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Registration

Attestation for the Medicare EHR Incentive Program is now open. Visit the Attestation page for more information. 

Registration for the Medicare and Medicaid EHR Incentive Programs is now open.
We encourage providers to register for the Medicare and/or Medicaid EHR Incentive Program(s) as soon as possible to avoid payment delays. Please note that not all states have launched a Medicaid EHR Incentive Program yet, and you should check your state's status

You can register before you have a certified EHR. Register even if you do not have an enrollment record in PECOS (which is required for all hospitals and Medicare eligible professionals).

Although the Medicaid EHR Incentive Programs opened in January 2011, some states are not ready to participate.  Information on when registration will be available for Medicaid EHR Incentive Programs in specific states is posted at Medicaid State Information.  Eligible Professionals will not be able to register for a Medicaid EHR Incentive Program until their state's program has launched and that state's site has opened.

Note for hospitals that register for "Both Medicare & Medicaid": You may pre-register for the Medicaid EHR Incentive Program before your state launches, but you will be placed in a "pending state validation" status for eligibility in the Medicaid Incentive Program.

Register for the Medicare and/or Medicaid EHR Incentive Programs

Below are step-by-step guides to help you register for EHR Incentive Programs. Choose the guide that fits your needs:

What can you do now for the Medicare and Medicaid EHR Incentive Programs?

What information will you need when you register?

  • Eligible Professionals
  • Hospitals

What else do I need to know about registration?

What can you do now for the Medicare and Medicaid EHR Incentive Programs?

Make sure you have enrollment records in the appropriate systems. You’ll need:

  • A National Provider Identifier (NPI)
    • All eligible professionals, eligible hospitals, and critical access hospitals (CAHs) must have a National Provider Identifier (NPI) to participate in the Medicare and Medicaid EHR Incentive Programs.
  • An enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS)
    • All eligible hospitals and Medicare eligible professionals must have an enrollment record in PECOS to participate in the EHR Incentive Programs. (Note: Eligible professionals who are only participating in the Medicaid EHR Incentive Program are not required to be enrolled in PECOS.)
    • If you do not have an enrollment record in PECOS, you should still register for the Medicare and Medicaid EHR Incentive Programs.

CMS Identity and Access Management (I&A) User ID and Password

  • Eligible Professionals:
  •  
    • Eligible professionals can use the same User ID and Password they use for the National Plan and Provider Enumeration System (NPPES). This is also the same User ID and Password that is used to access PECOS.
    • If you are an EP who does not have an NPI and/or an NPPES web user account, go to NPPES to apply for an NPI and/or create an NPPES web user account.
  • Hospitals/Critical Access Hospitals:
  •  
    • Authorized Officials can use the same User ID and Password they use to access PECOS.
    • If you do not have an Authorized Official with access to PECOS, request a User ID and Password via Identity & Access Management. You will need your type 2 NPI, your Taxpayer Identification Number (TIN), and your address from the IRS Form CP-575. You will need to mail a copy of the IRS Form CP-575 as directed.
    • Additional hospital staff will need to request access to the "EHR Incentive Programs" application through Identity & Access Management and be approved by the Hospital’s Authorized Official.

What information will you need when you register?

Registering for the Medicare and Medicaid EHR Incentive Programs is easy when you have the following information available during the process:

Eligible Professionals

  • National Provider Identifier (NPI).
  • National Plan and Provider Enumeration System (NPPES) User ID and Password.
  • Payee Tax Identification Number (if you are reassigning your benefits).
  • Payee National Provider Identifier (NPI)(if you are reassigning your benefits).

UPDATE regarding third-party registration: In April 2011, CMS implemented functionality that allows an EP to designate a third party to register and attest on his or her behalf. To do so, users working on behalf of an EP must have an Identity and Access Management System (I&A) web user account (User ID/Password), and be associated to the EP's NPI. If you are working on behalf of an EP(s) and do not have an I&A web user account, please visit I&A Security Check to create one. States will not necessarily offer the same functionality for attestation in the Medicaid EHR Incentive Program. Check with your State to see what functionality will be offered.

