Financial Management (FM) Community of Practice (CoP) Medicaid EHR Incentive Program

Transcription

1 This is an advance copy of the FM CoP presentation for your review only. This presentation is subject to change and should not be reproduced. The final version of the presentation will be posted to the Medicaid HITECH TA Web site at a later date. Financial Management (FM) Community of Practice (CoP) Medicaid EHR Incentive Program March 25,

2 Financial Management Community of Practice HITECH/E&E/MMIS Carrie Feher Financial Coordinator for DSS CMS/CMCS/DSG/DSS March 25,

3 Agenda Financial Management (FM) for HITECH, Eligibility and Enrollment (E&E) & Medicaid Management Information Systems (MMIS) HITECH FM, HIT Implementation Advance Planning Document (IAPD) Expiration Dates Efficient and Effective FM- What s New? Line Item Reporting for E&E, HITECH and MMIS Efficient and Effective FM Rules and Guidelines Federal Fiscal Quarter (FFQ): 37/64 Tools for Efficient and Effective FM- Medicaid Detailed Budget Tables: E&E, HITECH and MMIS 3

4 FM for HITECH, E&E & MMIS We must know the amount of HITECH, E&E & MMIS funding awarded to each state by Federal Fiscal Year (FFY). We must know the amount of HITECH, E&E & MMIS funding expended by each state by FFY. 4

5 FM for HITECH HIT funds are by FFY and do not rollover. HIT Implementation grants are finalized for each fiscal year. Use the IAPD template located at Budget by FFY (10/1 to 9/30) we will approve up to 2 FFY- however, an annual update is still required 5

6 HIT IAPD Expiration Dates Example for 9/30/14 September: IAPD expires 9/30/14 August: CMS-37 due 8/15/14 for FFQ1 June 15- must submit IAPD-Update Recommend submitting in April or May- 36 states are expiring on 9/30/14. 6

7 Efficient and Effective FM- What s New? E&E APD template is still going through clearance. This will be required for all E&E APD submissions once approved. (HITECH already uses an approved APD template.) We are using an E&E approval letter template. We are currently creating a MMIS approval letter template. Stay tuned! All APD approval letters, HITECH, E&E, and MMIS, will contain the Medicaid Detailed Budget Tables. This includes line item reporting. (continued on next page) 7

8 Efficient and Effective FM- What s New? Medicaid Budget and Expenditure System (MBES) will be set up by FFY, not by APD or project for E&E lines 28A & B. CMS will work with each state/territory to make corrections to E&E line item reporting errors. For example, 50% Federal Financial Participation (FFP) should not be reported on E&E lines 28A & B, and past E&E expenditures should not be reported on MMIS lines or HIT lines. CMS will work with each state/territory to make sure all expenditures are reported timely. 8

9 Line Item Reporting for E&E Category FFP Rate Line on CMS 37 & 64 E & E- Title 19 (Medicaid) DDI- In-house Activities 90% 28A E & E- Title 19 (Medicaid) DDI- Contractors 90% 28B E & E- Title 19 (Medicaid) Software/ Services/Ops- In-house Activities 75% 28C E & E- Title 19 (Medicaid) Software/Services/Ops- Contractors 75% 28D E & E- Title 19 (Medicaid) Eligibility Determination Staff- Cost of In-House Activities 75% 28E E & E- Title 19 (Medicaid) Eligibility Determination Staff- Cost of Private Sector Contractors 75% 28F E & E- Title 19 (Medicaid) Eligibility Determination Staff- Cost of In-House Activities 50% 28G E & E- Title 19 (Medicaid) Eligibility Determination Staff- Cost of Private Sector Contractors 50% 28H E & E- Title 19 (Medicaid) Other Financial Participation 50% 49 Category FFP Rate Line on CMS 21 & 21B E & E- Title 21 (CHIP) Administration Varies by State 33 9

10 Line Item Reporting for HITECH 10

11 Line Item Reporting for MMIS 11

12 Efficient and Effective FM Rules and Guidelines Each APD and approval letter must be by FFY, October 1- September 30. Approvals can be for multiple years but it must be broken out by FFY. For example, funds can be approved for FFY14 and FFY15; however, approved funds for FFY14 must be expended in FFY14 and cannot be expended in FFY15 unless approved. If approved funding does not get expended within the anticipated FFY but is needed in the following FFY, then the state/territory must request that in their APD update. Annual APD updates are still required with multiple year approval. (continued on next page) 12

13 Efficient and Effective FM Rules and Guidelines Each approval letter replaces all previous approval letters for the same FFY. This means that all approved funding for that FFY will be included in the most current Medicaid Detailed Budget Table (MDBT). Each approval letter must include the line items for reporting in MBES. The approval letters will contain the MDBT. APDs must be submitted timely. A minimum of 60 days must be given for CMS review. Please note, if CMS issues a Request for Additional Information (RAI) then it may take longer than 60 days, depending on the state s response time. States/territories must report expenditures timely and on the correct line item in MBES. 13

