Regulation .03 Program Description.
Regulation .03 Program Description.LinkCopy Citation
A.
An EHR adoption incentive shall be available to a primary care practice that meets the requirements set forth in Regulation .04 of this chapter.
B.
A payor may exclude from a primary care practice’s EHR adoption incentive calculation the payor’s patient members who were previously included in another primary care practice’s EHR adoption incentive calculation.
C.
A payor may, upon notification to a primary care practice:
(1)
Request additional information from a primary care practice to validate the primary care practice’s EHR adoption incentive request; and
(2)
Reduce a remaining EHR adoption incentive to a primary care practice if the payor determines that a duplicate payment or an overpayment has been made under this chapter.
D.
The MHCC may conduct audits to determine compliance with this chapter as follows:
(1)
A payor shall cooperate with the MHCC’s audit process and file information required by the MHCC in a timely manner;
(2)
A primary care practice shall cooperate with the MHCC’s audit process and report requested information in a timely manner; and
(3)
If an audit reveals noncompliance with this chapter, the MHCC may require corrective action.
E.
This chapter shall also apply to an entity that self-insures its health benefit plans, if federal law is amended to allow state regulation of such EHR payments.