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Promoting Interoperability (PI)

Latest News

  • On August 2, 2019 CMS published the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment System for Acute Care Hospitals and Long-term Care Hospital Prospective Payment System Final Rule. For more information on the upcoming changes for the 2020 program year, visit the Federal Register and view this fact sheet.
  • FY2020 IPPS/LTCH PPS Correction Notice (Published June 18, 2019).
  • The Medicare Promoting Interoperability Program Hardship Exception Application for CAHs for the PY 2018 payment adjustment is open from May 1, 2019 - December 2, 2019. Applications can now be electronically submitted here. For more information on the scoring, payment adjustment, and hardship process for the Medicare and Medicaid Promoting Interoperability Programs, click here.

Dates to Remember

January 1 - December 31, 2019
  • 2019 Promoting Interoperability Programs Reporting Year.
December 2, 2019 
  • CAH hardship exception application deadline
January 1, 2020
  • Data submission for 2019 reporting begins

Promoting Interoperability Programs Milestones

In 2011, CMS established the Medicare and Medicaid EHR Incentive Programs (now known as the Promoting Interoperability programs) to encourage clinicians, eligible hospitals, and CAHs to adopt, implement, upgrade (AIU), and demonstrate meaningful use of CEHRT.

Historically, the Promoting Interoperability Programs consisted of three stages:

  • Stage 1 set the foundation for the Promoting Interoperability Programs by establishing requirements for the electronic capture of clinical data, including providing patients with electronic copies of health information.
  • Stage 2 expanded upon the Stage 1 criteria with a focus on advancing clinical processes and ensuring that the meaningful use of EHRs supported the aims and priorities of the National Quality Strategy. Stage 2 criteria encouraged the use of CEHRT for continuous quality improvement at the point of care and the exchange of information in the most structured format possible.
  • In October 2015, CMS released a final rule that established Stage 3 in 2017 and beyond, which focuses on using CEHRT to improve health outcomes. In addition, this rule modified Stage 2 to ease reporting requirements and align with other CMS programs.

For more information about Stage 1 and Stage 2, visit the Requirements for Previous Years page.

To continue our commitment to promoting and prioritizing interoperability of health care data, CMS renamed the EHR Incentive Programs to the Promoting Interoperability Programs in April 2018. This change will move the programs beyond the existing requirements of meaningful use to a new phase of EHR measurement with an increased focus on interoperability and improving patient access to health information.

Use the navigation bar on the left side of the website to learn more about the Promoting Interoperability Programs, including program requirements for specific years, registration and attestation information, payment adjustment & hardship exceptions, clinical quality measures and more.

You can also stay up to date on the latest Promoting Interoperability Program news and updates by following us on Twitter and by subscribing to the CMS Promoting Interoperability Listserv.

Contact Information

  • Medicare EPs are now considered eligible clinicians and are part of the Quality Payment Program. Contact the Quality Payment Program help desk for assistance at or 1-866-288-8292.
  • Medicaid EPs and hospitals participating in the Medicaid Promoting Interoperability Program with inquiries about their participation should contact their State Medicaid Agencies.
  • Medicare and dually eligible hospitals participating in the Medicare and Medicaid Promoting Interoperability Programs may contact the QualityNet help desk for assistance at or 1-866-288-8912.