Numerator Please enter a numerator Denominator Please enter a denominator 7 Core Objectives Objectives measure how much of a provider s patient population has been entered into minimum criteria the Attestation will fail Providers must enter all Core
54. le Professional User Guide 14 Create Account Is This You NPI TIN Medicaid ID Name Address Active v True e No Go Back j Yes Continue p All records that match the NPI or TIN will be displayed including any records with an inactive status Only those records with an active status can be used to create an account If the information is not correct select the No Go Back button to return to the previous page From there you can either retry entering your NPI and TIN or call the Help Desk for assistance If the information is correct and you click the Yes Continue button The following section will appear on the page 1 User ID text field enter a User ID Number This must be at least 8 letters and or numbers long but not more than 20 letters and numbers 2 Password text field enter a password Your password also needs to be at least 8 letters and numbers long and must be less than 20 letters numbers When you are choosing a password you also need to make sure to include the following e At least one capital letter e At least one lower case letter e Atleast one number e Atleast one of the following special characters or or Your password cannot be your User ID or your User ID spelled backwards Confirm Password text field enter the password you entered above to confirm it Select a Challenge Question pull down menu select an option from the pull down menu as a Challenge Question to answer
55. lity efficiency and safety of healthcare delivery Regional Extension Centers REC ali inks open in new window jlo Shalth Technology Sevics REGIONAL E a dision of MO NSION CENTER NPAC T www hisroc com 406 457 5838 Ty HEALTH The Montana Regional Extension Center is a federally funded resource that provides technical assistance to help primary care providers with EHR selection and implementation More information is available here http Awww htsrec com Important Web Resources ail links open in n CMS EHR Incentive Program Registration site Centers for Medicare amp Medicaid Services CMS rtifi IT Provider Outreach Home Contact Us Medicare and Medicaid EHR Incentive Programs p Bun the CMS Etabity Wizard and quickly see if you may qualify for incentive payments R Se Have a question Click here to view the CMS listof frequently asked questions Healthcare IT News all links open in new window Oct 22 2012 Power to the Patient Oct 19 2012 Oct 18 2012 To get to the login page from the Provider Outreach page click on the go directly to the State Level Registry for Provider Incentive Payments located on the upper left hand corner of the Provider Outreach webpage SLR Eligible Professional User Guide 10 Need to create an SLR account Need an SLR account Click here to leave this site and create an SLR ac
56. ll appear for all states a Do you practice primarily in a Tribal Health Clinic or other Federal clinic without a Montana license radio buttons if you select the Yes radio button the Other License Number and Other License State fields display 1 Other License Number text field enter a professional license number from another state If you are only licensed in Montana then enter your Montana Professional License Number 2 Other License State pull down menu This is where you choose the state that issued your other license number b Montana Professional License Number text field enter the professional license number assigned by the Montana licensing board This can be between 1 and 9 digits c Licensing Board Name pull down menu choose your licensing board from a drop down menu d Regional Extension Center REC Affiliation pull down menu select MT REC if you are affiliated with the REC License Information AS Your License Information is complete Do you practice in a Tribal Health Program or other oO Federal Clinic withouta Yes No Montana License S Montana Professional License oS Number Licensing Board Name Montana Board of Medical Examiners Regional Extension Center MT REC a aS REC Affiliation e Payee Medicaid ID pull down menu if the user s designated payee entered when registering with CNS has more than one Medicaid ID you must select the ID to receive payment SLR
57. mplete the other field on the page If you do not check the box before this statement the system will not allow you to continue b ONC public web service link opens the Office of the National Coordinator for Health Information Technology s Certified Health IT Product List site 2 The Your EHR Certification Information section When you select the EHR Certification option in the Navigation Bar and are a member of a Group the CMS EHR Certification ID field may already be populated containing a certification number entered by your Group s contact Otherwise you will have to enter the correct number 3 This section also includes instructions to access the ONC website find software and retrieve an EHR Certification Number http onc chpl force com ehrcert Once this number is entered into the EHR Certification Number field and the Save amp Continue button is clicked SLR will validate that the number represents approved software A Certified Health IT Product List A The Office of the National Coordinator for Health Information Technology HealthIT HHS Gov The Certified HIT Product List CHPL provides the authoritative comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT ONC Each Complete EHR and EHR Module listed below has been certified by an ONC Authorized Testing and Certifica
