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Medicaid EHR Incentive Program

Medicaid Meaningful Use (Years 2-6)

In Year 2 through Year 6 of program participation, eligible professionals can receive incentive payments for successfully demonstrating meaningful use. The criteria for meaningful use are staged in three steps throughout the program years. Stage 1 sets the baseline for electronic data capture and information sharing; Stage 2 focuses on data exchange; and Stage 3 focuses on advanced clinical process and improved outcomes. Each stage has its own set of objectives that either have a minimum percentage that providers must meet or specify an action or a functionality of the EHR that providers must take or enable for the duration of the reporting period.

To qualify for MU, an EP must meet the following criteria:

  1. Demonstrate that they meet all the meaningful use requirements for the Stage they are attesting for. Providers that attest to Meaningful Use for the first time are required to report data for a continuous 90-day period during the calendar year. In subsequent years, providers will need to report full year data for Meaningful Use measures except for the first time when they attest to Stage 3.
  2. Supply and retain documentations that support the meaningful use data reported in the attestation, including an EHR-system generated report showing our objectives and measures; a copy of the security risk assessment; screen shorts for “yes/no measures”; and supporting documentation for exclusions.
  3. Meet certain Medicaid patient volume thresholds.
    • % Medicaid patient volume = (Medicaid Encounters/ Total Encounters)*100
    • To calculate your patient volume, please review our guideAdobe Acrobat file.
    • Supply auditable proof for meeting patient volume qualifications and retain the proof for at least six years.