2019 & 2020 Medicaid Meaningful Use Requirements: Stage 3

All eligible professionals (EPs), eligible hospitals, dual-eligible hospitals, and critical access hospitals (CAHs) are required to use 2015 edition certified electronic health record technology (CEHRT) to meet the requirements of the Promoting Interoperability Programs.

 The EHR reporting period for Medicaid EPs and eligible hospitals is a minimum of any continuous 90-day period.

The 2019 Physician Fee Schedule (PFS) Final Rule established that in 2019, Mediciad EPs who are returning participants must report on a one-year eCQM reporting period, and first-time meaningful users must report on a 90-day eCQM reporting period.

 

EPs are required to report on any six eCQMs related to their scope of practice. Medicaid EPs are also required to report on at least one outcome measure. If no outcome measures are relevant to that EP, they must report on at least one high-priority measure. If there are no outcome or high-priority measures relevant to an EP’s scope of practice, they must report on any six relevant measures.

The list of available eCQMs for EPs in 2019 is aligned with the list of eCQMs available for Eligible Clinicians under MIPS in 2019.  See resources below for a complete list of eCQMs.

For your reference, below are the Stage 3 Objectives, along with an infographic comparing 2018 Modified Stage 2 and 2019 Stage 3 requirements. See the Resource listings below for more information on objectives for both EPs and EHs.

Stage 3 Objectives (select image for PDF version)

Resources

2019 Medicaid Program Requirements

Eligible Professionals eCQMs

2019 Medicaid PI Program Eligible Professionals Objectives and Measures

2020 Medicaid PI Program Eligible Professionals Objectives and Measures