58. n this situation the orders entered in the ED using certified EHR technology would count for purposes of determining the computerized provider order entry CPOE Meaningful Use measure Similarly other actions taken within the ED would count for purposes of determining Meaningful Use e The patient initially presented to the ED and is treated in the ED s observation unit or otherwise receives observation services Patients who receive observation services under both POS 22 and POS 23 should be included in the denominator 12 Health Insurance Portability and Accountability Act of 1996 CMS Centers for Medicare amp Medicaid services Public Law 104 191 104 Congress Date accessed November 22 2010 13 HITECH and Funding Opportunities The Office of the National Coordinator for Health Information Technology United States Department of Health amp Human Services Date accessed November 22 2010 14 National Provider Identifier Standard NPI Overview CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 SLR Eligible Professional User Guide 58 Term Acronym Office of the National Coordinator ONC for Health Information Technology Office Visit Patient Authorized Entities Patient Specific Education Resources Permissible Prescriptions Preferred Language Prescription Problem List Provider
59. nd date of the representative period based on the start date you entered Total Encounters text field enter the total encounters for the period you noted above Total Montana Medicaid Encounters text field enter your total Medicaid encounters for the period Do you want your volumes for all states to be used to determine eligibility radio buttons identify whether or not you want to use the other states volumes to determine your eligibility If you chose the Yes radio button the Add a State component will appear Select the Add a State l button to add another row to the table a State pull down column select a State to enter the encounter information for that State b Total Encounters column enter the encounters for the State and selected time period C Total Medicaid Encounters column d Total Panel Members column e Total Medicaid Panel Members column f Insert link adds the numbers to the multi State table Cancel link cancels the operation Remove link This will remove the associated row Select the Add a State ij button to add another row to the table Total Montana Medicaid Panel Members Assigned text field enter your total assigned Panel Members Panel Members are patients for whom you receive capitation payments Panel members are members seen in the calendar year This is help text that defines panel members Total Panel Members Seen text field enter the total number of Panel Members th
60. nge of information requires that the provider must use the standards of certified EHR technology as specified by the Office of the National Coordinator for Health IT not the capabilities of uncertified or other vendor specific alternative methods for exchanging Clinical information Electronic Exchange of Clinical Information i EHR Incentive Programs Eligibility Eligible Hospitals CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 0 EHR Incentive Programs Eligibility Eligible Professionals United States Department of Health amp Human Services Date accessed November 22 2010 EULA Webopedia QuinStreet Inc Date accessed November 22 2010 SLR Eligible Professional User Guide Term Acronym Federally Qualified Health Center FQHC Health Insurance Portability and Accountability Act of 1996 HIPAA Health Information Technology HIT Health Information Technology for Economic and Clinical Health Act of 2009 HITECH Medication Reconciliation National Provider Identifier NPI Observation Services Method Explanation Expansion A type of provider that includes all organizations receiving grants under Section 330 of the Public Health Service Act Advantages include grant funding enhanced Medicare and Medicaid reimbursement medical malpractice coverage through the Federal Tort Claims A
61. nuary 1 2013 will be in the 2013 program year Each State has a designated Grace Period in the beginning of the year during which users that have not submitted an Attestation Agreement can elect the year for which they are Attesting Users can select the current year and submit Eligibility numbers for the previous fiscal year or select the previous year as their Program Year and enter numbers from the year before that Select Attestation Program Year Program Year Select a Program Year bd A Save and Continue SLR Eligible Professional User Guide Application Architecture The SLR Web application features the following e Compliance with Section 508 accessibility guidelines e Accessibility from the internet ACS has made every effort to make this site accessible to people with disabilities In the event you experience difficulty accessing this site with assistive devices please contact our Help Desk at 866 879 0109 for assistance in obtaining the information you need State of Montana accessibility standards are available for review e Secure protected page access Materials and Preparations Materials the user will need to use the software e Computers with access to the web browser e Software Adobe Acrobat Reader installed on your machine to view PDF files e Pop up Blocker browser feature should be set to Off to receive the Pop up window features e Manuals and or FAQ s that are available for dis
