Meaningful Use

Medicare and Medicaid Electronic Health Records Incentives Program

Through the American Recovery and Reinvestment Act of 2009 (Recovery Act), the Centers for Medicare and Medicaid Services (CMS) is authorized to make incentive payments to eligible professionals (EPs) and eligible hospitals (EHs) demonstrating meaningful use of certified Medicare and Medicaid Electronic Health Records (EHR) technology.

The three main components of Meaningful Use include:

  1. The use of a certified EHR in a meaningful manner, such as e-prescribing.
  2. The use of certified EHR technology for electronic exchange of health information to improve the quality and coordination of health and health care.
  3. The use of certified EHR technology to submit clinical, quality and other measures.

Simply put, "Meaningful Use" means providers need to show they're using certified EHR technology in specific ways that can be measured significantly in quality and in quantity. Missouri is capable of accepting Meaningful Use Stage 1 and Stage 2 messages for EPs and EHs.

Beginning Your Data Submission Process

information sheet

In order to register your intent for Meaningful Use data submission, complete the applicable form below. Please note that completion of the Meaningful Use Public Health Registration of Intent does not place you in the onboarding queue. You will be contacted by Department of Health and Senior Services (DHSS) staff with followup questions. When DHSS is ready to initiate, you will be invited to begin the onboarding process.

eligible hospitals/cahs registration of intent     eligible professionals registration of intent form

 

Stage 1 Measure
Stage 2 Measure
Resources

 

Eligible Professionals
Eligible Hospitals
Eligible Professionals
Eligible Hospitals

 

Immunizations

One (1) test of submission to Public Health Authority (PHA) - ShowMeVax with continued submission recommended if successful

One (1) test of submission to Public Health Authority (PHA) - ShowMeVax with continued submission recommended if successful

Ongoing submissions to PHA - ShowMeVax

Ongoing submissions to PHA - ShowMeVax

Reportable Lab Results

Meaningful use incentives not available

One (1) test of submission to PHA with continued submission recommended if successful

Ongoing submissions to PHA

Ongoing submissions to PHA

Syndromic Surveillance
One (1) test of submission to PHA-MO ESSENCE with continued submission recommended if successful One (1) test of submission to PHA-MO ESSENCE with continued submission recommended if successful Ongoing submissions to PHA-MO ESSENCE Ongoing submissions to PHA-MO ESSENCE
Cancer Registry
(under development)

 

 

Ongoing submissions to PHA

 

Timing and Eligibility for Incentives

The Medicare and Medicaid EHR Incentive programs will provide incentive payments to eligible professionals (EPs) and eligible hospitals (EHs) as they adopt, implement, upgrade or demonstrate Meaningful Use of certified Medicare and Medicaid Electronic Health Records (EHR) technology.

The Centers for Medicare and Medicaid Services (CMS) EHR incentive program is set up in three stages over the next five years and began with Stage 1 in early 2011. Eligibility criteria and requirements vary by program. EPs may apply for either the Medicare or Medicaid program; they may switch programs once prior to calendar year 2016. EHs may apply for both Medicare and Medicaid incentives.

What are the Criteria for Meaningful Use?

In order to receive incentive payments, EPs and EHs must comply with the criteria for Meaningful Use. For EHs that have been submitting electronic syndromic surveillance data, please confirm that the information is coming from your certified EHR instead of your billing data.

Incentive payments will be staged in three steps over the course of the next five years.

The Stage 1 meaningful use criterion includes 15 “core” objectives for EPs and 14 for EHs. EPs and EHs in the final rule both have 10 objectives in a “menu set” from which they select and comply with five (5). Included in the “menu sets” are objectives related to public health: Number 9 and 10 for EPs and Numbers 8, 9, and 10 for EHs.

The Stage 2 ongoing submission of electronic data for immunizations is in the core set for EPs and ongoing submission of electronic data for immunizations, reportable laboratory results, and syndromic surveillance are in the core set for EHs. In addition, there are menu objectives for reporting syndromic surveillance data, for reporting to cancer registries, and other specialized registries.

Eligible Professional Syndromic Surveillance Information

The Department of Health and Senior Services (DHSS) accepts syndromic surveillance data for Stage 1 and Stage 2 MU from hospital emergency rooms and urgent care clinics.  Eligible professionals do not meet the current criteria for submission of syndromic surveillance data to DHSS.

What role does DHSS play?

To accomplish the goals of Meaningful Use, DHSS works with each provider to confirm their submission of electronic data and that their data submissions meet the national standards. Any changes to the provider’s electronic file require DHSS to review the file to assure the changes have not impacted the quality of the data. You may contact the department at (573) 522-5008 or submit questions about electronic data submissions to MoPHIE@health.mo.gov.