At the Forefront of Healthcare Transformation
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Earn your last payment in the
Illinois Medicaid PI Program!
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We are currently in the LAST Attestation period for the Illinois Medicaid PI Program. The attestation period for the 2021 program year ends August 31, 2021. We encourage you to attest early. Since we have reached the end of the program, there will not be any extensions as in past years. For details, please refer to the HFS Provider Notice.
For assistance with your final attestation, please contact your ILHITREC representative, or email us at Info@ILHITREC.org.
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August 31, 2021
Deadline to enroll in
CMS Primary Care Advanced
Alternative Payment Model (AAPM)
Find out how you can participate!
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The CMS Primary Care AAPM is a Direct Contracting advanced alternative payment opportunity that focuses on reinvesting dollars back into primary care. This program leverages the Clover Assistant Tool, a web-based application powered by clinical and claims data on Medicare beneficiaries. Clover Assistant dynamically surfaces up-to-date, patient-specific information, including care gaps, medications, and potential diagnoses, providing you with a comprehensive view, populated with data from anywhere aligned beneficiaries have received care. Minimally, participants need only confirm diagnosis on 90% of Medicare FFS beneficiaries.
Participation in the CMS Primary Care AAPM provides primary care clinicians with many benefits:
- earn at least 30% more revenue per visit on aligned Medicare FFS beneficiaries.
- earn $5 per beneficiary, per month (PBPM)
- receive 5% AAPM (MIPS) bonus and be excluded from MIPS reporting
- select from No Risk options
- additional revenue is paid with claims rather than 1 ½ years later like many shared savings programs
- receive direct support, on-site and remote, from ILHITREC Quality Improvement Advisors
If you are interested in participating, complete the Letter of Participation and include a list of your primary care physicians, physician assistants, and nurse practitioners with NPIs, and email to Info@iLHITREC.org.
Participation in the CMS Primary Care AAPM is limited and enrollment ends August 31, 2021 for the 2022 period. For more information email Info@ILHITREC.org or visit our website, www.ILHITREC.org.
This is an exciting opportunity to improve the quality of care for Medicare FFS beneficiaries and provide primary care with additional revenue. We look forward to hearing from you!
The ILHITREC Team
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Important Information
on the
Security Risk Analysis Objective
for 2021 Medicaid PI Attestation
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The Security Risk Analysis (SRA) Objective Requirements:
- SRA must be uploaded into the documents section in eMIPP under the SRA category in a pdf format only.
- SRA should still cover the entire year retrospectively from the beginning of the year to the point of analysis and prospectively from the point of analysis to the end of the year.
- Providers have the option to wait to upload their SRA by the end of the year if they choose to and still attest by the deadline.
- Please read the choices carefully as shown below in the screenshot of whether you need to attest Yes or No.
- Yes = If you answer Yes, then the SRA must be uploaded with the attestation.
- No = The SRA must be uploaded prior to the December 31st, 2021 deadline.
- Providers can receive payment before their SRA is uploaded if they meet all other program requirements.
- If the SRA is not uploaded by 12/31/2021 it will result in an automatic audit of payment.
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| HFS Provides Guidance Regarding Implementation of HealthChoice Illinois Admission, Discharge and Transfer (ADT) Platform |
HFS released a provider notice offering guidance to ambulatory/community providers regarding the implementation of HealthChoice Illinois ADT.
HealthChoice Illinois ADT is HFS' statewide technology platform, to facilitate transmission of HL7 formatted messages from hospitals, skilled nursing facilities and other institutions and notify ambulatory/community providers of patient admissions, discharges and transfers to improve care coordination and quality of care.
Illinois providers enrolled in the IMPACT system and engaged in care coordination services for Medicaid customers will be eligible to subscribe to HealthChoice Illinois ADT to receive ADT notifications for their patients. For details, please refer to the HFS Provider Notice.
Ambulatory/community providers are asked to complete a short survey to assist HFS in determining provider readiness and technology resources.
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Please note that ILHITREC's Clinical Informatics Specialists have expertise to assist you with any questions or concerns related to the EHR Incentive Programs. Contact us at info@ILHITREC.org or visit ILHITREC for complete details on the wide variety of services provided by ILHITREC.
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About Support Provided by ILHITREC
The Illinois Health Information Technology Regional Extension Center (ILHITREC), under contract with the Illinois Department of Health and Family Services (HFS), is providing education, outreach, EHR, and Meaningful Use support to Medicaid providers for the Promoting Interoperability Program. Contact us at info@ILHITREC.org.
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