Newsletter - November 2017

On October 1, 2017, the State of Michigan unveiled its new Statewide Integrated Governmental Management Applications (SIGMA) system which is part of Governor Snyder’s vision to improve and streamline functions within state government. SIGMA provides an improved accounting system, a fully integrated procurement system, and a better time, attendance and labor system. SIGMA will replace the legacy MAIN accounting system and affects Meaningful Use attestations done through CHAMPS/eMIPP.

For purposes of the Medicaid EHR Incentive Program, attestations completed after September 9, 2017 will be paid out of the new SIGMA system. Under SIGMA, attestations must include a SIGMA Vendor ID selection by the provider.

On October 2, 2017 all Medicaid EHR Incentive Program attestations that were previously submitted and/or being reviewed but had not yet been approved for payment, were converted to a status of “Correspondence Generated”. Providers need to access their attestations, choose their SIGMA Vendor ID from a drop down list under the eligibility tab, and resubmit their attestation.

If providers are unclear as to what their SIGMA Vendor ID is, they should access the SIGMA Vendor Self Service (VSS) site at, along with either the “Existing Vendor” user guide if they had an active account in Contract and Payment Express (C&PE) on June 30, 2017 or the “New Vendor” user guide if they did NOT have an active account with C&PE on June 30, 2017.

FAQs for Existing C&PE Users –

The State of Michigan has also posted a helpful YouTube video to assist in the process of retrieving an EPs SIGMA Vendor ID:

For questions about SIGMA, please contact your M-CEITA Account Manager or the State of Michigan VSS (SOM VSS) Support Center at or call 1-888-734-9749 (8 a.m.-5 p.m. EST, Monday-Friday).


The State of Michigan’s EHR Incentive Program is in the midst of adopting and implementing a new process which makes it mandatory for program participants beyond their first year of achieving Meaningful Use to electronically submit their Clinical Quality Measures (CQMs) for a 2017 program year attestation. In previous years, EPs have manually entered quality measure numerators and denominators into the eMIPP system within CHAMPS, and a few have instead elected to use voluntary program functionality to upload an electronic file containing their Quality Measure data, otherwise known as a QRDA (Quality Reporting Document Architecture) file. This is also referred to as eCQM reporting.

Beginning with their 2017 program year Medicaid Meaningful Use attestation, EPs beyond their first year of achieving MU must now attempt to report the quality measures required for successful attestation electronically through the organization which coordinates Health Information Exchange (HIE) services in Michigan, MiHIN (Michigan Health Information Network). The process/program which MiHIN will use to facilitate the submission of CQMs for MU attestations is called CQMRR (pronounced “Skimmer”) or the Clinical Quality Measure Reporting and Repository. In this process, EPs, or those acting on their behalf, will access the online CQMRR site (still pending) and upload a QRDA I or III level file. MiHIN will then validate the quality measure data contained within the electronic file and relay the information to the State of Michigan to satisfy the quality measure reporting requirement of the Medicaid EHR Incentive Program.

The finishing touches on this new process and the subsequent official State notification and instructions are being completed now, and additional information will be forthcoming soon. In the meantime, EPs who are planning to attest to MU for the 2017 program year and are beyond their first year of Meaningful Use should begin working with their EHR vendor to attain a QRDA level 1 or level 3 file from their EHR system. This is rarely a simple, easy process and with today’s EHR products, it often requires assistance from the EHR vendor.

M-CEITA is here to help! We are working closely with the State of Michigan and MiHIN on this new, developing process and can assist you with answering questions, working with your vendor to attain the needed QRDA file as well as assist with the upload to the pending CQMRR website. Most MU program participants also qualify for our heavily state-subsidized MU technical assistance which brings our highly valued MU services to EPs for only $200 per provider. Contact us at or 888-MICH-EHR.



Apply Now Until December 31 to Form a Virtual Group for MIPS in 2018

Solo practitioners and groups can choose to participate in the Merit-based Incentive Payment System (MIPS) as a virtual group for the 2018 performance period. To form a virtual group for 2018, solo practitioners and groups must follow an election process, and submit their election to CMS by December 31, 2017.

What is a Virtual Group?
As outlined in the Quality Payment Year 2 Final Rule, a virtual group is a combination of two or more Taxpayer Identification Numbers (TINs) made up of one or more solo practitioners or one or more groups consisting of 10 or clinicians (including at least 1 MIPS eligible clinician), or both, that elect to form a virtual group for a performance period for a year. To be eligible to join a virtual group, you must be a:

  • Solo practitioner who exceeds the low-volume threshold; and who is not a newly Medicare-enrolled eligible clinician, a Qualifying APM Participant (QP), or a Partial QP choosing not to participate in MIPS.
  • Group that exceeds the low-volume threshold at the group level (i.e., the NPIs within the TIN collectively exceed the low-volume threshold) and has 10 or fewer clinicians (including at least 1 MIPS eligible clinician).

How Do I Form a Virtual Group?
To form a virtual group, there is a two-stage virtual group election process:

  • Stage 1 (optional): If you’re a solo practitioner or a group with 10 or fewer eligible clinicians, you can choose to contact your Quality Payment Program Technical Assistance representative. Your representative can help you figure out if you're eligible to join or form a virtual group before you:
    1. Make any formal written agreements.

    2. Send in your formal election registration.

    3. Budget your resources for your virtual group.

For groups that don’t participate in stage 1 of the election process and don’t ask for an eligibility determination, CMS will see if they’re eligible to be in a virtual group during stage 2 of the election process.

  • Stage 2 (required): As part of the stage 2 election process, a virtual group must have a formal written agreement between each solo practitioner and group that composes the virtual group prior to submitting an election to CMS. Each virtual group has to name an official representative who is responsible for submitting the virtual group's election via e-mail to by December 31, 2017.

If all the criteria for forming a virtual group are met, CMS will contact the virtual group’s representative and provide the virtual group with a performance identifier.

Learn More about Virtual Groups
For more information about participating in MIPS as part of a virtual group, the election process, and formal agreements, please see the Virtual Groups Toolkit. The toolkit contains:
- Virtual Group Participation Overview Fact Sheet

- Virtual Groups Election Process Fact Sheet
- Virtual Groups Agreement Checklist
- Virtual Groups Sample Agreement Template

Need Help with the Election Process?
Contact the QPP Resource Center:, or 1-844-QPP-4YOU

Or contact the CMS QPP Service Center: or 1-866-288-8292 (TTY: 1-877-715-6222).






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