CPCA

FQHC Meaningful Use Registration Toolkit - Public

DISCLAIMER: The information in this tool kit is intended only to provide a general overview of the topics addressed.  This tool kit is not intended to provide legal advice or to substitute for the guidance, counsel or advice of legal counsel on any matters particular to a specific primary care clinic.

DO NOT COPY OR DISTRIBUTE the contents of the Registration Tool Kit to anyone outside of your clinic or health center.

The following material is meant to assist health centers when preparing and registering for Medi-Cal meaningful use incentive payments on behalf of their providers.  CPCA recommends that at least one person at the health center review all the material in the Tool Kit, and then determine the key staff at the organization to handle the various aspects of meaningful use.  CPCA encourages the user of the Tool Kit to adapt the resources as is appropriate for his/her health center.  

II. Fast Facts
This document is intended for a CEO/ CIO/ CMO or other management that is overseeing the meaningful use incentives program at the health center.  It contains the most relevant information related to meaningful use and applying for a payment for stage 1. 

III. Readiness Check List
This document is intended for a CEO/ CIO/ CMO or other management that is overseeing meaningful use incentives program at the health center.  The checklist is an attempt at an exhaustive list of items and data necessary for applying and receiving meaningful use incentive payments.  It is likely that more than one management level position at the health center will need to review this document and coordinate an appropriate process.

IV. CEO Script
This section contains a suggested framework of talking points and elements to include when a CEO or a CMO approaches their providers about the incentive payments and reassigning the payment to the health center.  CPCA created the elements in the script to be tailored to a conversation or a letter.  Each CEO/CMO should determine which elements make the most sense to include in their conversations with providers. Key provisions of the meaningful use rule that would be applicable for providers can be found in the “Basics for Providers” Section V. 

V. Basics for Providers
This fact sheet is meant to accompany communication the CEO or CMO has with providers about meaningful use. It is an attempt to distill the meaningful use information down to what a provider would be interested in and what is relevant to him/her. 

VI. Registration Organizer
The Registration Organizer outlines all the information a health center will need in order to register for the meaningful use incentives, either as a group or assisting their providers register individually.

CMS is allowing third party registration on the national level registry, however they do not allow for providers to register as a group.  An eligible professional may elect a third party to register on his/her behalf.

On the state side in California, there will be third party registration capabilities and group registration, though even with group registration there will still be elements where a third party must fill out information for each provider in the group individually.

VII. Contract Template
The contract template was created by CPCA legal counsel, Lawrence B. Garcia with Gordon and Rees LLP, and is meant to serve as a template for health centers looking to revise contracts with their providers.  This contract template is not a substitute for the guidance, counsel or advice of legal counsel on any matters particular to a specific primary care clinic.

VIII. Dentist Crosswalk
Fortunately dentists are eligible professionals in the Medicaid Meaningful Use Incentive Program; however, there are barriers to their robust participation.  In the first year, dentists at health centers can attest to A/I/U, however in the second years when reporting is mandatory it becomes more difficult because a dentist must use a certified EHR to participate.  There are no standards by which to certify electronic dental records (EDRs), and thus no certified EDRs.  Further there are no oral health measures in Stage 1 meaningful use for dentists to capture.  The crosswalk is a tool for dentists at health centers to use in understanding meaningful use and how they can participate.

IX. Stage 1 Clinical Quality Measures and Functional Objectives and Measures
The measures for Stage 1 meaningful use are included as a reference.

To note, there are overlaps with meaningful use Stage 1 measures and UDS measures, as well as NCQA Patient Centered Medical Home 2011 criteria. 
 

CPCA Contact

If you have any questions about this Toolkit, contact Andie Patterson, Deputy Director of Regulatory Affairs, at apatterson@cpca.org.

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