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Below are the step by step instructions on how to complete the registration process.
Click here to print this list.
Below are the step by step instructions on how to complete the registration process.
Click here to print this list.
Below are the step by step instructions on how to complete the registration process.
Click here to print this list.
- You’ll need a Provider Enrollment, Chain, & Ownership System (PECOS) ID to complete your CMS EHR Incentive Program Registration. Register for a PECOS ID here.
- Locate the National Provider Identified (NPI) and Tax Identification Number (TIN) you’ll need to register at CMS’s EHR Incentive Program Registration site. You’ll also need this to create a State Level Registry (SLR) account.
If you don’t have an NPI, visit CMS’s site to apply for one. Need a TIN? Visit IRS.gov.
- Register at CMS’s EHR Incentive Program Registration site. To register at the National Level Repository (NLR) level you will need to have a National Plan and Provider Enumeration System (NPPES) web user account.
- You must have an active Alabama Medicaid Provider Number. To enroll or check the status of your enrollment, visit the enrollment site.
Determine if the providers in your group will use the group Medicaid patient volumes. If one practitioner in the group opts out then all practitioners must use individual patient volume.
- Identify the NPI and TIN for each provider in your practice.
- Create or locate an electronic copy of the documentation supporting the purchase, implementation or upgrade of a certified EHR system. Acceptable documentation includes: receipts for software from the EHR vendor; sales contracts; service/performance agreement, screenshot of the sign on screen; upgrade agreement, vendor letter, work plan or cost report.
- Locate information related to your medical license such as your license number and effective dates.
- Identify an individual who will be the contact for your application - you’ll need their name, phone and email.
Determine the Medicaid Patient volume you’ll be reporting.
Determine the Medicaid Patient volume you’ll be reporting.
Determine the Medicaid Patient volume you’ll be reporting.
- Locate the four most recent years of cost report data.
- Determine which method of Certified EHR technology you will be attesting to —
adopt,
implement, or
upgrade.
- Certified EHR info — verify that your system is on the list from ONC.
- Create an SLR account to register for the Alabama Medicaid EHR Incentive Program.
- Ensure that you have access to a scanner or electronic faxing technology such as RightFax™.
The following workbooks are designed to help you in gathering the necessary attestation information:

Please Note: This information is provided for Medicaid practitioners interested in applying for the Medicaid EHR Incentive Program. If you are a Medicare practitioner looking for information on the Medicare EHR Incentive Program, please visit www.cms.gov\EHRIncentivePrograms for more information.
Roles
Individual Eligible Professional (EP)
A single provider who will enter their data and submit their own CMS EHR funding application.
Eligible Hospital Representative (EH)
A representative for a hospital who will enter the hospital data and submit the hospital’s CMS EHR funding application.
Group Administrator (Group)
A representative for a group or clinic who will enter data for the group and enter data on behalf of individual providers associated with the group/clinic.
Group Volumes
Under the rules of the program, Groups and Clinics can use group volumes to determine eligibility for all providers associated with the group/clinic. In order to use the group volumes, all practitioners within the group must agree to use the group volumes to determine Medicaid patient volumes and eligibility to participate in the program. If one provider in the group/clinic chooses to use individual patient volumes rather than the group volumes, all other providers in the group must also use individual patient volumes.
Before starting the entry process, you should work with the providers in your group to get agreement to use the group Medicaid volumes before you start the process of entering information in the system. This will help make the process of entering information for your group go more smoothly.
Patient Volumes
Eligible Professionals (EPs)
Eligible Professionals must demonstrate 30% Medicaid patient volumes for a representative 90-day period in the previous calendar year. Pediatricians may demonstrate a minimum of 20% Medicaid patient volumes to qualify for a reduced incentive amount.
Patient volumes are based on unique patient encounters per day for the 90-day period. In certain circumstances, you may also be able to count Medically Needy patient volumes to help you meet the eligibility requirements.
Your patient volume information must come from an auditable data source, so you must be able to provide documentation that supports your volumes if requested.
Patient Volumes
Eligible Hospitals (EHs)
Eligible Hospitals must demonstrate 10% Medicaid discharges in the previous fiscal year. Your patient volume information must come from your hospital Cost Report.
Patient Volumes
Group Administrators (Groups)
Groups may demonstrate 30% Medicaid patient volumes for a representative 90-day period in the previous calendar year. Group volumes must include all practitioners in the group to determine eligibility.
Patient volumes are based on unique patient encounters per day for the 90-day period. In certain circumstances, you may also be able to count Medically Needy patient volumes to help you meet the eligibility requirements.
Your patient volume information must come from an auditable data source, so you must be able to provide documentation that supports your volumes if requested.
Adopt
Acquire, purchase or access to certified EHR technology. Evidence of actual acquisition or installation of the technology is required to demonstrate adoption.
Implement
Install or commence utilization of certified EHR technology capable of meeting meaningful use requirements; including staffing, maintenance, and training. Evidence of actual installation and use is required to demonstrate implementation.
Upgrade
Expand the available functionality of EHR technology capable of meeting meaningful use requirements; including, addition of decision support modules, establishment of interfaces for HIE, etc. Evidence that the provider has expanded the functionality of existing EHR technology is required to demonstrate upgrade.
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