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170.315(h)(1) – Direct Project

Capability

Direct Project

Description of Capability

  • This functionality allows EHR technology to connect with 3rd Party Health Information Service Providers (HISP’s) and providers’ of other Certified EHR technology to demonstrate interoperability using the direct messaging standards specified by the ONC.

Cost and Fees

Types of costs or fees that a user may be required to pay to purchase, license, implement, maintain, upgrade, use, or otherwise enable and support the use of the implementation or use of the capability -OR- in connection with the data generated in the course using the capability.

Cost and Fees:

Clients are required to subscribe to a Monthly Provider License of Freedom | PM | EHR | ERX in order to possess the 2015 certified EHR technology capabilities. Provider licenses are charged on a per provider basis for (Full-Time / Part-Time) providers. Use of the following relied upon 3rd Party services is included in the monthly provider license subscription:

  • DrFirst Rcopia
  • EBSCO Patient Education Reference Center (PERC)
  • EBSCO Dynamed
  • IMO Procedure, Problem
  • Medline Plus
  • EMR Direct

Monthly Fee:

  • Monthly Provider License Fee (Full-Time / Part-Time)

One-Time Implementation & Setup Fee:

  • Provider Direct Address Fee
  • Organization Setup & Verification Fee
  • Additional Organization Representatives Identity Proofing Fees
  • Custom Domain Setup Fee

Annual Maintenance Fee:

  • Included with Monthly Provider License Fee

Contractual Limitations

Limitations of a contractual nature (including developer policies and other business practices) that a user may encounter in the implementation or use of the capability -OR- in the connection with the data generated in the course of using the capability.

Contractual Limitations:

EMR Direct’s HISP Services are fully Direct Trust/EHNAC DTAAP accredited.

Pursuant to EMR Direct’s security policy, the Direct messaging capability is restricted, and users will be unable to exchange messages with users of third-party HISPs with whom EMR Direct does not have a trust agreement.

Should a provider wish to establish a new connection with a third-party HISP, provider must submit a service request identifying the third-party HISP along with contact information for the HISP. EMR Direct will establish, maintain, and support technology to manage the connection. Third-party HISPs must agree to EMR Directs connection and trust agreement. EMR Direct will make every effort in good faith to establish such connectivity within a reasonable time frame. However, we do not warrant that EMR Direct will be able to establish agreements and required connections with all third-party HISPs.

Technical or Practical Limitations

Limitations of a technical or practical nature that a user may encounter that could prevent or impair the successful implementation, configuration, maintenance, support, or use of the capability -OR- prevent or limit the use, exchange, or portability of any data generated in the course of using the capability.

Technical Limitations:

  • None

Practical Limitations:

The certified EHR interacts with EMR Direct to send and receive transition of care/referral summaries via the Direct standards.

Providers wishing to utilize our integrated HISP services must notify our customer service department to request a direct address account to be created for their organization. Organizations interested must complete the following forms prior to receiving a direct address from EMR Direct:

  • Verifiers List of Authorized Users LOA-3 Form
  • phiCert Identify Verification – LOA3 In-Person – Notary Form
  • phiCert Organizational Application LOA 3 In-Person Form

Upon successful completion of the above-mentioned forms, CCC Direct Administrators will notify you of your direct address credentials. Please allow sufficient time to complete the enrollment process and direct address setup. This is typically 30 days from notification but varies based on the accuracy of the information provided and the number of additional users that must be identity proofed.

Updated on July 6, 2022