Meaningful Use Toolkit for EP

This toolkit provides definitions, info sheets, tips, user guides for Meaningful Use and the Medicaid EHR Incentive Program for Eligible Professionals (EP).
 

Overview of New Requirements for Program Year 2017

Meaningful Use (MU) refers to the use of Certified Electronic Health Record Technology (CEHRT) in a meaningful way to increase efficiency, reduce costs, and improve patient care. By demonstrating MU, an Eligible Professional (EP) can earn financial incentives.
 

 
 

What an EP needs to know for Program Year 2017

On Oct 16, 2015, CMS published the Final Rule specifying the criteria participants must meet to qualify for the Medicare and Medicaid EHR Incentive Programs in 2015 and beyond. The rule's provisions state the 2015-2017 requirements for a Modified Stage 2, and the rules for MU Stage 3. Watch the video to learn about the Final Rule.
 

  • For program year 2017, an EP needs to attest to either Modified Stage 2 or Stage 3.
     

  • Modified Stage 2 has 10 objectives replacing the original core and menu sets of Stages 1 and 2.
     

  • Stage 3 has only 8 objectives that further consolidate the objectives and measures of Modified Stage 2.
     

  • An EP also needs to meet the requirements for the Clinical Quality Measures (CQMs).
     

  • The alternate exclusions that were available for program year 2015 and 2016 are no longer available.
     

  • Any EP who previously attested and was approved for payment can continue in the program.
     

  • EPs can no longer initiate first-time participation in the program and AIU attestation is no longer available.
     

  • The MU attestation deadline is Mar 31, 2018, and MAPIR is expected to open in Oct 2017.
     

  • The MU reporting period will be any continuous 90-day period from Jan 1, 2017 through Dec 31, 2017.
     

  • Modified Stage 2 requires a 2014 or 2015 CEHRT Edition.
     

  • Stage 3 requires a 2015 CEHRT Edition, or a combination of 2015 and 2014 Editions that meets the Stage 3 requirements.
     

  • Use the information presented in the Program, Registration, Attestation, and other tabs to apply for incentives. 

What an EP needs to know for Program Year 2018

In the Final Rule published on 8/14/17, CMS announced the option to continue with Modified Stage 2 in program year 2018. Participants will again be able to attest to either Modified Stage 2 or Stage 3, based on either a 2014 or 2015 Edition CEHRT, or a combination of the two CEHRT editions. The MU requirements for 2018 will be the same as for 2017. Stage 3 will become mandatory in program year 2019.

Documentation Requirements and Key Program Updates for 2017

Documentation Guide
CMS Spec Sheets
CMS Spec Sheets

MeHI Presentations

Attestation Document
Attestation Document



Info Sheet
Table
Group Proxy Guide

 

2017 Supporting Documentation Guide for EPs - Version 8/8/2017
2017 Modified Stage 2 Specification Sheets for EPs
2017 Stage 3 Specification Sheets for EPs

Modified Stage 2 Meaningful Use Presentations for Each Objective

MU Aggregation Form - Version 5/15/2017
Security Risk Analysis/Review Cover Sheet
The cover sheet can be signed by an authorized individual, e.g. Chief Medical Officer, Chief Information Officer, Director of Compliance, Consultant, Eligible Provider, Designee
2015-2017 Medicaid 1115 Waiver Population Grid
2017 Chip Factor
Calculating Patient Volume Threshold Using Group Proxy Methodology "Last update 2015"

Resources to Learn More About the Final Rule

CMS Final Rule
CMS Fact Sheet

MeHI Slides
CMS Slides

CMS Recording
 

 

Stage 3 and Modifications to Meaningful Use 2015 through 2017
2015-2017 Modified Stage 2 Overview

Final Rule on MU Modifications for 2015-2017 and Stage 3 MU
Final Rule and What You Need to Know for 2015-2017
Final Rule and What You Need to Know for 2015-2017
Enter name (use prefilled password & key). Click View Recording. Enter email & company. Click View Recording.

Medicaid EHR Incentive Program

Eligible Professionals (EPs) have been able to earn incentives from the Medicaid EHR Incentive Program to Adopt, Implement, or Upgrade (AIU) to Certified EHR Technology (CEHRT) and demonstrate Meaningful Use (MU):

  • MU-based incentives will be available up to and including Program Year 2021. From Program Year 2017 onward, this is restricted to returning participants who have been paid AIU and/or MU incentives in prior program year(s).
     
