Instructions for Medicaid EHR Incentive Program

Physicians and mid-level providers can receive up to $63,750 over six years for achieving "meaningful use" of a certified EHR product if they have at least a 30-percent Medicaid patient volume. Pediatricians can qualify for up to $42,000 with a 20-percent Medicaid volume. The program is state regulated, and Texas physicians who register and adopt, implement, or upgrade to a certified EHR in year one of the incentive program are eligible to receive the first-year EHR incentive. You will be required to meet the meaningful use criteria for 90 days in the second year of program by reporting data online through attestation. 

Use the online eligibility tool from the Centers for Medicare and Medicaid Services (CMS) to verify program eligibility prior to enrollment. CMS will allow a physician to enroll prior to completing the meaningful use criteria and return later to complete reporting and attestation. 

Please note: Texas Medicaid HHSC made Policy Changes to the Medicaid EHR Incentive Program (April 2013)

Year One Instructions: 

What can I do now?

STEP 1:  Select and adopt a certified EHR
STEP 2:  Register at the CMS Registration Portal

What can I do later?

STEP 3:  Obtain EHR certification code (instructions)
STEP 4Attest through the CMS portal 
                Specific instructions will be e-mailed upon successful registration on the CMS site (refer to Step 2 above).  
STEP 5:  Receive incentive payment
STEP 6Year two: "meaningfully use" for 90 days and attest



STEP 1:  Select and adopt a certified EHR  

The Medicaid federal incentive program requires the use of a certified EHR. The Office of the National Coordinator (ONC) maintains the Certified Health IT Product List (CHPL), a current list of all certified EHR products. Even if your current product has met previous certifications, be sure your current version appears on the list.  Early adopters of EHRs are eligible for incentives; it does not matter when you purchased the EHR system as long as it appears on the CHPL.

If you need help finding or selecting an EHR system, you may benefit from technical consulting services from the Texas Regional Extension Centers (RECs). The RECs are vendor neutral and can help you find a system that fits the needs of your practice.



STEP 2:  Register at the CMS Registration website*  

Log in to the site using your National Plan and Provider Enumeration System (NPPES) web user account.  If you do not already have an NPPES account, visit the NPPES website to register.  (Note: If you have an NPI number, you automatically have an NPPES account.)  If you do not have your password, call (866) 484-8049 and select option #6 to have your password reset or e-mail

CMS has a Medicaid EHR Incentive Program registration user’s guide (PDF) for the registration and attestation system.

Before you can proceed with the attestation process, you will be prompted for a certification ID. This number is a unique identifier assigned to each certified EHR (see step 3).  

*Physicians should be aware of the following before beginning enrollment in the Texas Medicaid EHR Incentive Program: 
  • If you will be assigning the incentive payment to yourself, your Social Security number (SSN) MUST be on file with TMHP and linked to your Texas Provider Identifier (TPI). 
  • To verify that your SSN is on file with TMHP, send an email to with your name and individual National Provider Identifier (NPI). 
  • If your SSN is not on file with TMHP before you begin your enrollment in the program, your incentive payment will be delayed.


STEP 3: Visit the Certified Health IT Product List (CHPL) to obtain your unique CMS EHR Certification ID. 

Choose your EHR, add to cart and press “Get CMS EHR Certification ID.” View the CHPL user guide (PDF) for more detailed instructions.



STEP 4:  Attest through the CMS portal. 

Specific instructions will be e-mailed upon successful registration on the CMS site (refer to Step 2 above).

In addition to reporting your EHR Certification ID, this website will require you to attest to the required 30% Medicaid patient volume (Pediatricians can qualify with 20-30% Medicaid volume). The patient volume will be calculated based on any continuous 90 days in the year previous to applying for the incentive.

You will have the ability to choose one of the following two options to calculate patient volume:

Patient Encounters – The total number of Medicaid encounters divided by the total patient encounters.  
Patient Panel – The total number of Medicaid panel ssignments and encounters divided by total panel assignments and total panel encounters.   

The following events are considered Medicaid Encounters

  • Services rendered on any one day to an individual where Medicaid paid for any portion, or all of the service provided.
  • Services rendered on any one day to an individual where Medicaid paid all or part of their premium, co-payment, or cost-sharing.   



STEP 5: Incentive Payment 

The federal Medicaid EHR incentive for any physician or midlevel meeting the 30% patient volume is $21,250 in the first year of program participation and $8,500 over program years 2-6. The total incentive is $63,750 over six years. Pediatricians with extended incentive eligibility (20-30% Medicaid volume) are eligible for 2/3 of the Medicaid incentive, $42,500 over six years. Pediatricians with a 30% volume will qualify for the maximum incentive amount of $63,750 over six years.


STEP 6Complete 90 days of "meaningful use" in the second year of program participation.   

The Medicaid EHR Incentive Program requires each physician to meet meaningful use criteria for 90 continuous days in 2015, if the physician has already attested to adopting, implementing, or upgrading (AIU) an EHR in their first year of the program. You should have begun reporting no later than Oct. 3, 2015 in order to meet the attestation deadline. You will not be able to attest to meaningful use for an EHR reporting period in 2015 prior to January 4, 2016. Attestation is allowed once the 90-days are completed, but must be completed by the Medicaid deadline which will be posted soon. Typically their attestation deadline is at the end of March.

In 2015 and 2016, participants attest to a single set of objectives and measures with alternate exclusions and specifications for participants previously scheduled to be in Stage 1. 

In 2017, participants may attest to Stage 2 measures for the full year, or Stage 3 measures for 90 days.

Other helpful resources: 

If this is your second or third year of participation (after you've achieved AIU), then you are considered "Stage 1".
Meaningful Use Stage 1 Criteria 2015 (at-a-glance) 
EHR Incentive Program: What You Need to Know for 2015 (Tipsheet) - CMS   

If this is your fourth year of participation or more (after you've achieved AIU), then you are considered "Stage 2".

If you only accept Medicaid, there are no punitive penalties scheduled for failure to comply with meaningful use or e-prescribing. 

Once you've successfully completed a 90 day period of meaningful use, log back on to the CMS Registration and Attestation website to enter attestation data. If you have not successfully met each required measure, you will be required to resubmit.

For more information on meaningful use, listen to the CMS webinar.



Need additional help?

Need on-site technical consulting help to get you to meaningful use?  You don’t have to go on this journey alone. The Texas Regional Extension Centers (REC) can provide technical consulting. The REC can offer assistance if you are looking to select and implement an EHR in your practice, or if you are an existing EHR user looking to optimize your workflow and reach meaningful use.

Sign up for e-mail updates from Texas Medicaid, for support e-mail or call (800) 925-9126. 

For more information on the EHR Incentive program contact Texas Medical Association’s Department of Health Information Technology at (800) 880-5720 or

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