!In This Issue

MAPIR will be down for Maintenance on

Monday June 12, 2017

between the hours of 6 to 8 PM

         Program Highlights      

National Updates

Provider FAQs

Audit Tips

Did You Know?


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Community HealthChoices Provider Summits

Community HealthChoices (CHC) is coming to the Southwest zone in January 2018. In preparation, we are hosting three Southwest Provider Summits in July.


The Southwest zone is comprised of Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Somerset, Washington, and Westmoreland.


These events are open to all providers in the Southwest zone and will be held on the following dates/locations:

Registration will be from 8:30 – 9: 30 a.m.


Click here to complete the registration form for one of our free Community HealthChoices Provider Summits. Please select the appropriate breakout session. Food and beverages will be provided by the three CHC managed care organizations: AmeriHealth Caritas, PA Health & Wellness, and UPMC Community HealthChoices. We look forward to seeing you there.



Protecting Sensitive Information

Remember HIPPA Rules—All patient identifying information must be sent securely.  If your file is too large to email or if you have concerns about emailing secure information, contact us right away.  We are required by Department rules to report breaches of patient information.


You may utilize your own secure messaging program to send documentation to our secure email resource account. If you have an inquiry number, please remember to document it on all correspondence prior to submittal. Questions or Comments? Contact us at:  [log in to unmask]


Preparing for Program Year 2017 and Beyond!

On Monday, July 3, 2017, MAPIR will be opened to accept applications from First Time Meaningful Use Attesters. The reporting period for providers demonstrating MU for the 1st time in 2017 is any continuous 90-days during calendar year 2017.


Providers that have attested to MU in a previous year, will only be able to go to the CQM portion of their MAPIR applications—Why you ask?  Because the CQM reporting period for these providers is one year (January 1, 2017 to December 31, 2017). Therefore you will only be able to complete your meaningful use measures and public health objective.



A number of issues can impact the processing of MAPIR applications related to revalidation.  Applications can be automatically aborted, fee assignments can be changed or non-existent and service locations can change. 


Fee Assignments

The fee assignment in PROMISe must match the Payee NPI at the CMS R&A in order to get the link to MAPIR.  If the fee assignments do not match or if there is not a fee assignment listed in the PROMISe account, you get an error message instructing you to contact us. Recently, we’ve seen an increase in providers who have opened new PROMISe accounts that do not have a fee assignment. If this happens, you may be able to update online in the Electronic Provider Enrollment Automation Project (ePEAP) or you  can complete a paper fee assignment form.  If the Payee NPI you listed at the R&A is not the one you want the incentive payment to pay to and not the one that is in PROMISe, you can update the R&A with the correct Payee NPI and TIN.  This will take 24-48 hours to update into MAPIR once you have re-submitted your registration.


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Here is the link to the Electronic Provider Enrollment Automation Project (ePEAP)



To get to the R&A website visit https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/RegistrationandAttestation.html and click on the link Click here to Register or Attest for the Medicare and/or Medicaid EHR Incentive Programs



If Your PROMISe Account Gets Closed

Medical Assistance (MA) providers are required to revalidate each service location, every five years.  If your MA account is closed in PROMISe, for any reason, it will cancel your MAPIR applications.  Make a copy of your MAPIR applications, just in case this happens you.  If your MAPIR application gets cancelled, call us right away.   Visit the DHS Provider Enrollment page to learn more at: http://www.dhs.pa.gov/provider/promise/enrollmentinformation/S_001994 or check the status of your account at:  https://provider.enrollment.dpw.state.pa.us/Home. 



Applications in an Incomplete Status  Program Year 2016 closed on May 31, 2017. If you have a program year 2016 application that was started but NEVER submitted, please call us right away.  We will reach out to providers that have these pending applications in the near future.  This pertains to applications that have not been submitted yet.


For questions about the MA EHR Incentive Program contact us at:  [log in to unmask]


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National Updates

Reminder: Registration Period for MIPS Group Reporting Ends on June 30

Groups Must Register by June 30 to Submit Data via Web Interface or CAHPS for MIPS Survey

Groups planning to use the CMS Web Interface or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey to submit data for the Merit-based Incentive Payment System (MIPS), must register with the CMS Enterprise Portal by June 30, 2017.

Please note, clinicians do not need to notify CMS of their intent to participate in MIPS as a group. Registration is only required if a group chooses to submit data using the CMS Web Interface (only available to groups of 25 or more clinicians), or administer the CAHPS for MIPS Survey (available to groups with 2 or more clinicians).

How to Register by June 30, 2017

To register for the CMS Web Interface or CAHPS for MIPS Survey, visit qpp.cms.gov. Groups will need a valid Enterprise Identity Management (EIDM) account with a Physician Value – Physician Quality Reporting System (PV-PQRS) role.

EIDM Account Information

For step-by-step registration instructions, check out the 2017 Registration Guide for the CMS Web Interface or CAHPS for MIPS Survey.

For More Information

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Q—Your listserv communication indicates that program year 2017 will have payment adjustments applied in payment year 2018.  We thought that payment adjustments were on a two(2)year delay from program year to payment year, so program year 2017 would impact 2019 payment adjustments.  Please clarify if payment adjustments are on a one (1) or two(2) year delay?


A—This issue is very confusing indeed and we hope not to confuse you further but here goes.  CMS established an alternative for providers attesting to MU for the first time in 2016 and beyond and our message only applies to those providers.  You are correct that, traditionally, meeting MU in 2016 would allow providers to avoid payment adjustments in 2018 (the two year delay).


This time, however, those attesting to MU for the first time in 2016 will avoid payment adjustments in 2017.  Further, if you are attesting to MU for program year 2017, for the VERY first time, you will avoid payment adjustments in 2018.  So, all providers attesting to MU for the second time and beyond, in program year 2016, would still avoid the payment adjustment on a two year delay or 2018.


Also consider this, Adopt, Implement or Upgrade (AIU) does not count toward MU…so if a provider attested to AIU in program year 2016, then program year 2017 would be the provider’s first year to attest to MU and that would allow the provider to avoid 2018 payment adjustments.  Keep in mind that AIU is not available after Program Year 2016!


If you still have questions contact [log in to unmask]


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Q – Is there an alternate method of sending protected health information for the audit?

 A – All audit correspondence takes place via email. If you have been asked to submit information for an audit and the documentation contains protected information which should be sent securely you can contact the Audit Team at [log in to unmask] and request that a secure email portal be opened for you.

Please contact the Audit Team at [log in to unmask]


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The United States Food and Drug Administration Offers Tips on How To Avoid Poison IVY!

Poison ivy and other poisonous plants are a hazard all year. The U.S. Food and Drug Administration has some tips for preventing and treating the itchy rash and blisters.

First comes the itching, then a red rash, and then blisters. These symptoms of poison ivy, poison oak, and poison sumac can emerge any time from a few hours to several days after exposure to the plant oil found in the sap of these poisonous plants. The culprit: the urushiol oil. Here are some tips to avoid it.

Read the Consumer Update to learn more, and watch our video to learn what poison ivy, oak, and sumac plants look like so you can avoid them. 

Get the full story here:  https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049342.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery


Monica R. Fisher, OMAP HIT Health Analyst

Department of Human Services | Office of Medical Assistance Programs

DGS Annex Complex | Willow Oak Bldg. #41|1006 Hemlock Drive |Harrisburg, PA  17110

717.346.4377 | Fax: 717-772-1568



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