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Health IT Flyers

The Maryland Health Care Commission (MHCC) Center for Health Information Technology & Innovative Care Delivery (Center) publishes various flyers related to advancing the adoption and use of health information technology (health IT).  Listed below is a list of flyers.

Center for Health Information Technology and Innovative Care Delivery

The Center for Health Information Technology and Innovative Care Delivery is responsible for advancing the adoption and meaningful use of health information technology throughout the State with the aim of improving the experience of care, the health of the population, and reducing costs of care.  This flyer provides an overview of the Center, its divisions, and its key initiatives for 2016.

Adoption of Electronic Health Records among Long Term Care Facilities in Maryland

The MHCC conducted an environmental scan (scan) to assess EHR adoption among independent LTC facilities in the State. LTC facilities provide health care services for residents who often transition between acute, post-acute, and LTC settings.  This flyer provides the findings of the scan and explains EHR adoption challenges.

Advance Health Care Directives & MOLST Forms

Advance Health Care Directives (advance directives), similar to a living will, and Medical Orders for Life Sustaining Treatment (MOLST) forms become effective when a patient is no longer able to articulate medical decisions (e.g. comatose or terminal state).  This flyer provides a summary of MHCC recommendations to establish an advance directives registry.

American Recovery and Reinvestment Act of 2009 Updates to HIPAA

The American Recovery and Reinvestment Act of 2009 (ARRA) signed into law on February 17, 2009 by President Barack Obama, is an economic stimulus bill.  This flyer lists the key privacy and security changes to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as a result of ARRA.

Breaches of Unsecure Protected Health Information

A breach is an impermissible use or disclosure of protected health information (PHI) under the HIPAA Privacy Rule.  This flyer outlines breach notification requirements, security measures to protect PHI, and summarizes Health and Human Services’s annual report on breaches.

Changes to the Medicare Electronic Prescribing Incentive Program

The Centers for Medicare and Medicaid Services issued a final rule, Changes to the Electronic Prescribing (eRx) Incentive Program, effective on October 6, 2011 that modifies the eRx quality measure to address uncertainties related to the technological requirements of the Medicare eRx Incentive Program and adopts significant hardship exemption categories for the 2012 eRx payment adjustment.  This flyer provides details regarding a qualified eRx system, payment adjustments, and how to apply for significant hardship exemptions.

Electronic Health Records Product Portfolio

An electronic health record (EHR) is a medical record in a digital format that includes identifying information (i.e. name, address phone number, gender and race), and clinical information such as medical history, list of medications, laboratory test results, and advance directives or living wills.  This flyer highlights the benefits of EHRs, implementation timeframes, and MHCC’s EHR Product Portfolio (portfolio).  To visit the portfolio click here.

Electronic Prior Authorizations

Preauthorization requires the approval of certian health care related services pror to performing those services; this process in most cases is manual.  Electronic preauthorization can allow for more timely and effective means in requesting, processing, tracking, and approving a preauthorization.  This flyer outlines the initiatives put in place by MHCC for electronic preauthorizations.

Electronic Preauthorization New Requirements for Health Care Providers

Preauthorization aims to ensure that patients are receiving the most cost-effective and appropriate treatment.  Providers will be required to utilize electronic preauthorization systems by July 1, 2015. Waivers for certain extenuating circumstances and the waiver process will be available in the beginning of 2015.  This flyer outlines the initiatives put in place by MHCC to advance electronic preauthorization in Maryland.

Health Information Exchange

A health information exchange (HIE) enables health care providers to transfer data through secure electronic networks among disparate health information systems, providing the right health information to the right place at the right time.  This flyer describes the benefits of HIE, how to connect to the Maryland State-Designated HIE - the Chesapeake Regional Information System for our Patients (CRISP), and explains certain services offered by CRISP.

