The following information is provided for educational purposes only and should not be regarded as clinical or legal advice. Veradigm does not ensure the accuracy of this information and does not guarantee that following this information will result in receiving any government payment. It is the attesting healthcare providers responsibility to comply with all program requirements.
The voluntary Medicaid EP PI program is administered by states and territories as approved by the Centers of Medicare and Medicaid Services (CMS). The Medicaid EP PI program is separate and in addition to the QPP requirements. Eligible Professionals (EP) that participate in the Medicaid EP Promoting Interoperability program attest directly to the state. Providers opting to report must have begun reporting in 2016, qualify for the Medicaid patient volume threshold and must not have yet received all six available EHR incentive payments. The last year for achieving Medicaid EP EHR Incentive Payments is 2021. The last attestation submission date for 2021 is September 30th 2021 or earlier as required by the state Medicaid EP entitiy.
The PINNACLE Registry and the Diabetes Collaborative Registry are both considered registries under the Clinical Data Registry Reporting measure of Objective 8: Public Health and Clinical Data Registry Reporting.
Click here for the 2021 Medicaid EP detailed specification sheet for Objective 8: Public Health and Clinical Data Registry Reporting.
The PINNACLE Registry® and the Diabetes Collaborative Registry® captures valuable data on coronary artery disease, hypertension, heart failure, atrial fibrillation and diabetes in the outpatient setting to provide clinical insights to practices. The registries have been approved as a single Qualified Clinical Data Registry (QCDR) for the 2021 Merit-based Incentive Payment System (MIPS) Program Year, offering eligible participating practices a free and easy solution to report MIPS data in 2021.
Practices must be currently submitting data via System Integration (SI) or Secure File Transfer Protocol (SFTP) to have the registries submit MIPS data to CMS on their behalf.
Measures indicated as available for public reporting on Care Compare are required to meet certain standards set by CMS. These measures must be statistically valid, reliable, accurate, comparable across submission mechanisms and meet the minimum reliability threshold to be included in the Provider Data Catalog. The measures are posted publicly in plain language, making them easier to understand. Measures in their first two years, measures with fewer than 20 reporters, non-risk adjusted QCDR outcome and non-proportional measures are not available for public reporting.
Details on the CMS approved 2021 QPP and QCDR measures for the PINNACLE and Diabetes Collaborative QCDR are below:
Eligible clinicians who are actively submitting data to the PINNACLE Registry or the The Diabetes Collaborative Registry can request that we report their 2021 MIPS data on their behalf to CMS via the PINNACLE and Diabetes Collaborative QCDR. To initiate this, clinicians must complete an electronic data release consent form (eDRCF). Groups reporting with the registries will only need to sign one eDRCF while individual providers are required to submit one eDRCF for each provider reporting.
The eDRCF collects clinician and group consent. This is an annual requirement by CMS that allows the QCDR to release data to CMS on the clinicians’ or groups’ behalf. Only data for eligible clinicians and groups will be submitted to CMS if the QCDR receives a completed eDRCF by the specified deadline.
For more information, see our MIPS Frequently Asked Questions.
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