14 FFY Quarters - CMS 37/64 Quarter 1: October 1- December 31 Budget: CMS-37 due from states August 15 Expenditures: CMS-64 due from states January 31 Quarter 2: January 1- March 31 Budget: CMS-37 due from states November 15 Expenditures: CMS-64 due from states April 30 Quarter 3: April 1- June 30 Budget: CMS-37 due from states February 15 Expenditures: CMS-64 due from states July 31 Quarter 4: July 1- September 30 Budget: CMS-37 due from states May 15 Expenditures: CMS-64 due from states October 31 14

15 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- E&E Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) Medicaid Share (90% FFP) DDI State Share (10%) Medicaid Share (75% FFP) DDI (COTS) State Share (25%) Medicaid Share (75% FFP) M&O State Share (25%) Medicaid Share (75% FFP) M&O E&E Staff State Share (25%) Medicaid ENHANCED FUNDING FFP Total Total Medicaid ENHANCED FUNDING (TOTAL COMPUTABLE) FFY 20XX FFY 20XX FFY 20XX Total FFY 20XX- 20XX 28A & 28B -- 28A & 28B -- 28C & 28D -- 28E & 28F -- (NOTE: Please add and delete rows for FFYs as needed.) 15

16 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- E&E Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) Medicaid Share (50% FFP) M&O E&E Staff (50%) Medicaid Share (50% FFP) General (50%) 28G & 28H Medicaid NOT ENHANCED FUNDING FFP Total Total Medicaid NOT ENHANCED FUNDING (TOTAL COMPUTABLE) Total - 20XX 16

17 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- E&E Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) Total - 20XX CHIP FFP % STATE % CHIP FFP Share CHIP Total 17

18 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- E&E Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) Medicaid ENHANCED FUNDING FFP Total Medicaid NOT ENHANCED FUNDING FFP Total CHIP FFP Total TOTAL FFP STATE SHARE TOTAL APD TOTAL (TOTAL COMPUTABLE) Total FFY 20XX-20XX 18

19 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- E&E Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) Project Total* Medicaid/CHIP Allocation Amount Medicaid Allocation Percentage Medicaid Allocation Amount CHIP Allocation Percentage CHIP Allocation Amount Exchange Grant Share* Total - 20XX (NOTE: This table is only contained in the APD template completed by states/territories and will not be included in the approval letter.) 19

20 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- HITECH Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) TOTAL for FFY 20XX-20XX HIT CMS Share (90% FFP) HIT Administrative Funding (10%) HIT CMS Share (90% FFP) HIE Funding (10%) 24C & 24D -- 24C & 24D -- HIT ENHANCED FUNDING FFP Total Total HIT ENHANCED FUNDING TOTAL COMPUTABLE 20

21 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- MMIS Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) Approved through DDI APD MMIS CMS Share (90% FFP) (10%) MMIS CMS Share (75% FFP) (25%) MMIS CMS Share (50% FFP) (50%) 2A -- 2A -- 2A -- MMIS FUNDING FFP Total 2A Total TOTAL for FFY 20XX-20XX Approved through DDI APD MMIS CMS Share (90% FFP) (10%) MMIS CMS Share (75% FFP) (25%) MMIS CMS Share (50% FFP) (50%) 2B -- 2B -- 2B -- MMIS FUNDING FFP Total 2B Total TOTAL for FFY 20XX-20XX 21

22 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- MMIS Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) M&O MMIS CMS Share (75% FFP) (25%) MMIS CMS Share (75% FFP) (25%) 4A -- 4B -- MMIS ENHANCED FUNDING 75% FFP Total Total TOTAL for FFY 20XX-20XX M&O MMIS CMS Share (50% FFP) (50%) MMIS CMS Share (50% FFP) (50%) MMIS CMS Share (50% FFP) (50%) 5A -- 5B -- 5C -- MMIS ENHANCED FUNDING 50% FFP Total Total TOTAL for FFY 20XX-20XX 22

23 Tools for Efficient and Effective FM: Medicaid Detailed Budget Tables Medicaid Detailed Budget Table- MMIS Covers Federal Fiscal Years 20XX-20XX (ending September 30, 20XX) MMIS CMS Share MMIS CMS Share MMIS CMS Share 2A&B -- 4A&B -- 5A,B&C -- TOTAL FFP STATE SHARE TOTAL APD TOTAL (TOTAL COMPUTABLE) TOTAL for FFY 20XX-20XX 23

24 Questions or Comments? Carrie Feher Financial Coordinator for DSS CMS/CMCS/DSG/DSS Please write your questions or comments in the Questions Pane or click on the Raise Your Hand icon in your webinar control panel 24

25 Resources For E&E: - Web: - E&E lead analysts For HITECH: - Web: HITECH Regional Office Staff For MMIS: Information/By-Topics/Data-and-Systems/MMIS.html MMIS Lead Analyst in your Regional Office 25

26 Resources CMS Medicaid HITECH Technical Assistance Website 1. Go to the Resource Library 2. Program Implementation Toolkit 3. Program Administration 4. HITECH HIT Grant Awards: Financial Management Tips and Key Considerations 26

27 Next Financial Management CoP The next Financial Management CoP is on June 24, at 2:00 PM ET What FM and/or E&E topics would you want to cover/discuss in the next FM CoP? Please write your topic suggestions or issues in the Questions Pane of your webinar control panel 27