Health Information Exchange:  Maryland Privacy and Security Regulations

The MHCC adopted regulations for the privacy and security of PHI exchanged through an HIE operating in Maryland, which went into effect on March 17, 2014. Key provisions of the regulations related to consumer rights; access, use and disclosure of PHI, including sensitive health information; audits; notice of breach; and registration and enforcement are highlighted in this document.

Health Information Technology - An Introduction

Health IT generally consists of the the following three components:  EHRs, HIE and telehealth.  Widespread use of health IT can help improve the quality of patient care, reduce medical errors, and achieve cost savings through greater efficiency.

HIPAA Omnibus Rule Brief

This document summarizes the Omnibus Rule that went into effect on March 26, 2013.  The rule modifies some of the provisions of the privacy and security rules under HIPAA, governing PHI, extending the obligations of business associates, subcontractors and health plans and liabilities for any non-compliance. The Omnibus Rule requires covered entities to update their business associate agreements (BAA) to include a notification process for breach and unauthorized disclosure of PHI, and the notice of privacy policies (NPP) to inform individual's access rights to their PHI. 

HIPAA Privacy Rule Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act

As required under the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), the U.S. Department of Health and Human Services Office for Civil Rights published a Notice of Proposed Rulemaking that modifies the accounting of disclosures requirement under the HIPAA Privacy Rule.  This flyer provides a summary of the proposed privacy rule changes.

Implementation of Preauthorization Phase 1 & 2 Benchmarks

Maryland law requires payors, pharmacy benefit managers (PBMs), and providers to attain benchmarks for standardizing and automating preauthorization of medical and pharmacy services through a phased approach.  Phase 1 required payors and PBMs by October 1, 2012 to include lists on their website of medical and pharmaceutical services requiring preauthorization and key criteria for making a determination on a preauthorization request.  Phase 2 required payors and PBMs to accept medical and pharmaceutical service preauthorization requests electronically and assign a unique identification number to each request for tracking purposes by March 1, 2013. This flyer includes a current list of payors and PBMs and addresses to their webpage(s) that contain Phase 1 and Phase 2 benchmark information.

Key HITECH Changes to HIPAA

Title XIII, Division A of ARRA comprises the provisions of the HITECH Act.  These provisions created new requirements under HIPAA, particularly regarding strengthening privacy and security of PHI and increasing the penalties for violations of HIPAA.  This flyer provides a chart that summarizes key modifications to HIPAA by HITECH.

Leading Requirements of SB 776:  Telemedicine Task Force – Maryland Health Care Commission

Signed into law on May 2, 2013 by Governor Martin O’Malley and effective on July 1, 2013, this law requires MHCC, in conjunction with the Maryland Health Quality and Cost Council, to reconvene the 2010 Telemedicine Task Force (Task Force) to study the use of telehealth throughout the State.  This flyer summarizes the requirements of the Senate Bill 776.

Leading Requirements of SB 781:  Health Insurance – Coverage for Services Delivered through Telemedicine

Signed into law on May 22, 2012 by Governor Martin O’Malley and effective October 1, 2012, this law requires health insurers and managed care organizations to provide coverage for health care services delivered appropriately using telemedicine technology.  This flyer summarizes the requirements of the law and details the additional components of the bill.

Long Term Care Adopting Health Information Technology

This flyer highlights key areas regarding adoption of health IT among long term care (LTC) settings that includes how to access patient health and medication information through Maryland’s State-Designated HIE or CRISP, how to join CRISP, and the CRISP Query Portal.

Management Service Organizations Benefits

This flyer illustrates the benefits of utilizing a state designated Management Service Organizations (MSO), as well as describes some of the services MSOs can offer.  State Designated MSOs provide technical assistance to health care providers in the adoption of health information technology.  

Maryland Health Care Commission

This flyer outlines MHCC’s mission and vision statement and overviews the Centers for Health Care Facilities Planning & Development, Analysis & Information Services, Health Information Technology & Innovative Care Delivery, and Quality Measurement & Reporting.

