Hospital Eligibility

Hospital Eligibility

Hospital Eligibility

Eligibility Requirements.

For a hospital to be eligible for the Wyoming Medicaid Electronic Health Record (EHR) Incentive Program they must adopt, implement, upgrade, or demonstrate Meaningful Use of certified EHR technology in their first year of participation, and successfully demonstrate meaningful use for subsequent participation years.

Eligible Hospitals.

Hospitals eligible for participation in the Wyoming Medicaid EHR Incentive Program include:

  • Acute Care Hospitals (including Critical Access Hospitals and Cancer Hospitals) with at least 10% Medicaid patient volume for any representative 90-day period in the preceding fiscal year.
  • Children’s hospitals (no Medicaid patient volume requirements).

An eligible hospital Medicaid patient encounter is constituted as services rendered to an individual per inpatient discharge or in an emergency department where Medicaid or a Medicaid demonstration project under section 1115 paid for part or all of the service (including part of their premiums, co-payments, and/or any cost-sharing).

Certified Electronic Health Record (EHR) technology are products that have been tested and certified under the Office of the National Health Information Technology Coordinator (ONC) in accordance with the standards, implementation specifications, and certification criteria set forth in the ONC’s Final Rule.

CLICK HERE for a list of Certified EHR products.

CLICK HERE to learn more about Meaningful Use.

For assistance in determining Medicaid patient volume, contact Wyoming EqualityCare/ Medicaid at 1-307-777-5424.

For assistance in determining general patient volume, contact the Wyoming/ Montana Regional Extension Center at 1-800-497-8232 x5888.

Medicare EHR Incentive Program.

Hospitals may be eligible for EHR Incentive Programs under both Medicaid and Medicare. Hospitals that are eligible for both should select “Both Medicare and Medicaid” during the registration process, even if they plan to apply only for a Medicaid EHR incentive payment. Dually-eligible hospitals can then attest through CMS for their Medicare EHR incentive payment at a later date, if they so desire. It is important for a dually-eligible hospital to select “Both Medicare and Medicaid” from the start of registration in order to maintain this option.

Hospitals that register only for the Medicaid program (or only the Medicare program) will not be able to manually change their registration (i.e., change to “Both Medicare and Medicaid” or from one program to the other) after a payment is initiated, and this may cause significant delays in receiving a Medicare EHR incentive payment.

CLICK HERE for information on the Medicare EHR Incentive.