Medicaid Promoting Interoperability

The requirements for the Medicaid Promoting Interoperability Program for the 2021 reporting year are based on the following CMS final rule and are subject to change.

To meet the measure requirements for Medicaid PI, the clinic setup must include:

• Access to prescribe electronically using Rcopia
• An active Direct Message Sevocity feature that exchanges encrypted communication between two parties using DirectTrust (Direct) transport standards account
• One or more interfaces may be required for the Public Health and Clinical Data Registry Reporting objective and are detailed in the measure workflow where applicable

Note

The ability to prescribe controlled substances is not required to meet the measures but is available in Sevocity through the activation of an EPCS Gold account.

Contact Sevocity Support to verify clinic setup options or to request setup of these features.

Medicaid PI consists of two types of measures: percentage-based and self-attestation. For the purposes of reporting, percentage-based measures require a numerator, denominator, and resulting percent, and self-attestation measures require a Yes or No attestation.

2021 Medicaid Promoting Interoperability Objectives