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ILHIE Medicaid Work Group Meeting Minutes - August 8 2011 

August 8, 2011

Attendees (by phone):

  • Pat Borrowdale Pediatric Health Associates
  • Marie Brown American College of Physicians
  • Kelly Carter Illinois Primary Health Care Association
  • Connie Christen Department of Healthcare and Family Services
  • Barbara Fischer Department of Public Health
  • Patrick Gallagher Illinois State Medical Society
  • Andrew Garrett Department of Healthcare and Family Services
  • Ivan Handler Office of Health Information Technology (OHIT)
  • Krysta Heaney Office of Health Information Technology
  • Roger Holloway Illinois Health Information Technology Regional Extension Center (IL-HITREC)
  • Peter Ingram Sinai Health System
  • Vince Keenan Illinois Academy of Family Physicians
  • Mary McGinnis Office of Health Information Technology
  • Elizabeth McKnight Chicago Health Information Technology Regional Extension Center (CHITREC)
  • Susan Melczer Metropolitan Chicago Healthcare Council
  • Renee Perry Department of Healthcare and Family Services
  • Mary Ring Illinois Critical Access Hospital Network
  • Theresa Walunas Chicago Health Information Technology Regional Extension Center
  • Lori Williams Illinois Hospital Association

Update on State Medicaid Health IT Plan (SMHP) and the Implementation Advance Planning Document (IAPD)

Renee Perry updated the group saying that the revised SMHP and the IAPD have been submitted to the Centers for Medicare and Medicaid Services (CMS). CMS is aware that Illinois is on a tight timeline in order to launch the program approximately on September 5, 2011.

Renee provided more detail on using the proxy level by county percentage for providers to calculate their Title XIX patient volume. If a provider is an individual provider (not in a group practice) then HFS will calculate their Title XIX patient volume by using their National Provider Identification (NPI) number.

For group practices, Title XIX patient volume will be calculated by using the proxy value percent of Title XIX patients for the county in which they are located. It would be administratively burdensome for providers to calculate per NPI number in group practices. Pat Borrowdale asked how to calculate if a provider works in more than one county. Renee will research this and let the group know.

Renee and other HFS Health Information Technology Project Office staff have been working on many things including testing transactions for registration with CMS, performing internal testing, building the attestation screens and have started educating internal staff on program administration. At the group's request, Renee will send the draft process flow chart to Connie Christen for distribution to the work group for their review.

Susan Melczer asked if the provider associations are supposed to be doing anything right now to assist with this program. Renee replied that provider organizations can let providers know that they need to enroll as a Medicaid provider with HFS and also register in the HFS Medical Electronic Data Interchange (MEDI) system. Viewlets for the MEDI system are included on the MEDI Web site (

Roger Holloway asked if registration instructions will be posted on the HFS Web site. Renee indicated that instructions will be posted. Renee said that after providers register in September, an automatic, detailed e-mail will be sent to the provider with information outlining the next step in the process.

Vince Keenan said there have been many discussions by providers at the state and national level about who has received incentive payments and who has not. Many providers are anxious to find out details. Peter mentioned that a list of providers that have received payment was posted on the CMS Web site. Renee responded that she has received a link to this list but the list is in pdf format and is not updated regularly. CMS is only required to update the list annually. Renee will forward the link to Connie Christen for distribution to the work group. Roger Holloway will check with Derrick Robinson, CMS Region V Medical Director to see if he has any insight about the availability of the list. Theresa Walunas said that CHITREC has also discussed this with their project officer and the ONC has said they will try to get that information.

The next scheduled meeting is on August 22. Meeting adjourned.