  • AIU-based incentives are no longer available. The last year to initiate first-time participation and to earn incentives for AIU was Program Year 2016.

The Meaningful Use attestation deadline for Program Year 2017 is Mar 31, 2018.

   

Getting Started Resources

CMS Website
CMS Website
CMS Website
CMS Website


MeHI Training Slides
Presentations
FAQ sheets

 

Program Basics
Educational Resources
FAQ
Requirements for Previous Program Years

Adopt / Implement / Upgrade and Modified Stage 2 Training Slides for EPs
Recent Medicaid EHR Incentive Payment Program Presentations
Frequently Asked Questions About the Medicaid EHR Incentive Payment Program

Eligibility and Enrollment Information  

MeHI Website
Checklist and Forms

Checklist
CMS Info Sheet
Info Sheet

Fact Sheet
Checklist
Fact Sheet
Checklist

 

EHR Incentive Program Eligibility Overview for Professionals
Special Enrollment Checklist for EPs 

Updated on 7/18/16 to include Psychiatric Clinical Nurse Specialists
Checklist for Practitioner Panel EPs
Additional Requirements for EPs Practicing in Multiple Locations - Updated March 2016
Resident Participation Requirements

Fact Sheet EPs not practicing predominately at an FQHC/RHC
Checklist for EPs not practicing predominately at an FQHC/RHC
Fact Sheet for EPs practicing predominately at an FQHC/RHC
Checklist for EPs practicing predominately at an FQHC/RHC

Related Government Websites

EOHHS Website
CMS Website
HealthIT.gov Website

 

MassHealth EHR Incentive Program Website
Centers for Medicare and Medicaid EHR Incentive Programs Website
Office of the National Coordinator for Health Information Technology (ONC) Website

Related Government Roadmap Documents

MA eHealth Plan
ONC Roadmap

 

The Massachusetts State Medicaid Health Information Technology Plan (SMHP)
ONC Nationwide Interoperability Roadmap

Medicaid EHR Incentive Program Registration

To participate in the EHR Incentive Program, EPs must be recognized in MMIS, MassHealth's Medicaid Management Information System. EPs are required to register through the CMS Registration and Attestation System (R&A). The data entered (name, address, NPI,...) will be matched against MMIS. To successfully register with CMS, EPs must have:

  • National Provider Identifier (NPI)
  • Identify and Access (I&A) Id and Password
  • Payee Tax Identification Number (TIN)
  • EHR Certification Number

As of Program Year 2017, EPs can no longer use the CMS R&A system to initiate first-time participation in the Medicaid EHR Incentive Program. However, existing Meaningful Use participants can access the R&A system to make changes to an EP's registration to update the information, e.g. after a switch to a different organization.

Note: EPs can register and attest themselves and/or can authorize a designee to act on their behalf. A successful registration results in a “Welcome to MAPIR” email notification with instructions on how to access MAPIR to begin the attestation process.

Step 1: Assign a Designee (Optional for EPs)

I&A Instructions
I&A FAQ Sheet
Go to I&A System
 Go to PECOS System

 

Identity & Access Quick Reference Guide to assign designee to attest on behalf of EP
Identity & Access FAQs
Identity & Access Management System (Login with your PECOS Username and Password)
Provider Enrollment, Chain, and Ownership System (Includes the I&A system)

Step 2: Register in the CMS R&A System

Registration Instructions
Go to CMS R&A System
CMS Checklist

 

CMS Registration & Attestation (CMS R&A) User Guide for EPs
Centers for Medicare & Medicaid Services Registration & Attestation System
Registration, Attestation, PECOS Checklist

Step 3: Special Enrollment (Upon Request only, for EPs not recognized or inactive in MMIS )

Checklist and Forms
 

 

Special Enrollment Checklist for EPs 
Updated on 7/18/16 to include Psychiatric Clinical Nurse Specialists

Medicaid EHR Incentive Program Attestation

Annual attestation must be completed by the designee assigned to attest on behalf of the EP. To attest, use MAPIR, the state's attestation system, which is accessible via the Provider Online Service Center on the MassHealth website. Log into MAPIR using the Virtual Gateway username and password provided during registration. MAPIR will guide you in entering the data required to demonstrate an EP meets the program requirements, and a link to the MAPIR User Guide is included below.

The EP or appointed designee must upload supporting documentation to the EP’s MAPIR application prior to submittal for review.  Please reference the 2017 Supporting Documentation Guide below.

