Promoting Interoperability (PI)
The requirements and reporting information on this page are for the 2019 Medicare Promoting Interoperability Program. Beginning in 2019, all Medicare eligible hospitals, dual-eligible hospitals, and critical access hospitals (CAHs) are required to use 2015 edition certified electronic health record technology (CEHRT) and meet the new requirements outlined in the 2019 IPPS final rule.
In 2019, all Medicaid-only eligible hospitals and eligible professionals (EPs) must attest directly to their state. Visit the 2019 Promoting Interoperability Medicaid page for more information.
- The Medicare Promoting Interoperability Program Hardship Exception Application for eligible hospitals for the payment year (PY) 2020 payment adjustment is open from May 1, 2019 - July 1, 2019. The Medicare Promoting Interoperability Program Hardship Exception Application for CAHs for the PY 2018 payment adjustment is open from May 1, 2019 - November 30, 2019. Both 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.
- On April 23, 2019, CMS released the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and Long Term Care Hospital Prospective Payment System Proposed Rule. For more information on the proposed changes for the 2020 program year, view the proposed rule and review this fact sheet.
- Visit the Medicare Promoting Interoperability Programs requirements for calendar year (CY) 2019 webpage which includes information on the new scoring methodology, CEHRT, and more. Information on 2019 program requirements for Medicaid is available here.
- From February 11-15 CMS participated in the Healthcare Information and Management Systems Society (HIMSS) 2019 Annual Conference in Orlando, Florida. CMS held four educational session presentations, which can be found below:
- Quality Payment Program Year 3 - Highlights details for year 3 (2019) of the Quality Payment Program, including eligibility and requirements for each performance category, reporting and data submission options, and scoring.
- Meaningful Measures Initiative - Highlights CMS’s continued efforts to coordinate and streamline measures while reducing the burden of reporting for providers, encourage innovation, empower patients, and improve the CMS customer experience.
- Electronic Clinical Quality Measures: Increasing Value & Reducing Burden - Provides an overview of the progress to date in implementing eCQM Strategy Project recommendations to increase value and reduce the burden associated with electronic use of data.
- Initiative to Advance Interoperability - Highlights CMS’s efforts to further achieve interoperability, as well as highlight its vision for interoperability in the future.
Dates to Remember
|January 1 - December 31, 2019|
|January 2, 2019|
|July 1, 2019|
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.
- Medicare EPs may 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.
- Page last Modified: 05/08/2019 10:00 AM
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