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Kareo Help Center

What is Medicaid Promoting Interoperability?

Updated: 10/21/2019
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The EHR Incentive Program formerly known as Meaningful Use, is now the Medicaid Promoting Interoperability (PI) program.  Eligible providers attesting for the Medicaid Promoting Interoperability program, must use a 2015 Edition Certified EHR technology (CEHRT).  

The Medicaid PI program is a voluntary program that is administered by each state individually.  Eligible providers are eligible for incentive payments for up to 6 years but are not required to participate in consecutive years.  The last year to begin participation in the program was Program Year 2016; and the last year to receive incentive payments is 2021.

Eligible providers who are first-time participants must report data on a 90- day reporting period.  Medicaid eligible participants who are returning to the Medicaid PI program must report data for a full calendar year.  Eligible providers may also be required to participate in the CMS Quality Payment Program, MACRA.

For state specific attestation and registration deadlines and information about the Medicaid PI program contact your state attestation website.  View the Medicaid State Program Links PDF and select the website indicated for your state.

Who is Eligible?

Eligible participants include:

  • Physicians (MDs and DOs)
  • Nurse Practitioners
  • Certified Nurse-Midwives
  • Dentists
  • Physician Assistant who provide services in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) let by a Physician Assistant

Optometrists are eligible in some states.  Please check with your state Medicaid agency for more information.

Eligible Providers must also meet one of the following criteria:

  • Have a minimum 30% Medicaid patient volume (20% for pediatricians)
  • Practice predominantly in a FQHC or RHC and have a minimum 30% patient volume attributable to needy individuals

Note: There are no payment adjustments or penalties for Medicaid providers who fail to attest for the Medicaid Promoting Interoperability program.

 

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