Supporting Documentation Requirements

Documentation Guide
CMS Spec Sheets
CMS Spec Sheets

Attestation Document
Attestation Document



Info Sheet

 

2017 Supporting Documentation Guide for EPs - Version 8/8/2017
2017 Modified Stage 2 Specification Sheets for EPs
2017 Stage 3 Specification Sheets for EPs

MU Aggregation Form - Version 5/15/2017
Security Risk Analysis/Review Cover Sheet
The cover sheet can be signed by an authorized individual, e.g. Chief Medical Officer, Chief Information Officer, Director of Compliance, Consultant, Eligible Provider, Designee
2015-2017 Medicaid 1115 Waiver Population Grid

MAPIR System for Medicaid EHR Incentive Attestations

MAPIR Guide
Go to MAPIR System
 

 

MAPIR V6.0 User Guide for EPs
MassHealth Provider Online Service Center (Select "EHR Incentive Program" at left of page)

 

                    Documentation for Medicare Incentive Program Attestations (Includes tips helpful for Medicaid Attestations):

CMS User Guide

 

CMS Modified Stage 2 Medicare Attestation User Guide for EPs (Takes time to load)

Attestation Resources for Prior Program Years

Documentation Guide
CMS Spec Sheets
Documentation Guide

Documentation Guide
Flexibility Rule
User Guide

User Guide
User Guide

 

2016 Supporting Documentation Guide for EPs - Version 5/15/2017 (Changes listed in blue)
2016 Modified Stage 2 Specification Sheets for EPs
2015 Supporting Documentation Guide for EPs - Version 7/27/2016
2014 Supporting Documentation Guide for all Participants
Flexibility in Certified EHR Technology for 2014 for EPs
2014 CMS Stage 1 Attestation User Guide for EPs (Takes time to load)
2013 CMS Stage 1 Attestation User Guide for EPs (Takes time to load)
CMS Stage 2 Attestation User Guide for EPs (Takes time to load)

Adopt, Implement, or Upgrade (AIU) to CEHRT

As of Program Year 2017, EPs can only earn incentives for Meaningful Use (MU). EPs can no longer earn incentives for Adopting, Implementing or Upgrading (AIU) to Certified EHR Technology (CEHRT). The information below is provided for participants who have an outstanding AIU application, for a prior Program Year, that has not yet been approved for payment. 

Up to Program Year 2016, first year participants needed to attest that they met the program's eligibility criteria, and demonstrate they had Adopted, Implemented, or Upgraded (AIU) to CEHRT. As of 2014, participants also had the option to immediately attest to Meaningful Use in the first year, skipping AIU attestation. To qualify for AIU, EPs had to either:
   Adopt:          Acquire, purchase or secure access to CEHRT
   Implement:   Install or initiate the use of CEHRT
•   Upgrade:      Expand existing EHR functionality to CEHRT

 AIU Resources

MeHI EHR Toolkit
MeHI Website Tips
EHR Workbook

ONC Website
ONC Guide
ONC Info Sheet
Go to CEHRT Website

 

EHR Planning and Procurement Toolkit
EHR Implementation Tips
EHR System Selection Workbook

This workbook was developed by NJ-HITEC, with funding from the Regional Extension Center award issued by ONC.
Health IT Playbook
ONC EHR Contract Guide
ONC Guide to Understanding EHR Vendor Contract Terms

ONC Certified Health IT Product List (CHPL) website

Attesting to Meaningful Use Modified Stage 2 or Stage 3

For Program Year 2017, an EP needs to attest to either Modified Stage 2 or to Stage 3. Modified Stage 2 has 10 objectives replacing the original core and menu sets of Stages 1 and 2. Stage 3 has only 8 objectives that further consolidate the objectives and measures of Modified Stage 2. An EP also needs to meet the Clinical Quality Measures (CQMs) requirements.​ 

EPs can no longer initiate first-time participation in the program, but any EP who previously attested and was approved for payment can continue in the program to attest for Meaningful Use.  

Modified Stage 2 requires a 2014 or 2015 CEHRT Edition. Stage 3 requires a 2015 CEHRT Edition, or a combination of 2015 and 2014 Editions that meets the Stage 3 requirements.

The EP or appointed designee must upload supporting documentation to the EP’s MAPIR application prior to submittal for review.  Please reference the 2017 Supporting Documentation Guide below.

