Who is an “eligible professional” for the Medicaid EHR Incentive Program?
In Medicaid, eligible professionals (EPs) include physicians, dentists, certified nurse midwives, nurse practitioners; physician assistants practicing in rural health clinics or Federally-Qualified Health Centers (FQHCs) led by a physician assistant are also eligible. EPs must have at least a 30% patient volume attributable to Medicaid (20% for pediatricians). MO HealthNet has proposed that EPs have the flexibility to base their volume on either (1) the EP’s individual Medicaid patient encounters as a percentage of the EP’s total encounters or (2) the practice’s total Medicaid encounters as a percentage of the practice’s total patient encounters. MO HealthNet must receive approval from the Centers for Medicare and Medicaid Services (CMS) before this approach is finalized.
Related Questions
- Under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program, who is responsible for demonstrating meaningful use of certified EHR technology, the provider or the vendor?
- Are optometrists considered eligible professionals for the Medicaid EHR Incentive Program?
- When will MO HealthNet begin enrollment for the Medicaid EHR Incentive Program?