62. on related to the payment of Provider incentive payments provided for under the ARRA Electronic Health Record An Electronic Health Record EHR is an electronic version of a patients EHR medical history that is maintained by the Provider over time and may include all of the key administrative clinical data relevant to that persons care under a particular Provider including demographics progress notes problems medications vital signs past medical history immunizations laboratory data and radiology reports Electronic Medical Record An electronic medical record EMR is a computerized medical record EMR created in an organization that delivers care such as a hospital and doctor s surgery 7 Electronic Health Records Overview CMS Centers for Medicare amp Medicaid services United States Department of Health amp Human Services Date accessed November 22 2010 8 Electronic medical record Wikipedia The Free Encyclopedia Wikimedia Foundation Inc Last modified November 5 2010 Date accessed November 22 2010 SLR Eligible Professional User Guide 56 Term Acronym Explanation Expansion Eligible Hospital EH For the purposes of the Medicaid EHR Incentive Program and SLR applications documentation an eligible hospital EH is defined as the following Acute care hospitals including Critical Access Hospitals and cancer hospitals with at least 10 Medicaid patient volume Children s hospitals no
63. on you have just entered Step 2 Confirm Group Medicaid Eligibility The Confirm Group Eligibility page is identical to the associated page for EPs except that it has an additional section at the top the Group Medicaid Volumes section 1 See Section 3 6 4 Step 2 Confirm Medicaid Eligibility above for a complete description of the rest of the fields on this page 2 The Group Medicaid Volumes section allows to user to select whether to use Group Medicaid volumes for the entire Group Group Medicaid Volumes Do you want to use Group Medicaid volumes for all providers associated with the group O O The system will move you onto Step 3 Group Certified EHR Information and the status icon on your home page will change to indicate that your eligibility information is complete Step 3 Group Certified EHR Information Clicking the Group Certified EHR Information link on the Group Home page directs you to Step 3 of the process This page allows you to enter your practice s EHR technology information 1 Do you wish to use Group Certified EHR Technology information for all providers you are managing radio button select the Yes radio button to apply the EHR Technology you enter on this page to all the members of the Group The Your Understanding section will appear 2 Your Understanding section click the checkbox to affirm your responsibility The Your EHR Certification Information section will appear 3 Your EHR Certification
64. ou have entered SLR Eligible Professional User Guide 18 My Account Make changes to your account below Changing the contact information here does not change the contact information set up under the About You page or the contact information provided to CMS in the registration process SLR generated messages will be sent to all email accounts recorded for this provider UserID msepo4 Password Click H han Select a Challenge Question What is your favorite or dream destination w Your Answer to the Challenge Question Phone 4i i E mail address email email com name domain com Cancel and lose My Account changes SLR Eligible Professional User Guide Navigating SLR Hard and Soft Stops Certain fields are required to be populated like the Professional License Number field on the Step 1 About You page Other fields are both required to be populated and checked against another system to ensure they are correct such as the EHR Certification Number field on the EHR Certification page The State decides whether required fields are hard or soft stops e Hard Stop the system will not allow the user to proceed to the next step without populating the field and having it validated correctly if necessary The information on the page cannot be saved until the field is populated correctly e Soft Stop the user may proceed and enter other information in the system though the field is still requi
65. oup will have to use individual volumes d I practice in more than one Group clinic and am electing to use volumes from Group pull down menu After clicking the checkbox select the Group you wish to be associated with e I practice in both a group clinic and my own practice radio button this field appears if the No radio button in the Group Practice Eligibility Information field is selected Users select this button to use patient volumes in their own practice rather than the group to which they are affiliated Clicking this radio button opens the Group Practice Eligibility gt gt Opt Out window SLR Eligible Professional User Guide 28 Group Practice Eligibility Opt Out x Are you sure you want to opt out because you elect to use volumes from your individual practice If you proceed by clicking OK you will be unable to utilize the group clinic volumes You may contact the ACS Help Desk at 866 879 0109 to discuss the implications Clicking Cancel will reset your choice without saving any data f lam opting out of using any group clinic volumes and am electing to use my individual patient volumes radio button this field appears if the No radio button in the Group Practice Eligibility Information field is selected Users select this button to use their patient volumes with the group practice rather than the patient numbers of the group to which they are affiliated This will generally happen if overall the group
