Data Exchange Incentive Program for HCBS Providers

Data Exchange Incentive Program for HCBS Providers

Summary taken from the New York eHealth Collaborative:

The New York State Department of Health (NYS DOH), with support from the Centers for Medicare & Medicaid Services (CMS), has established the Data Exchange Incentive Program (DEIP) to increase HIE adoption across the state for behavioral health organizations with Medicaid providers (OMH, OASAS, and HCBS designated providers). Building Electronic Health Record (EHR) interfaces to New York State Qualified Entities (QEs) will increase the quantity and quality of data in the Statewide Health Information Network for New York (SHIN-NY) and build value for providers and patients at the point of care. This program is designed to help defray the cost for an organization when connecting to their local QE. Organizations participating in DEIP are incentivized to contribute specific data elements (see below). The New York eHealth Collaborative (NYeC) is coordinating the roll-out of the program and the incentive payments on behalf of the DOH. Limited funding is available and this program is operated on a first-come, first-served basis.

Key Things to Know:

There is $13,000 in funding available per organization for eligible LTPAC providers to connect to their QE and exchange clinical data.

  • Milestone 1: Sign a participation agreement with a QE ($2,000)
  • Milestone 2: 1) Have the ability to receive a summary of care document in C-CDA OR 2) Have established a connection to the QE and that the organization is contributing the required clinical data as per the program requirements ($11,000)

Eligibility Requirements for DEIP Behavioral Health Organizations:

  • Be OMH licensed, an OASAS provider/facility, or a designated HCBS provider
  • Have at least one provider that accepts Medicaid (Fee-For-Service, Medicaid Managed Care, and/or HARP)
  • Utilize an EHR that has obtained ONC certification
  • EHR must be able to send information electronically to the HIE (QE) in either CCD or C-CDA format
  • Not already connected to a QE (contributing data)
  • Not received payment for any source of similar HIE activities

Data Contribution Requirements for DEIP Behavioral Health Providers:

  • Contribution of five specified Core elements, plus three additional data elements, as available:
    • Core: Encounters, demographics, procedures/services, individualized service plans, diagnoses
    • Additional: Medications, labs allergies

Contact NYeC or your local QE with any questions at deip@nyehealth.org.

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