Modified Stage 2 and Stage 3 Overviews

Documentation Guide
CMS Spec Sheets
CMS Spec Sheets


MU MeHI Presentations
MU MeHI Website

MU MeHI Website

CMS Tip Sheet
CMS Fact Sheet
CMS Table

 

2017 Supporting Documentation Guide for EPs - Version 8/8/2017
2017 Modified Stage 2 Specification Sheets for EPs
2017 Stage 3 Specification Sheets for EPs

Modified Stage 2 Meaningful Use Presentations for Each Objective
Meaningful Use Overview
CMS Meaningful Use Rules and Definitions

What's changed for 2015 through 2017
2015-2017 Modified Stage 2 Overview
2015-2017 Modified Stage 2 Objectives and Measures Table for EPs

MU - Clinical Quality Measures 

CMS Website Page
CMS Website Page

MU Info Sheet

 

2017 CQM Library
2015 CQM Reporting Options "Last update 2015"
Clinical Quality Measures Reference Guide for EPs "Last update 2014"

MU - Privacy & Security

MU Info Sheet
Attestation Document



CMS Tip Sheet

 

Privacy and Security Guide
Security Risk Analysis/Review Cover Sheet
The cover sheet can be signed by an authorized individual, e.g. Chief Medical Officer, Chief Information Officer, Director of Compliance, Consultant, Eligible Provider, Designee
Security Risk Analysis "Last update Mar 2016"

MU - Health Information Exchange

CMS Tip Sheet

 

Health Information Exchange "Last update Mar 2016"

MU - Patient Engagement

CMS Tip Sheet
ONC Fact Sheet

 

Patient Electronic Access "Last update Mar 2016"
Providing Patient-Specific Education Resources

MU - Medication Reconciliation

ONC Toolkit

 

Medication Reconciliation Toolkit

MU - Prior Program Year Resources

Documentation Guide
CMS Spec Sheets
CMS Fact Sheet
CMS Worksheet
Documentation Guide
CMS Spec Sheets
CMS Fact Sheet
CMS Worksheet
CMS Tip Sheet
MU Info Sheet

MU FAQ Sheet
MU Tip Sheet
MU Ruling
MU Calculator

 

2016 Supporting Documentation Guide for EPs - Version 5/15/2017 (Changes listed in blue)
2016 Modified Stage 2 Specification Sheets for EPs
2016 Alternate Specifications and Exclusions for EP scheduled to attest to Stage 1
2016 Attestation Worksheet for EPs
2015 Supporting Documentation Guide for EPs - Version 7/27/2016
2015 Modified Stage 2 Specification Sheets for EPs
2015 Alternate Specifications and Exclusions for EP scheduled to attest to Stage 1
2015 Attestation Worksheet for EPs
What you need to know for 2015 for EPs
2014 Stage 1 vs. Stage 2 Meaningful Use Comparison Table for EPs
Stage 1 Meaningful Use Frequently Asked Questions
Stage 1 Tip Sheet: 2013 Meaningful Use Stage 1 Changes
Stage 2 Final Rules: Medicare & Medicaid EHR Incentive Program
Stage 1 Meaningful Use Attestation Calculator (Takes time to load)

Public Health Measures Reporting

MU Modified Stage 2 and Stage 3 require EPs to attest to the Public Health Reporting objective, which requires using Certified EHR Technology (CEHRT) to submit data to public health and/or specialized registries.

The Public Health Reporting objective requires active engagement with two or more of the following:

  1. Immunization Registry
  2. Syndromic Surveillance Registry
  3. Specialized / Public Health Registry

       Stage 3 future program years:

  1. Electronic Case Reporting
  2. Clinical Data Registry

Watch this video, read the details below, or visit this website to learn how the Massachusetts Department of Public Health (MDPH) assists EPs in meeting the objectives.

 

Immunization Registry (Measure 1)

MIIS, the Massachusetts Immunization Information System, is a web-based registry that collects patient immunization data. MIIS accepts electronic immunization messages (VXU) from CEHRT systems in the HL7 2.5.1 format. This satisfies Meaningful Use purposes. Technical specifications can be found on the MIIS Providers webpage

Note that pursuant to M.G.L. Chapter 111, Section 24M, all licensed health care providers who administer immunizations are required to report immunization data to MIIS. EPs can claim an exclusion for the MU measure if they do not administer immunizations to any of the populations for which data is collected during the EHR reporting period.