66. oviderpages ehrincentives shtm SLR Eligible Professional User Guide Overview As the healthcare landscape continues to modernize legislation was passed to encourage the adoption of Electronic Health Record EHR technology in documenting patient care Because of the American Recovery and Reinvestment Act ARRA of 2009 eligible Medicaid Providers are being offered financial incentives for the implementation and meaningful use of Health Information Technology HIT in the management of patient populations In support of this initiative ACS has developed the EHR Provider Incentive Portal application called the State Level Registry SLR By using SLR you have access to a streamlined application for federally funded HIT incentives through an easy to use website With self service flexibility you can move through registration eligibility and attestation at your own pace while the SLR application stores your information in an organized manner This application provides the most direct path to your incentive payment Dates An EP applying for the 2013 program year must have Medicaid eligibility dates between 10 1 11 9 30 12 For the states that are allowing additional periods the Hospital fiscal year that ends in prior Federal fiscal year must have an end date that ends between 10 1 10 9 30 11 An EH applying for 2013 program year must have Medicaid eligibility dates between 10 1 11 9 30 12 EHs starting their applications after Ja
67. ow This section contains four to five different sections depending on your selections Each of these sections contains three to 38 pages though not all are required 3 More info link opens the Attestation of AIU information pop up SLR Eligible Professional User Guide 32 3 Attestation of EHR Attest to Adopt Implement Upgrade Attest to Meaningful Use your Adoption EHR technology of participation only ta for a specific more info Note if the user has already completed their first year they must enter MU data and will receive the following message Attest To Meaningful Use Eligible Professionals attesting to Meaningful Use for the first time need to report Meaningful Use for a 90 day period in the current payment calendar year In this case the earliest date an Eligible Professional can submit an attestation for Meaningful Use for calendar year 2012 is April 1 2012 Please return to the site on April 1 2012 to complete your Meaningful Use attestation AIU Method Page Once the Attest to Adopt Implement Upgrade button is selected two new navigation options appear in the Navigation Menu AIU Method and EHR Certification The AIU Method page is opened This page allows you to choose the method of your AIU attestation and provide any supporting details for that choice 1 More info link opens a PDF document titled Attestation of AIU that explains how documentation would be attached for t
68. patient and Medicaid volume information 3 Group Certified EHR Information section allows you to enter Certified EHR technology information in particular the EHR Certification Number of your Group s software Each member of the Group will still have to attest to the technology they are using but the information may be pre populated for them 4 Manage Providers in Your Group section allows you to add members to your Group Enter Data on Behalf of Your Providers section page provides access to the individual pages of each provider in your Group In this way you can add or edit the information for each of these providers Workflow Section Details This section describes in more detail the specific steps needed to set up a Group in the SLR system Starting with Step 1 the About Your Group page you will enter your registration and contact information Like Eligible Professional users Group Users will have a Navigation SLR Eligible Professional User Guide 43 Menu to both access pages and keep track of their progress The five options correspond to the pages in the group component amp 1 About Your Group amp 2 Confirm Group Medicaid Eligibility amp 3 Group Certified EHR Technology information 4 Manage Providers in Your Group 5 Enter Data on Behalf of Your Providers Step 1 About Your Group Section Details Clicking the About Your Group link on the Group Home page opens the About Your Group page allowing you
69. r URL is a Uniform Resource Identifier URI that specifies where an identified resource is available and the mechanism for retrieving it If a patient is seen by a provider more than once during the EHR reporting period then for purposes of measurement that patient is only counted once in the denominator for the measure All the measures relying on the term unique patient relate to what is contained in the patient s medical record Not all of this information will need to be updated or even be needed by the provider at every patient encounter This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same EHR reporting period The term up to date means the list is populated with the most recent diagnosis known by the provider This knowledge could be ascertained from previous records transfer of information from other providers diagnosis by the provider or querying the patient 16 Taxpayer Identification Numbers TIN IRS gov Internal Revenue Service Last modified August 20 2010 Date accessed November 22 2010 17 Uniform Resource Locator Wikipedia The Free Encyclopedia Wikimedia Foundation Inc Last modified November 22 2010 Date accessed November 22 2010 SLR Eligible Professional User Guide 60
