Medicaid EHR Incentive Program

Managing billions of EHR incentive dollars through
CGI's Medicaid Incentive360

Transformation of the health industry continues with the rollout of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. These unprecedented programs, authorized by the American Recovery and Reinvestment Act of 2009 (ARRA), provide up to $34 billion in funding to eligible Medicare and Medicaid professionals and hospitals for the adoption of EHR technology.

Under the Medicaid program, state Medicaid agencies are responsible for applying for, managing and distributing incentive payments to eligible professionals and hospitals that are meaningful EHR users. For most states, this means managing tens of millions if not hundreds of millions of federal dollars flowing into each state. The timeline is aggressive, the eligibility rules and payment calculations are complex, and states must ensure their application processes are accurate.

CGI is here to help. CGI experts work with the Centers for Medicaid and Medicare Services (CMS) on systems that support Medicare provider EHR adoption incentive programs and have an in-depth understanding of program requirements. Using our insights into state requirements, CGI's Medicaid Incentive360® helps states such as Ohio and Texas achieve on-time implementations, reduced risks and predictable costs with minimal disruption to current operations. Texas was one of the first  to disburse EHR incentive payments and has paid out more than twice the amount of any other state. Texas and Ohio combined have disbursed more than $330 million in incentive payments through January 2012.Also for these states, CGI has launched Stage One Meaningful Use functionality to be used by providers to submit specific evidence of meeting a minimum number of meaningful use objectives as well as quality measures. This will be required to qualify for incentive payments in the second and subsequent years of the program.

CGI’s Medicaid Incentive360 solution offers the tools and expertise states need to effectively implement and manage program requirements. Key services include:

  • Program management: While strategic decision making authority over the new program resides with each state, CGI provides business and technical program management services, including project management, service level monitoring and reporting, and stakeholder engagement.
  • Business services: CGI handles business administration for the new program, including communications and outreach; policy and procedure management; call centers; dispute resolution; reporting/auditing; fraud, abuse and duplication monitoring; and payment processing. 
  • Technical services: Our technical services include infrastructure management, portal registration capabilities, attestation and inquiry, interface administration, and the promotion of data exchange initiatives. 

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For more information, review our  Medicaid Incentive360 brochure or contact a CGI representative at HealthIT@cgi.com to arrange a time to talk.