Promoting Interoperability Programs
- On September 2, 2020 CMS published the Fiscal Year (FY) 2021 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 finalized changes for the 2021 program year, visit the Federal Register and view this fact sheet.
Dates to Remember
|January 1 - December 31, 2020|
2020 Promoting Interoperability Programs Reporting Year.
|November 30, 2020|
Deadline for critical access hospitals (CAHs) to submit a hardship exception application
|March 1, 2021|
|Deadline to submit 2020 data for the Medicare Promoting Interoperability Program|
Promoting Interoperability Programs Milestones
In 2011, CMS established the Medicare and Medicaid EHR Incentive Programs (now known as the Promoting Interoperability Programs) to encourage eligible professionals (EPs), eligible hospitals, and CAHs to adopt, implement, upgrade (AIU), and demonstrate meaningful use of certified electronic health record technology (CEHRT).
Historically, the Promoting Interoperability Programs consisted of three stages (PDF):
- 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 focused 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, 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 moved 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.
- 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 firstname.lastname@example.org 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 email@example.com or 1-866-288-8912.