70. re changes in Meaningful Use measures as Stage 2 of the program take effect EPs will then meet 17 core measures for EHR usage and also choose SLR Eligible Professional User Guide 41 three from a menu of six additional measures A third and final stage of Meaningful Use is scheduled to begin in 2016 Step 4 Review and Sign Attestation Clicking the Review and Sign Agreement link on the EP Home page directs you to the 4 Review and Sign Agreement page where you will review the attestation agreement Once you have had a chance to review it you must print it out in order to sign it Once signed the agreement must be scanned and then uploaded into SLR The Review and Sign Attestation page displays the following 1 The Step 1 Print to Sign Attestation section contains the Print to Sign button When selected this will open a file Download window allowing you to open or save the Attestation Agreement and print a copy of the document 2 The Step 2 Scan and Upload Signed Attestation section contains an Attach Documentation component that will allow you to upload the Attestation Agreement You have the ability to remove and attach different files until you submit your final attestation 3 Save amp Continue button saves the information you have entered on this page and opens the Home page 4 Cancel and lose Review changes link clears the page of any information you have just entered and opens the Home page Once you have success
71. red and must be completed before the user can proceed to Step 4 Awarning message will be displayed on the page and an icon will be visible in the Navigation Menu At Step 4 the Attestation Agreement is produced and at this point all required fields must be completed before it can be generated Save and Continue SLR pages that require data entry have a Save amp Continue button _Save amp Continue gt When this is selected measures entered onto certain pages are validated For example the Total Medicaid Encounters entry must be 30 of the Total Encounters entry on the Confirm Eligibility page Only the Save amp Continue button will validate that the information in required fields is correct and save the results to the database Using any other kind of navigation the Back button on your browser or links in the Navigation Menu for example will abandon the page and the entries will not be saved Navigation Bar In Version 2 of SLR moving through the site is assisted by the use of a Navigation Menu on the left hand side of SLR pages though it does not appear on the Home page Only links to pages that are available to be accessed will be active in the Navigation Menu Inactive links appear light gray in color while active links are blue Icons appear next to the page links that indicate the status of each page and section in SLR whether it is complete has generated an error notice Ay or a required field or ta
72. rnate method for computing admissions to the ED is to include all ED visits POS 23 only in the denominator for all measures requiring inclusion of ED admissions All actions taken in the inpatient or emergency departments POS 21 and 23 of the hospital would count for purposes of determining meaningful use An exaggerated immune response or reaction to substances that are generally not harmful Unique Patient If a patient is seen by a provider more than once during the EHR reporting period then for purposes of measurement that patient is only counted once in the denominator for the measure All the measures relying on the term unique patient relate to what is contained in the patients medical record Not all of this information will need to be updated or even be needed by the provider at every patient encounter This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same EHR reporting period American Reinvestment The American Reinvestment and Recovery Act of 2009 is an economic and Recovery Act of 2009 stimulus package enacted by the 111th United States Congress in ARRA February 2009 Part of the act included money for health information technology HIT investments and payments Appropriate Technical A technical capability would be appropriate if it protected the electronic Capabilities health information created or maintained by the certified EHR
73. s This is the name of the application My Account link opens the My Account page Help link displays a PDF copy of this User Manual Contact Us link a pop up page displaying contact information including the ACS Help Desk phone number and email address Logout link allows you to log out of the SLR Web application Filing as Eligible Professional message designates your Provider Type Practice Name display field the name of your practice Practice Street Address display field your practice s street address Practice City State and Zip Code display fields the City State and Zip Code of your practice Affiliated with Group Practice Name display field If you are affiliated with a Group practice your Group s name will appear Last Updated display field displays the last person who updated your account and the date it was updated 2 Next Steps section Located to the left of the page the Next Steps section displays messages a Begin Continue Complete your Year X submission message displays the year of attestation you are currently completing b Section link communicates the next page in the process that must be completed c CMS Message display field this will display Data has has not been received SLR Eligible Professional User Guide from the CMS Medicaid EHR Incentive Program Registration site which indicates whether the SLR application has received data from the CMS 22 i View CMS Medicaid
