2018 Medicaid Meaningful Use Requirements
(Modified Stage 2 or Stage 3)

In the 2018 Program Year, providers have the option to attest to either Modified Stage 2 or Stage 3. If they choose to attest to Stage 3 their EHR has to meet the 2015 certification standards or a combination of 2014 and 2015 standards that would not prohibit them from meeting the Stage 3 measures. Here are some further details:

  • EPs can use 2014, 2015 or a combination of 2014/2015 certified EHR technology.
  • To report Modified Stage 2, EPs must use 2014 certified EHR.
  • To report Stage 3, EPs must use 2015 or a combination of 2014/2015 certified EHR technology.
  • The meaningful use reporting period for 2018 will be a continuous 90-day period within the 2018 calendar year.
  • Along with the core measures EPs will need to report 6 clinical quality measures (it can be a different 90-day period and do not need to cross domains).

Summary Chart of Modified Stage 2 and Stage 3 Requirements

For your reference, below is a summary chart of 2018 Modified Stage 2 and Stage 3 requirements, with links to more detailed information.

Modified Stage 2 vs Stage 3
Objective Measures Modified Stage 2 Stage 3
Objective 1: Protect Patient Information Perform Security Risk Analysis No Change
Objective 2: Clinical Decision Support 5 rules related to 4 CQM's No Change
Objective 3: CPOE meds/labs/rads 60%/30%/30% 60%/60%/60%
Objective 4: E-Prescribing 50% 60%
Objective 5: Health Information Exchange 10% < 100 referrals per reporting period exclusion 50% send summary care /
40% receive summary care for new patients /
Clinical info reconciliation for new patients 80%
Objective 6: Patient Education 10% Removed and Incorporated into the electronic access
Objective 7: Medication Reconciliation 50% Removed
Objective 8: Patient Electronic Access 50% Access 
>5% View, download, transmit
>80% - Patient electronic access
>35% - Receive access to education material
Objective 9: Secure Electronic Messaging >5% Changed to Coordination of care 5% messaging, 5% VDT, 5% patient entered info incorporated into CEHRT
Objective 10: Public Health Reporting Report on 2 out of 3 options Report on 2 out of 5 measures

Resources

Eligibility Flow Chart

EHR Medicaid Incentive Program Toolkit