Meaningful Use Information Center

FAQs


There are no dental specific criteria in Stage I and two proposed optional oral health measures for Stage II. There is currently no specific certification for Electronic Dental Records. All electronic dental record vendors are required to meet all of the medical certification requirements, regardless of whether their customers will utilize these features. Henry Schein Practice Solutions will continue to work closely with the Office of the National Coordinator and Centers for Medicare and Medicaid Services to lobby, not only for specific oral health measures, but also for a specific electronic dental record certification for oral health providers who meet the "eligible professional" definition under the meaningful use legislation.


HITECH ACT Goals:

  • Improve the quality, safety, cost, and efficiency of health care
  • Engage patients and their families in their own healthcare
  • Reduce health disparities
  • Improve care coordination
  • Improve population and public health
  • Ensure privacy and security for personal health information

EHR Incentive Program Administration

The HITECH Act is administered by the Centers for Medicare & Medicaid Services (CMS). Most dentists who qualify for incentive payments will qualify under the Medicaid program, however there are a few specialty dentists that will qualify under the Medicare Program. (See Notable Differences between the Medicare and Medicaid EHR Incentive Programs)


Dental-Specific EHR Incentive Program

There are no dental specific criteria in Stage I or Stage II of the program and there is not a vendor–specific certification for dental. Again: vendors like DentalVision Enterprise are required to meet ALL of the certification requirements for a medical EHR, regardless of whether their customers use them all.

Below is a list of terms that you may hear in association with this important legislation. Simply click on the link to learn more about each term!



Eligible Professionals

Healthcare professionals and hospitals must meet the eligibility criteria defined by law in order to receive incentive payments for implementing Electronic Health Records programs. Under the Medicaid Program, an “eligible professional”:


  • Provides at least 30% of their services to Medicaid patients
  • Meets the specific stage and yearly criteria.

Flow Chart – Determine Eligibility for Medicare and Medicaid Electronic Health Record (EHR)
Incentive Programs


Source: Eligibility Requirements for Professionals under the Medicaid EHR Incentive Program


What is “Meaningful Use?”

  • The use of certified EHR in a meaningful manner (e.g. ePrescribing)
  • The use of certified EHR technology for electronic exchange of health information to improve quality of care
  • Use of certified EHR technology to submit clinical quality measures (CQM) and other such measures selected by the Secretary of Health and Human Services

Stage I Meaningful Use Criteria

Stage I only requires an EP to meet Meaningful Use in the second year. Year I requires an eligible provider to simply adopt, implement or upgrade to a certified EHR system. The Meaningful Use requirements for Stage I Year II include:


  • 15 core objectives
  • Choose 5 of 10 objectives from a menu set
  • 6 Clinical Quality Measures (3 core or alternative core and 3 out of 38 from menu set)

Source: Stage I Medicare and Medicaid Meaningful Use Requirements


Stage II Meaningful Use Criteria

The ONC released proposed rules for Stage II criteria in early 2012. It is projected that the Stage II criteria will be determined by the middle of 2012.


Yearly Criteria, DentalVision Enterprise Solution and Potential Incentive Payment

The criteria for an eligible professional to receive EHR incentive payments are designed to change as the EHR Incentive Program progresses. The chart below indicates the criteria and potential payment for each stage. In addition, we’ve indicated the Henry Schein solution for your organization to achieve each of the payments.


Medicaid CriteriaDentalVision Enterprise SolutionPayment
 Stage I
 Year IAdopt, implement or upgrade to a certified EHR*Henry Schein Meaningful Use Access$21,250 
 Year IIDemonstrate "Meaningful Use" of
certified EHR for 90 consecutive days.
$8,500 
 Stage II
 Year IDemonstrate "Meaningful Use" of
certified EHR for 365 consecutive days.
TBA$8,500 
 Year IIContinuing demonstration of
"Meaningful Use"
TBA$8,500 
 Stage III
 Year IContinuing demonstration of
"Meaningful Use"
TBA$8,500 
 Year IIContinuing demonstration of
"Meaningful Use"
TBA$8,500 
Total Potential Payout     $63,750 


* Medicare and Medicaid EHR Incentive Program Basics


Certified EHR Technology

The Medicare and Medicaid EHR Incentive Programs require the use of certified EHR technology. Standards, implementation specifications, and certification criteria for EHR technology have been adopted by the Secretary of the Department of Health and Human Services. You can find a list of Certified EHR Technology on the Certified Health IT Product List. Henry Schein Meaningful Use Access provides you with a fully-certified EHRR which helps you qualify now for Stage I Year I incentive payouts.


For more information about Certified EHR Technology and to see Henry Schein's listing, visit the CMS website.


If you meet the Medicaid eligible professional criteria and the stage and year requirements, you must register and attest in order to receive payment. CMS has provided a Registration User Guide that we recommend for your review. However, the steps are simple.


  1. Make sure you're eligible for the Medicaid EHR Incentive Program. View eligibility guidelines at the Eligibility page.
  2. Login to the CMS System
  3. Register for the Medicare and/or Medicaid EHR Incentive Programs through CMS.*
    1. To obtain your Certification ID number when filling out your incentive form, go to the CMS website http://onc-chpl.force.com/ehrcert
    2. Click the Ambulatory Practice button at the bottom
    3. Search for Henry Schein
    4. Click "Add to Cart"
    5. Click "Get CMS EHR Certification ID" (button is within box)
      PLEASE NOTE! Each CMS EHR Certification ID is unique and you must obtain your own by following the steps above.
  4. Apply with your state Medicaid governing organization. Choose your state here.
  5. Attest for the Medicaid EHR Incentive Program through your individual state. Please note—you will not attest for the Medicaid Incentive Program through the CMS website.

A Registration User Guide can be found at https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/EHRMedicaidEP_RegistrationUserGuide.pdf.