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ILHIE Medicaid Work Group Meeting Minutes - June 13 2011 

June 13, 2011

In-person and phone Attendees:
  • Ann Bobb, Children's Memorial Hospital
  • Julie Bonello, Access Community Health Network
  • Kelly Carter, Illinois Primary Health Care Association
  • Connie Christen, Department of Healthcare and Family Services (HFS)
  • Mary Driscoll, Department of Public Health (DPH)
  • Patricia Elliott, St. Alexius Medical Center
  • Barbara Fisher, DPH
  • Margaret Gadon, IFMC-IL
  • Patrick Gallagher, Illinois State Medical Society
  • Ivan Handler, Office of Health Information Technology (OHIT)
  • Krysta Heaney, OHIT
  • Roger Holloway, Illinois Health Information Technology Regional Extension Center (IL-HITREC)
  • Peter Ingram, Sinai Health System
  • Vince Keenan, Illinois Academy of Family Physicians
  • Mike Koetting, HFS
  • Stanley Krok, Children's Memorial Hospital
  • John Lekich, HFS
  • Mary McGinnis, OHIT
  • Elizabeth McKnight, Chicago Health Information Technology Regional Extension Center (CHITREC)
  • Susan Melczer, Metropolitan Chicago Healthcare Council
  • Chris Monovich, Pfizer
  • Paige Pfenninger, Alexian Brothers Health System
  • Renee Perry, HFS
  • Mary Ring, Illinois Critical Access Hospital Network
  • Gwen Smith, HFS
  • Janna Stansell, Health & Medicine Policy Research Group
  • Cory Verblen, OHIT
  • Theresa Walunas, CHITREC
  • Laura Zaremba, OHIT

State Medicaid Health IT Plan (SMHP) Centers for Medicare and Medicaid Services (CMS) Comments

Renee Perry reported that HFS received CMS' comments on the SMHP. Renee provided an overview of CMS' comments with the group. Many of the comments requested more detail and clarification on specific items. CMS also requested more information on the audit strategy for the EHR incentive program. HFS is preparing the response to submit to CMS. CMS has six weeks to review the revised SMHP.

Laura Zaremba suggested that HFS provide documentation to CMS illustrating the approximate number of providers that are ready to apply for the incentive program by the end of 2011. By demonstrating a significant interest in the program, it is hoped that CMS will recognize HFS' strong desire to make the program operational as soon as possible. A brief survey will be created and distributed by the OHIT staff to key stakeholders in order to determine how many providers are ready to register and attest. In addition, several work group members offered to distribute the survey to their provider contacts.

Proxy Value Approach

Renee Perry indicated that the HIT Project Office has researched other states' plans for implementing the Incentive Payment Program to determine if HFS can do anything to make the process easier in Illinois. A few states have been approved to use a "proxy value" for the non-Title XIX population instead of determining the exact number per provider as HFS had planned to do. This option has been discussed briefly with CMS and HFS may submit a similar proposal following the example cited in South Carolina's SMHP.

Children's Health Insurance Program (CHIP) beneficiaries cannot be included in the calculation for Medicaid volume. Medicaid and CHIP beneficiaries utilize the same identification cards, so there is no way for a provider to distinguish which program a beneficiary is in. Providers will have access to a table in the State Level Repository (SLR) that lists the percentage of CHIP beneficiaries to total Medicaid enrollment by county. Providers must use this as a resource for determining their CHIP volume when attesting to their Medicaid patient volume.

HFS may use this county-by-county CHIP/Medicaid allocation to verify the Medicaid patient volumes to which providers attest. Providers' volume attestations will be audited through the standard audit process.

Expanding the Work Group's Charter to include Provider Attainment of Meaningful Use Status Integration of the Clinical Quality and Integration Work Group

Peter Ingram indicated that this group is moving toward Phase 2 of the program, which is Meaningful Use. It was suggested that the Clinical Quality and Integration (CQ&I) Work Group be merged with the Medicaid Work Group. Mary McGinnis indicated that the CQ&I Work Group is focused on Meaningful Use and quality measures related to Meaningful Use. The two groups are going down parallel lines so it would be good to combine the two groups. There were no objections to merging these two work groups.

Janna Stansell requested that a brief summary be provided to the new work group members about what the Medicaid Work group has discussed regarding quality measures. Peter responded that the group has focused on Phase 1 of the project and has not yet developed measures. A presentation on Meaningful Use will be sent to the new members for their information.

Meeting adjourned. The next meeting is scheduled on June 27, 2011.