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10.25.16.00.htm 10.25.16.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 25 MARYLAND HEALTH CARE COMMISSION Chapter 16 Electronic Health Record Incentives Authority: Health-General Article, §19-103(c)2)i) and (ii) 19-109(a)1) and 19-143(d)1) (2) (3) and (4) and (i) Annotated Code of Maryland
10.25.16.01.htm 10.25.16.01. 01 Scope.. A. This chapter applies to each payor that is required to provide an incentive payment to each primary care practice, including a practice owned by a hospital, that adopts and reaches an approved level of use of electronic health records.B. Only a primary care practice that meets the requirements established in this chapter may receive an adoption incentive for electronic health record adoption under this program.
10.25.16.02.htm 10.25.16.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Achieved NCQA level two recognition” means a primary care practice has received recognition from NCQA for meeting NCQA’s 2011 or later standards for a level two patient-centered medical home.2) “Attested to meaningful use” means a physician or nurse practitioner within a primary care practice has achieved the meaningful use requirements under either the Medicaid o
10.25.16.03.htm 10.25.16.03. 03 Program Description.. A. An EHR adoption incentive shall be available to a primary care practice that meets the requirements set forth in Regulation .04 of this chapter.B. A payor may exclude from a primary care practice’s EHR adoption incentive calculation the payor’s patient members who were previously included in another primary care practice’s EHR adoption incentive calculation.C. A payor may, upon notification to a primary care practice:. 1) Request additional inf
10.25.16.04.htm 10.25.16.04. 04 Participation Requirements.. A. To be eligible for an EHR adoption incentive under this chapter, a primary care practice shall:. 1) Adopt a certified EHR;. 2) Complete and submit an EHR adoption incentive request to each appropriate payor from which the practice desires an incentive award; and3) Demonstrate that the primary care practice has either:. a) Attested to the current meaningful use requirements under the Medicare or Medicaid EHR Incentive b) Participates in any MH
10.25.16.05.htm 10.25.16.05. 05 Incentive Payment Calculation by Payor.. A. An EHR adoption incentive is calculated at $25 per member, up to a maximum of $15,000, and limited to the payor’s patient members on the practice panel.B. Upon request by a primary care practice, a payor shall provide the practice, in a timely manner, with an accounting of its EHR adoption incentive including the names of each patient included in the EHR adoption incentive calculation.
10.25.16.06.htm 10.25.16.06. 06 Reporting.. A. A payor shall submit:. 1) An annual report to the MHCC for calendar years 2011―2018 no later than 90 days after the end of each calendar year; and2) At the request of the MHCC, a payor shall submit an interim report within 30 days of the Commission’s request.B. The annual and interim reports shall include:. 1) The number of EHR adoption incentive requests received by the payor for the requested calendar year or time period;2) The number of EHR adop
10.25.16.07.htm 10.25.16.07. 07 Incentive Program Transition. A. A payor has until the end of the implementation period to implement this chapter’s requirements.. B. Except as provided in §E of this regulation, a primary care practice that received an incentive under earlier incentive program requirements is not eligible to receive an incentive under the requirements of this replacement chapter.C. A primary care practice may be eligible to receive an incentive provided under the requirements o
10.25.16.9999.htm 10.25.16.9999. Administrative History Effective date: May 16, 2011 (38:10 Md. R. 615). Regulation .01 amended as an emergency provision effective October 21, 2011 (38:24 Md. R. 1495) amended permanently effective January 9, 2012 (38:27 Md. R. 1764)Regulation .02B amended as an emergency provision effective October 21, 2011 (38:24 Md. R. 1495) amended permanently effective January 9, 2012 (38:27 Md. R. 1764)Regulation .03 amended as an emergency provision effective October 21, 2011
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