Source: http://www.dhs.wisconsin.gov/ehrincentive/EligHospitals/incentive.htm
Timestamp: 2014-10-23 21:17:47
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eHealth Eligible Hospitals � Incentive Payments
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Eligible Hospitals � Incentive Payments
Hospital incentive payments are based on a formula provided in statute that uses a variety of data points. During the first year of participation in the Medicaid EHR Incentive Program, the Wisconsin Medicaid Agency calculates the aggregate EHR incentive payment for Eligible Hospitals; this is the amount they will receive over the life of the program.
The Wisconsin Medicaid Agency will distribute payments over 3 years according to the following percentages:
Payment Year 1: 50% of Aggregate EHR Hospital Incentive Amount
Payment Year 2: 40% of Aggregate EHR Hospital Incentive Amount
Payment Year 3: 10% of Aggregate EHR Hospital Incentive Amount
Hospital Payment Calculation
Data Needed for Payment Calculation
Eligible Hospitals will be required to attach all relevant Medicare Cost Report sections when submitting their Wisconsin Medicaid EHR Incentive Program application. These sections will be used to determine the incentive payment amount. Below are the data points needed:
Data Point Needed
If you have the 2552-10 (NEW) form
If you have the 2552-96 (OLD) form
Total Discharges (four years of data)
Worksheet S-3, Part 1, Column 15, line 14
Worksheet S-3, Part 1, Column 15, line 12
Total Medicaid Inpatient Bed Days
Distributed by the Medicaid EHR Incentive Program from email address dhsehrincentiveprogram@wi.gov
Total Inpatient Bed days
Worksheet S-3, Part 1, Column 8, sum of lines 1 and 8-12
Worksheet S-3, Part 1, Column 6, sum of lines 1 and 6-10
Total Charges � All Discharges
Worksheet C, Part 1, Column 8, line 200
Worksheet C, Part 1, Column 8, line 101
Total Charges Charity Care
Worksheet S-10, column 3, line 20
Worksheet S-10, Line 30
To see a detailed explanation of the formula used to calculate the payment amount, please refer to Appendix B: Hospital Payment Calculation
of the State Medicaid Health Information Technology Plan. Time Period for Data
The time period from which the data will come is based upon the first year in which the Eligible Hospitals begins to participate in the Medicaid EHR Incentive Program, as well as the Hospital Fiscal Year used by the Eligible Hospital. Eligible Hospitals that begin participation in Program Year 2013 and later are required to use the most recent continuous 12-month period for which Medicare Cost Report data is available prior to the Payment Year. Please see below for time period you should use for applications started in Program Years 2013 and 2014.
Hospital Fiscal Year Start
Program Year 2014
Program Year 2015
January 1, 2013 through December 31, 2013
February 1, 2012 through January 31, 2013
February 1, 2013 through January 31, 2014
March 1, 2012 through February 28, 2013
March 1, 2013 through February 28, 2014
April 1, 2012 through March 31, 2013
April 1, 2013 through March 31, 2014
May 1, 2012 through April 30, 2013
May 1, 2013 through April 30, 2014
June 1, 2012 through May 31, 2013
June 1, 2013 through May 31, 2014
July 1, 2012 through June 30, 2013
July 1, 2013 through June 30, 2014
August 1, 2012 through July 31, 2013
August 1, 2013 through July 31, 2014
September 1, 2012 through August 31, 2013
September 1, 2013 through August 31, 2014
October 1, 2013 through September 30, 2014
November 1, 2012 through October 31, 2013
November 1, 2013 through October 31, 2014
December 1, 2012 through November 30, 2013
December 1, 2013 through November 30, 2014
Eligible Hospitals that received a Wisconsin Medicaid EHR Incentive Program payment in Program Year 2011 and/or Program Year 2012 are not able to change the Medicare Cost Report data time period.
Last Revised: January 31, 2014