Registration & Attestation

Medicare Eligible Hospitals and Critical Access Hospitals (CAHs)

Medicare eligible hospitals and CAHs must attest through the QualityNet Secure Portal. For more information on eligible hospital attestation, visit our Eligible Hospital Information page.

If you are new to the QualityNet system, you must enroll. For further instruction on how to enroll, use this QualityNet Secure Portal Enrollment and Login User Guide (PDF).

The QualityNet User Guide for Medicare Promoting Interoperability Program participants can be found here (PDF). This guide contains step by step directions on how to navigate the Hospital Quality Reporting Web-Based Data Collection Tool that is used to submit data for the Medicare Promoting Interoperability Programs.

Dual-Eligible Hospitals and CAHs

If you qualify for both the Medicare and Medicaid Promoting Interoperability Programs, you are required to demonstrate meaningful use for the Promoting Interoperability Programs to CMS and not to your State Medicaid agency and will need to complete registration and attestation with CMS.

Medicaid Eligible Professionals (EPs), Eligible Hospitals, CAHs:

These participants should follow the requirements of their State Medicaid agencies to submit their meaningful use attestation.

Medicaid Eligible Hospital and EP Registration User Guides 

The official Medicaid Program Interoperability user guides for Medicaid eligible hospital and EPs provide easy instructions for using CMS’s systems. They provide helpful tips and screenshots to walk the user through the registration process. Also, they provide important information needed to successfully register and attest.

Are you registering on behalf of a Medicaid EP? 

CMS 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 with the EPs National Provider Identifier (NPI). If you are working on behalf of one or more EPs and do not have an I&A web user account, please visit I&A Security Check to create one.

Note: States and territories will not necessarily offer the same functionality for registration and attestation in the Promoting Interoperability Program. Check with your state or territory Promoting Interoperability Program to see what functionality is offered.

Additional Resources

  • Medicare and dually eligible hospitals participating in the Medicare and Medicaid Promoting Interoperability Programs may contact the QualityNet help desk for assistance at 1 (866) 288-8912 or
  • Medicaid EPs and hospitals participating with the Medicaid Promoting Interoperability Program with inquiries about their participation should contact their state Medicaid agencies.
  • Medicare EPs may contact the Quality Payment Program help desk for assistance at or 1 (866) 288-8292.



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Page Last Modified:
12/01/2021 08:00 PM