Revenue Cycle Management Blog | GroupOne Health Source

Differences between the Medicare & Medicaid EHR Incentive Programs

Written by Kaitlyn Houseman | April 6, 2011
Stimulus payments have begun but do you understand the differences between the Medicare and Medicaid Stimulus programs?  Consult the following chart to make sure you sign up for the correct stimulus program. 

Medicare

Medicaid

Federal Government will implement

(will be an option nationally)

Voluntary for States to implement (may not be an option in every State)

Payment reductions begin in 2015 for providers that do not demonstrate Meaningful Use

No Medicaid payment reductions

Must demonstrate MU in Year 1

A/I/U option for 1st participation year

Maximum incentive is $44,000 for EPs

(10% bonus for EPs in HPSAs)

Maximum incentive is $63,750 for EPs

Meaningful Use definition is common for Medicare

States can adopt certain additional requirements for Meaningful Use

Last year a provider may initiate program is 2014; Last year to register is 2016; Payment adjustments begin in 2015

Last year a provider may initiate program is 2016; Last year to register is 2016

Only physicians, subsection (d) hospitals and CAHs

5 types of EPs, acute care hospitals (including CAHs) and children’s hospitals

Please note: AIU = Adopt, Implement and Upgrade

CAH = Critical Access Hospital

HPSA = Health Professional Shortage Area

For any questions regarding the Medicare or Medicaid EHR Stimulus Programs do not hesitate to visit the GroupOne Stimulus section of the website or send an email to services@g1hs.com.  Learn more about these Meaningful Use Stimulus programs by registering for a free eClinicalWorks Demonstration.