March 26, 2020
Total Encounter Spreadsheet Required for program year 2020 & 2021
All Medicaid Promoting Interoperability Program incentive payments must be issued by December 31, 2021. Because of this shortened time period available for the review and payment approval, the State of Michigan is now requiring providers to submit during the attestation process,
both their Medicaid Encounters and Total Encounters for program year 2020 and 2021. The spreadsheet should contain two tabs at the bottom, one tab containing the details of their Medicaid Encounters, and a second tab containing the details of their Non-Medicaid encounters. Requesting this during the attestation process should improve the auditing of this information during both the prepayment review and post payment audits (if selected).
Medicaid Encounters: Each encounter
must include the Date of Service (DOS), associated Provider NPI(s), Medicaid/Beneficiary ID, Date of Birth (DOB) (if the Medicaid/Beneficiary ID is unknown), First Name, Last Name, Payer, and Place of Service (POS) code. Please see the screen shot below to get a better understanding of how this information should be submitted.
Non-Medicaid Encounters: Each encounter
must include the Date of Service, associated Provider NPI(s), Date of Birth (DOB), First Name, Last Name, Payer, and Place of Service (POS) code. Please see the screen shot below to get a better understanding of how this information should be submitted.
