Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA)

Measure: The MIPS ECClosed Eligible Clinician: a Medicare provider who qualifies for MIPS participation or group must attest to the following:

  • Participating as a signatory to a Framework Agreement (as that term is defined by the Common Agreement for Nationwide Health Information Interoperability as published in the Federal Register and on ONC’s website) in good standing (that is, not suspended) and enabling secure, bi-directional exchange of information to occur, in production, for every patient encounter, transition or referral, and record stored or maintained in the EHR during the performance period, in accordance with applicable law and policy.

Reporting

To meet this measure, the MIPS eligible clinician must attest YES to the following:

  • I participate as a signatory to a Framework Agreement (as that term is defined by the Common Agreement for Nationwide Health Information Interoperability as published in the Federal Register and on ONC’s website) in good standing (that is, not suspended) and enable secure, bi-directional exchange of information to occur, in production, for every patient encounter, transition or referral, and record stored or maintained in the EHR during the performance period, in accordance with applicable law and policy.
  • Using the functions of CEHRT to support bi-directional exchange of patient information, in production, under this Framework Agreement.

The Enabling Exchange Under the TEFCA measure is an alternative to attesting to the Support Electronic Referral Loops by Sending Health Information and the Support Electronic Referral Loops by Receiving and Reconciling Health Information measures. Attestation to this measure is optional.

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