74. s the Group Administrator and provide a single point of contact for the State Level Registration of the Medicaid EHR Incentive Payment process This individual will enter the volume information for the Group and this information will appear on each Group member s Confirm Medicaid Eligibility page Each member of the Group will still need to review and sign the Attestation form to ensure that the numbers are correct Group administrators will select the Group user type when they first create a SLR account Group Home Page The SLR Home page for Groups is similar to the home pages for EP and EH users See the EP Home page section for more information about the parts of this page The links in the Header and Footer sections the Reports and Messages sections and the Year tabs are all identical to the EP Home page except the messages will now include Group messages The only visible difference on the page for Group users is the Workflow section though it will still have five steps As with the EP Home page each of these is a link to the page representing that Step in the SLR process and each will have a completion icon that shows the status of the step The user is able to move unto the next step only after completing the first 1 About Your Group section allows you to enter information about the Group s primary contact By default this is populated with your user information 2 Confirm Group Eligibility section allows you to enter
75. s link Clicking this link opens a pop up page displaying contact information consisting of the ACS Help Desk phone number and email 2 SLR Account Creation Entry FAQs and RSS Feeds sections Located to the left and right of the page these columns display the following sections a Deadlines for Calendar Year Montana Medicaid EHR Incentive Payment Applications section contains links to information for both eligible professionals and eligible hospitals b Need to create an SLR account section clicking the leave this site and create an SLR account link directs you to the Create Account page c Already have an SLR account section Clicking the go directly to the State Level Registry for Provider Incentive Payments link directs you to the Login page d Centers for Medicare amp Medicaid Services CMS section clicking a link in this section opens up a new window and displays an article related to CMS SLR Eligible Professional User Guide 8 e EMR and HIPAA section clicking a link in this section opens up a new window and displays an article related to one of these healthcare topics f Are you Eligible section clicking the Run the CMS Eligibility Wizard link directs you to a wizard designed by CMS to help you determine basic eligibility to the provider incentive program g Frequently Asked Questions section clicking the view our list of most frequently asked questions link directs you to CMS frequently asked questions we
76. s will appear here For example the Registration and Attestation Summary Report link will appear after you have saved at least some information in the SLR Web application Clicking this link opens a pop up window displaying the report in PDF format 5 Messages sections Located to the left side of the home page the Messages section displays the following items a Audit section provides access to Audit messages b Appeals section provides access to Appeals messages c System Messages section provides access to System messages d Individual messages Clicking on one of the individual message links will reveal a message i The first line indicates the window title ii Subject display field SLR Eligible Professional User Guide 23 iii Date Received display field the date the message was sent iv From display field the sender the message v Message Text section the message text 6 Workflow section Detailed further below located to the right of the page the Workflow section displays the following items that are visible on the home page a Year x tabs each tab represents a year in which you have completed an attestation The most current year s tab will always be the one visible when you log in Click other tabs to view a previous year s information IB b Sections each section has a Status icon that indicates whether each page has been started whether the page has been completed or whether it is
77. se Medicaid Eligibility changes Once the About You and Eligibility pages are successfully saved the system will move to Step 3 Attestation of EHR The status icon on your home page will change to indicate that your eligibility information is complete Step 3 Attestation of EHR Details EPs may either attest that they have adopted implemented or upgraded EHR software or that they are actively using it in meaningful ways AIU can only be selected in the first year and it is a much easier attestation Clicking the Attestation of EHR link on the EP Home page directs you to the 3 Attestation of EHR page This lets you select Adopt Implement Upgrade AIU or Meaningful Use MU for your Attestation Type Once you have selected the Attestation Type you will then be able to upload documents related to your EHR Software enter its certification number and enter other information 3 Attestation of EHR The first step of completing this section is to choose the type of attestation You will be able to access this section once you complete the About You and Confirm Medicaid Eligibility pages This page displays the following 1 Attest to Adopt Implement Upgrade button opens the AIU workflow This option is available only in your first year of participating This section contains three pages the AIU Method page and the EHR Certification page in addition to the Attestation of EHR page 2 Attest to Meaningful Use button opens the MU workfl
