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[A1]
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Electronic Code of Federal Regulations
| e-CFR data is current as of June 4, 2020
TITLE 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) SUBCHAPTER G—STANDARDS AND CERTIFICATION PART 495—STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM
Subpart A—GENERAL PROVISIONS
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| Requirements for EPs seeking to reverse a hospital-based determination under §495.4. |
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| Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs before 2015. |
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| Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs for 2015 through 2018. |
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| Stage 3 meaningful use objectives and measures for EPs, eligible hospitals and CAHs for 2019 and subsequent years. |
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| Demonstration of meaningful use criteria. |
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| Participation requirements for EPs, eligible hospitals, and CAHs. |
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Subpart B—REQUIREMENTS SPECIFIC TO THE MEDICARE PROGRAM
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| Incentive payments to EPs. |
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| Incentive payments to eligible hospitals. |
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| Incentive payments to CAHs. |
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| Posting of required information. |
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| Preclusion on administrative and judicial review. |
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Subpart C—REQUIREMENTS SPECIFIC TO MEDICARE ADVANTAGE (MA) ORGANIZATIONS
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| Identification of qualifying MA organizations, MA-EPs and MA-affiliated eligible hospitals. |
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| Incentive payments to qualifying MA organizations for qualifying MA-EPs and qualifying MA-affiliated eligible hospitals. |
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| Timeframe for payment to qualifying MA organizations. |
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| Avoiding duplicate payment. |
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| Meaningful EHR user attestation. |
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| Payment adjustments effective for 2015 and subsequent MA payment years with respect to MA EPs and MA-affiliated eligible hospitals. |
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Subpart D—REQUIREMENTS SPECIFIC TO THE MEDICAID PROGRAM
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| Medicaid provider scope and eligibility. |
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| Establishing patient volume. |
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| Net average allowable costs as the basis for determining the incentive payment. |
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| Medicaid provider incentive payments. |
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| Activities required to receive an incentive payment. |
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| State monitoring and reporting regarding activities required to receive an incentive payment. |
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| State responsibilities for receiving FFP. |
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| FFP for payments to Medicaid providers. |
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| FFP for reasonable administrative expenses. |
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| Prior approval conditions. |
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| Request for reconsideration of adverse determination. |
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| Termination of FFP for failure to provide access to information. |
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| State Medicaid health information technology (HIT) plan requirements. |
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| Health information technology planning advance planning document requirements (HIT PAPD). |
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| Health information technology implementation advance planning document requirements (HIT IAPD). |
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| As-needed HIT PAPD update and as-needed HIT IAPD update requirements. |
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| Annual HIT IAPD requirements. |
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| Approval of the State Medicaid HIT plan, the HIT PAPD and update, the HIT IAPD and update, and the annual HIT IAPD. |
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| Access to systems and records. |
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| State Medicaid agency attestations. |
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| Rules for charging equipment. |
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| Nondiscrimination requirements. |
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| Software and ownership rights. |
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| Retroactive approval of FFP with an effective date of February 18, 2009. |
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| Review and assessment of administrative activities and expenses of Medicaid provider health information technology adoption and operation. |
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| Financial oversight and monitoring of expenditures. |
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| Combating fraud and abuse. |
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| Appeals process for a Medicaid provider receiving electronic health record incentive payments. |
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