Hospitals

  • CMS Identity and Access Management (I&A) User ID and Password.
  • CMS Certification Number (CCN).
  • National Provider Identifier (NPI).
  • Hospital Tax Identification Number.

NOTE: You do not have to provide information on the certified EHR technology you are using when you register. However, this information is required when you attest.

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What else do I need to know about registration?

Eligible Professionals:

Eligible professionals eligible for both the Medicare and Medicaid EHR Incentive Programs must choose which incentive program they wish to participate in when they register. Before 2015, an eligible professional may switch programs only once after the first incentive payment is initiated. Most eligible professionals will maximize their incentive payments by participating in the Medicaid EHR Incentive Program.

Hospitals:

If you represent a hospital that meets all of the following qualifications, you are dually-eligible for the Medicare and Medicaid EHR Incentive Programs:

  • You are a subsection(d) hospital in the 50 U.S. States or the District of Columbia, or you are a Critical Access Hospital (CAH); and
  • You have a CMS Certification Number ending in 0001-0879 or 1300-1399; and
  • You have 10% of your patient volume derived from Medicaid encounters.

Hospitals that are eligible for EHR incentive payments under both Medicare and Medicaid should select "Both Medicare and Medicaid" during the registration process, even if they plan to apply only for a Medicaid EHR incentive payment by adopting, implementing, or upgrading certified EHR technology. Dually-eligible hospitals can then attest through CMS for their Medicare EHR incentive payment at a later date, if they so desire.

UPDATE: After selecting "Both Medicare & Medicaid," as your hospital type, please select your state from the drop-down menu on the registration screen. If your state’s program has not yet launched at the time of your registration, your Medicaid registration will be placed into a "Pending State Validation" status until your state’s program is launched. You will not be able to complete the Medicaid program eligibility requirements or receive a Medicaid incentive payment until your state’s program is launched. For a list of expected program launch dates, please visit the Medicaid State Information page. You may, however, continue with registration and attestation for the Medicare program in April 2011. If the state has not launched its program by May when Medicare EHR incentive payments are to be issued, hospitals that have successfully attested under Medicare will still be paid under Medicare. Their Medicaid registration will remain in a "Pending State Validation" until the state launches its program.

When your state’s program is launched, you will be notified by your state to complete the additional information to confirm your Medicaid eligibility. If successful, you will receive a payment from your state as well.

Hospitals that register only for the Medicaid program (or only the Medicare program) will not be able to manually change their registration (i.e., change to "Both Medicare and Medicaid" or from one program to the other) after a payment is initiated and this may cause significant delays in receiving a Medicare EHR incentive payment.

If you represent a hospital that falls into one of the categories below, you are eligible only for the Medicaid EHR Incentive Program:

  • Children’s hospitals;
  • Cancer hospitals; or
  • Acute care hospitals in the U.S. territories.

When registering for the program you should select "Medicaid-only" for your hospital type. You will see a list of states in a drop down menu and you must select a state. Please select your state from the drop-down menu on the registration screen.

If your state’s EHR Incentive Program has not yet launched at the time of your registration, your file will be placed into a pending status until your state’s program launches. That means you will not be able to complete your registration or receive an EHR incentive payment until your state’s program launches. For a list of expected Medicaid EHR Incentive Program launch dates, please visit the Medicaid State Information page.

The Electronic Health Record (EHR) Information Center is open to assist the EHR Provider Community with inquiries.

EHR Information Center Hours of Operation: 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays.
1-888-734-6433 (primary number) or 888-734-6563 (TTY number)

Submit an Inquiry to the EHR Information Center

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Downloads

Medicare EP PECOS Notification [PDF, 119KB]

Hospital PECOS Notification [PDF, 160KB]

Registration User Guide for Medicare Eligible Professionals [PDF, 2.7MB]

Registration User Guide for Medicaid Eligible Professionals [PDF, 2.7MB]

Registration User Guide for Hospital Eligible Hospitals [PDF, 3.7MB]

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Page Last Modified: 10/04/2011 3:49:08 PM
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