Meaningful Use for Medicaid EPs

The ARRA outlines incentive programs under Medicaid for Eligible Professionals (EPs) and Eligible Hospitals (EHs) that demonstrate meaningful use of EHRs.  This flyer provides special exceptions for Medicaid EPs, reporting information, meaningful use and participation requirements, and an incentive table.

Meaningful Use for Medicaid EPs – Stage 2 Update

The requirements under the meaningful use incentive program progress through three stages to encourage EPs to advance their use of an EHR system.  This flyer provides Stage 2 requirements and updates the Meaningful Use for Medicaid EPs.

Meaningful Use for Medicare EPs

The ARRA outlines incentive programs under Medicare for EPs and EHs that demonstrate meaningful use of EHRs.  This flyer provides the Medicare incentive payment overview, reporting information, and participation requirements.

MSO State Designation Timeline

This flyer illustrates the process for achieving MHCC MSO Candidacy Status and State Designation, Electronic Healthcare Network Accreditation Commission (EHNAC) accreditation, and participation of Maryland Regional Extension Centers.  MSO State Designation and EHNAC accreditation are valid for a two-year period.

Overview of the 2012 Legislative Report - House Bill 706 – Electronic Health Records – Regulations and Reimbursement

Signed into law on May 19, 2009 by Governor Martin O’Malley, House Bill 706 aims to advance health IT adoption and use among Maryland providers and requires MHCC to, among other things: designate a statewide HIE, identify EHR adoption incentives from certain payers, designate one or more MSOs, and make certain recommendations to the General Assembly. This flyer details the recommendations for changes in State laws to achieve optimal EHR adoption and use.

State Regulated Payor Incentives for Electronic Health Records

Maryland is the first state to require State-regulated payors (payors) to provide incentives to certain health care providers in an effort to promote the adoption of EHRs.  This flyer details the available incentive(s), how to receive the incentive(s), and practice eligibility requirements. For details regarding the State-regulated payor EHR adoption incentive click here.

Telemedicine Information Brief

The MHCC conducted an environmental scan (scan) to assess the Maryland telemedicine landscape to inform the Task Force.  This flyer details how the telemedicine landscape has changed as telemedicine adoption has increased; it includes a literature review of the financial impacts of telemedicine, an overview of telemedicine initiatives among office-based physicians, as well as acute care hospitals, and a review of various telemedicine products.

Telemedicine Licensure for Maryland Physicians

This flyer outlines the telemedicine licensure requirements for physicians in the State.  It includes an overview of telemedicine licensure portability and standards related to patient communications, evaluation, and quality of care.  The flyer also provides a list of telemedicine licensure resources for physicians. 

Telehealth Professional Liability Insurance

Telehealth is a form of health care service delivery that is currently not widespread. Ground rules for telehealth malpractice risks are still largely undeveloped and evolving. This flyer outlines the details surrounding liability insurance coverage for providers practicing telehealth. An overview of assessing liability insurance coverage for telehealth is provided.

Telemedicine Task Force

The effective use of telemedicine can increase access to health care, reduce health disparities, and create efficiencies in health care delivery. This flyer details the role of the Task Force in addressing challenges to the widespread adoption of a comprehensive statewide telemedicine system of care.  An overview of recommendations from the Task Force is provided.

Telehealth Update

This flyer provides an update on telehealth coverage in Maryland and includes an overview of the work of the Telemedicine Task Force in 2013 and 2014, including recommendations for expanding telehealth adoption in the State. 

Telehealth Reimbursement

The law requires private payors (payors) and managed care organizations to reimburse telehealth services in the same manner as in-person services. The Maryland Health Care Commission (MHCC) developed the telehealth reimbursement flyer, which outlines the regulations currently governing telehealth reimbursement and outlines requirements for payors, Medicaid, and Medicare.

Last Updated: 1/10/2018