78. sk was left undone Click the expend icon to l view all the submenu items Click the collapse icon EJ to hide the submenu items If the user elects to attest to the Meaningful Use MU of their EHR Technology solution MU Objective and CQM Clinical Quality Measure links will appear in the Navigation Menu lf the user attests to the Adoption Implementation or Upgrade AIU of the EHR Technology solution the AIU Method and EHR Certification page links will appear SLR Eligible Professional User Guide 20 About You 2 Confirm Medicaid Eligibility 3 Attestation of EHR E j icon Legend Y Complete A Warning Hard Stop In the example above the provider has completed Steps 1 and 2 and is now at Step 3 A required field has not been completed A hard stop will prevent the page from being saved SLR Eligible Professional User Guide 21 Applying for the Incentive as an Eligible Professional EP After you log in as an Eligible Professional EP user and accept the EULA the EP home page will open The home page serves as a dashboard and navigation tool for the SLR application Home Page The SLR Home page for EPs displays the following 1 Banner section Located at the top of the page the banner displays the following items that are visible on every page of the SLR application a b Montana s Medicaid logo and tagline SLR heading Montana Medicaid State Level Registry for Provider Incentive Payment
79. sociated row xii Edit link will enable fields for modifications in an inserted row Select the Add New Location l button to add another row to the table Add New Location Denominator EHR Street Address City State Zip Numerator Technology Percentage of total patient 0 00 encounters at locations where certified EHR technology is available e Select the Meet the Additional CMS Regulations and Following Statements checkboxes indicates that you agree with the associated statements SLR Eligible Professional User Guide 36 Oo agree that meet the additional CMS regulations for attesting to Meaningful Use understand that the State may choose to audit my records to verify that meet these regulations C agree with the following statements The information submitted for clinical quality measures COMs was generated as an output from an identified certified EHR technology The information submitted is accurate to the knowledge and belief of the EP or the person submitting on behalf of the EP eligible hospital or CAH The information submitted is accurate and compiete for numerators denominators exclusions and measures applicable to the EP eligibie hospital or CAH The information submitted includes information on all patients to whom the measure applies f For the first year only data captured during a 90 day period is required though a full year is required after that The Start Date and End D
80. technical specifications for the Import file Note the import function will import all records in the file or none of the records if an error occurs with the import If all required data is not populated for the Core and Menu objective then you will be required to manually enter and save SLR Eligible Professional User Guide 37 Meaningful Use Import Instructions Use the MU Import functionality to import your Core and Menu objective data The import function will import ith the import The data imported will display t data All validations performed on the individual Core and hall be used to play the appropriate visual indicators in the navigation r the Core and Menu objective then you will be required to manually enter and an error o s as read on all records in the file or none of the re J Objective de ges shall apply The MU import specification control document defines the format required to import Core and MU objective data T MU import Specification Control Document File Import Please select the Previous Screen button to go back or the Continue button to proceed x Cancel Continue 4 Navigation Menu The left hand Navigation Menu will contain page titles that serve as links associated with the MU pages that must be completed The majority of MU pages are collected in four or five subgroups Clicking the name of a subgroup or clicking the expand icon E will reveal all the pages
81. the Attach button L Allowed File Types bmp pdf jpeg jpg gif png doc docx xis xisx Subject PI File s Subject Filename A Cancel and lose file changes Timing Out SLR pages have a session timeout occur at 9 minutes and 30 seconds If no field has been modified or a page accessed during that time a pop up window shall appear asking if you wish to log out or continue to use SLR The pop up window itself will disappear in 30 seconds if no action is taken Troubleshooting Accessing Help For general Help all SLR web pages have a Help Link that opens up a copy of this User Manual For SLR Web application assistance you can contact the ACS Help Desk designated to support the SLR SLR Eligible Professional User Guide 52 Phone 866 879 0109 Email SLRHelpdesk acs inc com Help Text Displays Located throughout the SLR Web application there are tool tips help text and more info links that should help to complete the pages 1 Tool Tips A tool tip is text that displays when you hover your mouse over an area on the page CMS Medicaid EHR Incentive Program Registration Record Data has been received from the CMS Medicaid EHR Incentive Program Registration site View CMS Medicaid EHR Incentive Program Registration Data Vist CMS website a opens in new window 2 The more info link of this field will open a help window AIU Method Adopt v 3 Help Text Help text is t
