Electronic Health Record incentive payments

Managing billions of dollars in EHR adoption incentives

Medicare and Medicaid Electronic Health Record (EHR) incentive programs, authorized by the American Recovery and Reinvestment Act of 2009, provide up to $34 billion in funding to eligible professionals and hospitals for the adoption of EHR technology.

CGI works with the Centers for Medicare & Medicaid Services (CMS) on systems that support Medicare provider EHR adoption incentive programs. For Medicaid, state agencies are responsible for applying for, managing and distributing incentive payments to eligible professionals and hospitals that are "meaningful users" of EHR technology. For many states, this means managing tens or hundreds of millions of federal dollars flowing into their states.

CGI's Medicaid Incentive360® solution helps states meet aggressive deadlines, comply with complex eligibility rules, and perform accurate payment calculations and application processes. The solution has helped states such as Minnesota, Nevada, Ohio, Texas and Virginia implement on-time, reduce risk and achieve predictable costs, while minimizing disruption to current operations. These states combined have disbursed more than $590 million in Medicaid EHR incentive payments as of November 2012.

CGI Medicaid Incentive 360 supports all of the Adopt, Implement, Upgrade (AIU) and Stage 1 Meaningful Use (MU) provider attestations. Starting in January 2013, it will also support the revisions from the Stage 2 MU rules that retroactively affect the AIU and Stage 1 requirements.

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.