Proposed Changes to the Medicare PI Program for FY 2020

On April 23, 2019, the Centers for Medicare & Medicaid Services (CMS) (@CMSGov) issued the Fiscal Year (FY) 2020 Inpatient Prospective Payment System (IPPS) and the Long-term Care Hospital (LTCH) Prospective Payment System Proposed Rule.

Proposed changes to the Promoting Interoperability Programs include:

  • Establishing an EHR reporting period of a minimum of any continuous 90-day period in calendar year (CY) 2021 for new and returning participants,
  • Removing the Verify Opioid Treatment Agreement measure beginning in CY 2020,
  • Changing the Query of Prescription Drug Monitoring Program (PDMP) measure in CY 2020 from required to optional, and
  • Converting the Query of PDMP measure from a numerator/denominator response to a yes/no attestation beginning with the EHR reporting period in CY 2019.

Additionally, CMS will be soliciting feedback on these proposed changes in the coming days. Once the proposed rule has posted to the Federal Register, the formal comment period will open. The deadline for submitting comments on the proposed rule is June 24, 2019. CMS will provide further instructions on how to submit comments after the rule has been published.

For More Information
To learn more about these and other proposed changes, review the proposed rule and this fact sheet.