For more information, and to register intent to submit immunization data, contact the MIIS Help Desk at 617-983-4335 or miishelpdesk@state.ma.us.
The MDPH also holds weekly MIIS Technical Support calls:
When: Every Thursday from 10:BAM to 11:00 AM EST
Phone: (605) 562-3000. Enter Access Code: 580574#

Syndromic Surveillance (Measure 2)

MDPH accepts syndromic surveillance data from EPs who practice in a freestanding urgent care facility. All other EPs can claim an exclusion for this measure. Save or print a screenshot of the MDPH Meaningful Use and Public Health Reporting webpage to document the reason for claiming the exclusion. 

Specialized Registry / Public Health Registry (Modified Stage 2 Measure 3 / Stage 3 Measure 4)

Specialized Registry Reporting is a Modified Stage 2 measure. In Stage 3, this measure is renamed to Public Health Reporting, but the requirements stay the same.

EPs who do not collect data relevant to a Specialized / Public Health Registry within their "jurisdiction" may claim an exclusion for this measure, since there is no registry available relevant to their scope of practice. However, the definition of “jurisdiction” is dependent on the type of registry, and the scope of "jurisdiction" may be local, state, regional or national.

EPs may be able to meet the Specialized / Public Health Registry measure by reporting to a national clinical data registry:

  • Some national professional associations, such as the American College of Cardiology, American Academy of Ophthalmology, and American College of Rheumatology have made clinical data registries available to their members.

The Commonwealth of Massachusetts offers two options for Specialized / Public Health Registry Reporting:

  1. The Massachusetts Cancer Registry (MCR) supports electronic reporting from CEHRT systems. If you are an EP who treats cancer patients and are interested in reporting to the MCR, contact Susan T. Gershman at susan.gershman@state.ma.us
     
  2. The Bureau of Infectious Disease Prevention at the MDPH has implemented electronic infectious disease case reporting into a specialized registry, the Massachusetts Virtual Epidemiologic Network (MAVEN). The registry accepts electronic medical case reports for acute hepatitis, active tuberculosis, and sexually-transmitted diseases. As onboarding participants is resource intensive, MDPH limits participation via a threshold based on incidence of reportable conditions seen by providers over a 12-month period. For EPs, the combined number of cases of syphilis, gonorrhea, chlamydia, acute hepatitis, and active tuberculosis seen at your facility must be greater than 1,000 in the most recent 12-month period. If your facility meets the threshold and you are interested in reporting data to this registry, contact Sita C. Smith at sita.c.smith@state.ma.us.

At this time, the MDPH has not declared the Prescription Drug Monitoring Program (PDMP) a Specialized Registry.

Electronic Case Reporting (Stage 3 Measure 3 - future program years)

Electronic Case Reporting is a new Stage 3 requirement, but is not yet available in Program Year 2017.

Clinical Data Registry (Stage 3 Measure 5 - future program years)

Clinical Data Registry is a new Stage 3 requirement, but is not yet available in Massachusetts in Program Year 2017.

Reporting Requirements

Measure

MU Measure Description

Action to Meet MU Measure

Eligible Professionals

1

Immunization Registry

  1. Demonstrate active engagement* with the Massachusetts Immunization Information System (MIIS); or
     
  2. Claim an exclusion if no immunizations are administered.

2

Syndromic Surveillance Registry

  1. Demonstrate active engagement* with the MDPH Syndromic Surveillance Registry if the EP practices at a freestanding urgent care facility; or
     
  2. Claim an applicable exclusion.

3

 

4
 

 Modified Stage 2 - Specialized Registry

 

 Stage 3 - Public Health Registry
Note: This is Option 3 in MAPIR!

  1. Demonstrate active engagement* with the MDPH Cancer Registry if applicable;
     
  2. Demonstrate active engagement* with the Massachusetts Virtual Epidemiologic Network (MAVEN) if applicable;
     
  3. Demonstrate active engagement* with another specialized / Public Health registry (such as a clinical data registry offered through a national professional association) if applicable; or
     
  4. Claim an exclusion if none of the above apply.

*CMS defines “active engagement” as any one of the following:

  • Completed Registration to Submit Data – must be completed within 60 days of start of EHR reporting period;
  • Testing and Validation – must respond to requests within 30 days; failure to respond twice within an EHR reporting period would result in failure to meet the measure;
  • Production

EPs who select YES to any of the three options should not claim any exclusions associated with that measure. Medicaid Program participants who claim an exclusion for a public health reporting measure are responsible for ensuring they meet the qualifications and retain all required documentation to fully support their attestation selection.

