CMS would like to remind eligible professionals and group practices 
participating in the Medicare Electronic Prescribing (eRx) Incentive Program 
that the deadline to request a hardship exemption for the 2012 eRx payment 
adjustment is Tuesday, November 1, 2011.

Eligible professionals and group practices should determine if they are subject 
to the 2012 eRx payment adjustment by reviewing the MLN Special Edition Article 
#SE1107, "2011 Electronic Prescribing Incentive Program Update - Future Payment 
Adjustments<http://www.cms.gov/MLNMattersArticles/downloads/SE1107.pdf>."  If 
you believe that you may be subject to the 2012 eRx payment adjustment, you 
should determine if you meet any of the hardship exemption categories specified 
by CMS in the 2011 Medicare Electronic Prescribing (eRx) Incentive Program 
Final Rule.

In addition, a Quick Reference 
Guide<http://www.cms.gov/ERxIncentive/Downloads/2011eRxRule-QRG_09-06-2011F.pdf>
 is available to help you understand the changes that the eRx Final Rule made 
to the 2011 Medicare eRx Incentive Program.  As a result of changes to the 
program, eligible professionals and group practices have until Tuesday, 
November 1, 2011 to submit a significant hardship exemption request and 
rationale.

Please note, to be considered for an exemption under the significant hardship 
exemption category "Eligible professionals who register to participate in the 
Medicare or Medicaid Electronic Health Record (EHR) Incentive Programs and 
adopt Certified EHR Technology," an eligible professional must:

 *   Have registered for either the Medicare or Medicaid EHR Incentive Program 
(for instructions on how to register for one of the EHR Incentive Programs, 
refer to the Registration and Attestation page of the EHR Incentive Programs 
section of the CMS website at 
http://www.CMS.gov/EHRIncentivePrograms/20_RegistrationandAttestation.asp<http://www.CMS.gov/EHRIncentivePrograms/20_RegistrationandAttestation.asp#TopOfPage>);
 and
 *   Providers have to show that they adopted certified EHR technology no later 
than October 1, 2011, and provide identifying information about the certified 
EHR Technology.  Please note that, in order to qualify for an exemption to the 
2012 eRx payment adjustment under this significant hardship exemption category, 
it is not necessary that an eligible professional receive an incentive payment 
under the Medicare or Medicaid EHR Incentive Program.

Eligible professionals wishing to register for the Medicaid EHR Incentive 
Program in states that have not yet launched their respective programs may 
initiate the registration process at the CMS Registration and Attestation 
System and obtain a registration number, even though they will not be able to 
successfully complete registration.  If a state has not launched its Medicaid 
EHR Incentive Program, the state name will not appear in the drop-down menu for 
eligible professionals to choose from.  However, a registration number is 
assigned even if registration is not successfully completed.

In order to initiate registration for the Medicaid EHR Incentive Program, 
please visit https://EHRincentives.CMS.gov/hitech/login.action and follow the 
instructions to begin the registration process.  Obtaining a CMS EHR Incentive 
Programs registration number, even if the registration is not successfully 
completed, suffices for the purposes of applying for a significant hardship 
exemption for the 2012 Medicare e-Prescribing payment adjustment.

To request an exemption, individual eligible professionals must submit their 
hardship exemption requests through the Quality Communications Support 
Page<https://www.qualitynet.org/portal/server.pt/community/communications_support_system/234>
 and group practices participating under the group practice reporting option 
(GPRO) must submit hardship exemption requests via a letter to CMS.  Please 
remember that CMS will review these requests on a case-by-case basis.  All 
decisions on significant hardship exemption requests will be final.

For additional information and resources, please visit 
http://www.CMS.gov/ERXincentive and review the new 
FAQ<https://questions.cms.hhs.gov/app/answers/detail/a_id/10789/~/how-does-the-2011-medicare-electronic-prescribing-%28erx%29-incentive-program-final>
 on the topic.



Vaccination is the Best Protection Against the Flu

The Centers for Disease Control and Prevention is encouraging everyone 6 months 
of age and older to get vaccinated against the seasonal flu.  The risks for 
complications, hospitalizations, and deaths from the flu are higher among 
individuals aged 65 years and older.  Medicare pays for the seasonal flu 
vaccine and its administration for seniors and others with Medicare with no 
co-pay or deductible.  And remember, vaccination is particularly important for 
healthcare workers, who may spread the flu to high-risk patients; don't forget 
to immunize yourself and your staff.  Protect your patients. Protect your 
family. Protect yourself. Get the Flu Vaccination - Not the Flu.

Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.



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