Title 42, Part 495 — Standards for the Electronic Health Record Technology Incentive Program

Basis and purpose.

Definitions.

Requirements for EPs seeking to reverse a hospital-based determination under § 495.4.

Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs before 2015.

Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs for 2015 through 2018.

Stage 3 meaningful use objectives and measures for EPs, eligible hospitals and CAHs for 2019 and subsequent years.

Demonstration of meaningful use criteria.

Participation requirements for EPs, eligible hospitals, and CAHs.

Definitions.

Incentive payments to EPs.

Incentive payments to eligible hospitals.

Incentive payments to CAHs.

Posting of required information.

Preclusion on administrative and judicial review.

Definitions.

Identification of qualifying MA organizations, MA-EPs and MA-affiliated eligible hospitals.

Incentive payments to qualifying MA organizations for qualifying MA-EPs and qualifying MA-affiliated eligible hospitals.

Timeframe for payment to qualifying MA organizations.

Avoiding duplicate payment.

Meaningful EHR user attestation.

Payment adjustments effective for 2015 and subsequent MA payment years with respect to MA EPs and MA-affiliated eligible hospitals.

Limitation on review.

Basis and purpose.

Definitions.

Medicaid provider scope and eligibility.

Establishing patient volume.

Net average allowable costs as the basis for determining the incentive payment.

Medicaid provider incentive payments.

Process for payments.

Activities required to receive an incentive payment.

State monitoring and reporting regarding activities required to receive an incentive payment.

State responsibilities for receiving FFP.

FFP for payments to Medicaid providers.

FFP for reasonable administrative expenses.

Prior approval conditions.

Disallowance of FFP.

Request for reconsideration of adverse determination.

Termination of FFP for failure to provide access to information.

State Medicaid health information technology (HIT) plan requirements.

[Reserved]

Health information technology planning advance planning document requirements (HIT PAPD).

Health information technology implementation advance planning document requirements (HIT IAPD).

As-needed HIT PAPD update and as-needed HIT IAPD update requirements.

Annual HIT IAPD requirements.

Approval of the State Medicaid HIT plan, the HIT PAPD and update, the HIT IAPD and update, and the annual HIT IAPD.

Access to systems and records.

Procurement standards.

State Medicaid agency attestations.

Reporting requirements.

Rules for charging equipment.

Nondiscrimination requirements.

Cost allocation plans.

Software and ownership rights.

Retroactive approval of FFP with an effective date of February 18, 2009.

Review and assessment of administrative activities and expenses of Medicaid provider health information technology adoption and operation.

Financial oversight and monitoring of expenditures.

Combating fraud and abuse.

Appeals process for a Medicaid provider receiving electronic health record incentive payments.