To participate in MPIP an eligible hospital must have an active Ohio Medicaid Provider Agreement; be free of sanctions and exclusions from the Office of the Inspector General (OIG) and the State of Ohio; and meet other program specific requirements. Eligible hospitals may receive up to four MPIP incentive payments.
Eligible hospital types include:
- Acute Care Hospitals (including Critical Access Hospitals (CAH) and Cancer Hospitals)
- Children’s Hospitals
- Dually Eligible Hospitals
Dually eligible hospitals should select both Medicare and Medicaid during registration at the Centers for Medicare and Medicaid Services (CMS) web site
Patient Volume Requirements
Eligible hospitals must meet one of the following patient volume requirements:
- A minimum of 10% Medicaid patient volume.
- Children’s Hospitals are exempt from the patient volume requirement.
Incentive Payments
Incentive payments will be made to the TIN designated during registration at CMS. The eligible hospital’s aggregate EHR incentive amount will be calculated during payment year one. This amount will be distributed over four years of successful program participation. In payment year one the incentive payment will be 40% of the aggregate amount, 30% in payment year two, 20% in payment year three and 10% in payment year four.
Appeals
Eligible hospitals may request an informal review of a preliminary adverse decision regarding incentive payment amounts, and eligibility requirements. An informal review request can be made through the MPIP system within 15 days of an ineligibility notification.