82. tion Body ONC ATCB and reported to ONC Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program Please send suggestions and comments regarding the Certified Health IT Product List CHPL to ONC certification hhs gov with CHPL in the subject line Vendors or developers with questions about their product s listing should contact the ONC Authorized Testing and Certification Body ONC ATCB that certified their product USING THE CHPL WEBSITE To browse the CHPL and review the comprehensive listing of certified products follow the steps outlined below 4 Select your practice type by selecting the Ambulatory or Inpatient buttons below 2 Select the Browse button to view the list of CHPL products To obtain a CMS EHR Certification ID follow the steps outlined below 4 Select vane nrartire tune hv celectina the Ambulatnry ar Innatient hittans helow 4 Save amp Continue button saves the information you have just entered If you have left a required field blank or entered information incorrectly you will receive an error message Once you have successfully saved the information on all pages within the AIU Attestation of EHR the status icon on your home page will change to indicate that your Attestation of EHR section is complete The system will now allow you move onto Step 4 SLR Eligible Professional User Guide 34 Meaningful Use Section To attest for Meaningful Us
83. tive monies to eligible providers and hospitals including establishing a process to determine eligibility and track meaningful use The Department s objectives in this process include The implementation of a cost effective fully automated and auditable process to administer incentive payments to eligible providers and hospitals Development of incentive program administrative rules designed to maximize the opportunity for Montana Medicaid Providers to participate Diligent oversight of the incentive program including routine audits and quality assurance checks of meaningful use attestations and reporting mechanisms Coordination with community partners to help encourage the adoption of certified EHR technology and the electronic exchange of health care information To streamline the process in applying for the incentive and provide supportive resources throughout your HIT transition this web portal centralizes the national state and regional links for additional program information It also serves as the portal to access Montana s State Level Registry SLR In support of Montana s vision of this site also offers the following Acentralized one stop launching pad of available tools for managing your EHR Incentive information Organized information offering real time feeds of current HIT news and updates from other federal organizations Educate yourself today on the benefits of HIT and be a part of transforming the qua
84. tribution Also note that this application is compatible with Microsoft Internet Explorer V7 0 and above only SLR Eligible Professional User Guide 7 Method Login Accessing the SLR The SLR is a web based application accessible from the internet via the Provider Outreach Web portal or directly from a login URL 1 Open Microsoft Internet Explorer to access the Web 2 Type your State s URL in the address field and press the Enter key on your keyboard https mt arraincentive com SLR login from the Provider Outreach Web portal You can access the SLR Web application from the Provider Outreach Web portal This webpage features provider education resources related to the American Reinvestment and Recovery Act ARRA and the Health Information Technology for Economic and Clinical Health HITECH act and also provides a link to the SLR application login page The Provider Outreach page displays the following 1 Montana banner section Located at the top of the page the banner displays the following items that are visible on every page of the SLR application a Client logo and tagline This is the Montana Department of Public Health and Human Services logo and with SLR tagline b SLR heading Montana Medicaid State Level Registry for Provider Incentive Payments This is the name of the application c Provider Outreach Home link Clicking this link returns you to the Provider Outreach Home page d Contact U
85. vailable 1 EHR Certification page The EHR Certification page in the Meaningful Use section is identical to the EHR Certification page in the AIU section except that it also contains a Supporting Documentation section This allows the user to attach a file if needed Select the Provider Understands Responsibility checkbox to accept responsibility for finding and entering the correct EHR Certification Number into the previous page A link to the Office of the National Coordinator for Health IT ONC website is provided 2 EHR Reporting Period page CMS requires that providers meet specific regulations for attesting to Meaningful Use This page contains checkboxes and EHR Reporting Period fields a Numerator text field enter the number of patients with records in the certified EHR technology during the reporting period b Denoninator text field enter the total number of patients during the reporting period c Calculate button at least 80 of patients must have records in the certified EHR technology Numerator divided by denominator Percentage is displayed on the page EHR Reporting Period CMS requires that providers meet the following regulations for attesting to Meaningful Use 80 of patients must have records in the certified EHR technolog ogy Numerator Denominator Calculete Percentage d Add New Location table Eligible professionals who work at multiple locations but do not have certified EHR technology avai

Montana State Level Registry for Provider Incentive Payments

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