Medicaid Promoting Interoperability

Did Meaningful Use go away? The short answer is no.

For Medicaid clinicians, MU stays in place but is now known as Promoting Interoperability, or Medicaid PI. Medicaid clinicians still need to successfully participate and attest for PI through 2021 to receive incentives, which means managing eligibility, compliance, and attestation while retaining information on payments and an audit trail.

For Medicare Part B clinicians, the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) rolled Meaningful Use (now PI), along with PQRS and VBM, into MIPS. Under MIPS, Promoting Interoperability (PI) represents 25 out of 100 total MIPS points. Medicaid PI is an “all or nothing” approach while under the PI portion of MIPS, clinicians have additional reporting requirements, as shown in the highlights below:

Must report on all objective and measure requirements
One-size-fits-all – every measure reported and weighed equally
All-or-nothing EHR measurement and quality reporting
Misaligned with other Medicare reporting programs

Organizations with both Medicare and Medicaid payments will need to successfully manage both programs simultaneously to maximize reimbursement.