 

Patient Volume Threshold (PVT)

To qualify, an EP's Medicaid Patient Volume must meet a 30% Patient Volume Threshold during a 90-day reporting period (20% for Board-Certified Pediatricians). There is an FQHC/RHC and a non-FQHC/RHC method to calculate Patient Volume. EPs in a group practice can use the Group Proxy Methodology to calculate Patient Volume.

2017 CHIP Factors for Eligible Professionals (Children's Health Insurance Program)

For non-FQHC/RHC, the following CHIP factor must be applied to the in-state numerator to exclude CHIP patients.
 If you selected a 90 day PVT reporting period in:
 - 2016: use the 2016 Calendar Year factor listed below.
 - 2017: use the 2017 factor corresponding to the last day of the period. 

2016
Calendar Year
2017
Jan 1 - Mar 31
2017
Apr 1 - Jun 30
2017
Jul 1 - Sep 30
2017
Oct 1 - Dec 31
2018
Jan 1 - Mar 31
3.93%    4.02%     TBD       TBD     TBD TBD

PVT Resources

MeHI Website Page
Info Sheet
Tip Sheet
Group Proxy Guide
Info Sheet

 

Medicaid Patient Volume for EPs
Calculating Patient Volume Threshold
Patient Volume Thresholds
Calculating Patient Volume Threshold Using Group Proxy Methodology "Last update 2015"
2015-2017 Medicaid 1115 Waiver Population Grid

Templates to Calculate Patient Volume by Individual EP

PVT Template
PVT Template
FQHC Template

 

Individual EP - Paid Claims (Updated 5-25-17)
Individual EP - Enrollee (Paid, Zero Paid, and Denied Claims) (Updated 5-25-17)
FQHC Threshold Verification

Templates to Calculate Patient Volume based on the Group Proxy Methodology 

Group Proxy Template
Group Proxy Template
FQHC Template​

 

Group - Paid Claims (Updated 5-25-17)
Group - Enrollee (Paid, Zero Paid, and Denied Claims) (Updated 5-25-17)
FQHC Threshold Verification (Same form as for Individual EP)

PVT - Prior Program Year Resources

2016 CHIP Factors for Eligible Professionals (Children's Health Insurance Program)

For non-FQHC/RHC, the following CHIP factor must be applied to the in-state numerator to exclude CHIP patients.
 If you selected a 90 day PVT reporting period in:
 - 2015: use the 2015 Calendar Year factor listed below.
 - 2016: use the 2016 factor corresponding to the last day of the period. 

2015
Calendar Year
2016
Jan 1 - Mar 31
2016
Apr 1 - Jun 30
2016
Jul 1 - Sep 30
2016
Oct 1 - Dec 31
2017
Jan 1 - Mar 31
2017
Apr 1 - Jun 30
3.20%    3.46%     3.67%       3.81%     3.93% 4.02% TBD
 

2015 CHIP Factors for Eligible Professionals (Children's Health Insurance Program)

For non-FQHC/RHC, the following CHIP factor must be applied to the in-state numerator to exclude CHIP patients.
 If you selected a 90 day PVT reporting period in:
 - 2014: use the 2014 Calendar Year factor listed below.
 - 2015: use the 2015 factor corresponding to the last day of the period. 

2014 Calendar Year 2015: Jan 1 - Mar 31 2015: Apr 1 - Jun 30 2015: Jul 1 - Sep 30 2015: Oct 1 - Dec 31
2.75%    2.76% *     2.89% *       3.06% **     3.20% **

Table notes:
*    Q1-Q2 factors changed as of 7/8/16. If you submitted before 7/8/16, you will only need to update your application if we ask you to do so.
**  Q3-Q4 factors are new as of 7/8/16. If you submitted before 7/8/16 using an estimated factor, you will be asked to update the application.

Medicaid EHR Incentive Program - Validation and Audits

All Medicaid EHR Incentive Program applications will go through a pre-payment validation process. After the incentives have been paid, the provider may also be selected for a post-payment audit. The audits are performed by EOHHS, or their contractors. For audit purposes, all supporting documentation must be retained for at least six years after attestation.

Pre-Payment Validation Resources

MeHI Website

 

Validation Process Overview

Post-Payment Audit Resources

CMS Fact Sheet
CMS Tip Sheet
CMS Tip Sheet

 

Audit Overview (Last update Feb 2013)
Supporting Documentation for Audits (Last update Feb 2013)
Supporting Documentation for Audits (Stage 2) (Last update Feb 2014)

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