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Welcome to the Medicaid HITECH TA Portal!

The purpose of this site is to provide an online community and repository for State Medicaid agencies to communicate, collaborate and innovate in the successful implementation of the Medicaid EHR Incentive Program.



Please note that the newly released Training Module 13 and Final Rule Artifacts are currently the only materials on this website that reflect the 2015-2017 Modifications and Stage 3 Final Rule. CMS is working to revise all other existing materials to reflect the Final Rule and will indicate when updates have been made in the descriptions on the website.

New Announcements


MeT Artifact

Adjustments and Recoupments Tips and Key Considerations

CMS just released a tip sheet for incentive payment adjustments and recoupments. This document offers guidance on types of recoupments, timing, and detailed instructions for reporting recoupments.

CMS HITECH Multi-Regional Meetings

The 2016 meetings will be held in the following locations:

  • San Francisco (Regions 7, 8, 9, 10): September 28-30

Each participant needs to complete the Multi-Regional Meeting Registration Form. Please complete the registration form as soon as possible as it also contains survey questions to gather valuable feedback to shape the meeting agendas, including content for group and breakout sessions. Questions can be directed to MeT.Conference@medicaidhitechta.org.

AIU Artifact

Maximizing Eligible Professional (EP) Enrollment in Program Year 2016

Reporting Period Artifacts

  1. 2015 -2017 Reporting Period Tool
    • This reference tool provides an overview of EHR reporting period implications for each of the EP 2015-2017 Modification Rule measures. The reference tool is intended support EHR incentive program administrators with answering provider questions, planning for attestation system module development and/or audit strategy implementation. The information contained in this tool applies to attestations submitted after the 2015-2017 Modifications and Stage 3 Final Rule became effective. The tables contained in the tool identify, for each measure, which actions are to be completed during the EHR reporting period and by the time an EP attests. The tables also include additional measure-specific guidance where available.

  2. Stage 1 and Stage 2 Reporting Period Tool – Archive
    • The purpose of the this archive reference tool is to provide EHR incentive program administrators a single source of information on activities related to EHR reporting periods that occurred prior to the 2015-2017 modifications and Stage 3 Rule becoming effective. The tables contained in the tool identify, for each measure, which actions are to be completed during the EHR reporting period and by the time an EP attests. The tables also include additional measure-specific guidance where available.

New 2015-2017 Modifications and Stage 3 Final Rule Materials!

The 2015-2017 Modifications and Stage 3 Final Rule was released on Tuesday, October 6, 2015. An All-States listserv message was sent out that afternoon with links to the CMS (and additional ONC rules), along with Web site links to the press release and supporting fact sheets. If you did not receive the message on October 6, please e-mail CMS.AllStates@briljent.com and we will send you another copy.

Training Module 13: 2015-2017 Meaningful Use

This next installment in our training series, Module 13, provides an overview of the Meaningful Use (MU) objectives and measures from 2015-2017 and highlights the Medicaid provisions. The comprehensive module provides information on reporting periods, structural changes, alternate measures and exclusions, CQM reporting requirements and the interoperability roadmap. The module is posted on the Training page of the Web site.

Final Rule Artifacts: Checklists and Quick Reference Guides

Attached to this e-mail are four new tools to assist your state teams with implementing the Final Rule changes, focusing primarily on the 2015-2017 Modifications:

  1. 2015-2017 MU Changes – Eligible Professional (EP) Quick Reference Guide
    • This guide is intended to provide states with a high-level reference related to the changes affecting EPs introduced as part of the 2015 -2017 MU regulatory changes. The guide incorporates a checklist for completing the change actions.

  2. 2015-2017 MU Changes – Eligible Hospital (EH) Quick Reference Guide
    • This guide is intended to provide states with a high-level reference related to the changes affecting EHs introduced as part of the 2015 -2017 MU regulatory changes. The guide incorporates a checklist for completing the change actions.

  3. 2015-2017 MU Modification Requirements Implementation Considerations
    • The purpose of this document is to provide State Medicaid Agencies (SMAs) with a list of considerations to assist with planning for 2015-2017. There is a chart for teams to utilize and track progress through implementation as you operationalize the rule and develop SMHP addendums.

  4. 2015-2017 MU Modification Requirements Checklist
    • This checklist provides a tabular view of the requirements that states are advised to meet to comply with the rule, such as policy, outreach and systems changes. Your state team can use this tool to document the status of implementing each requirement.

CMS is scheduled to conduct a deep dive overview of the CMS regulation during the October 19th All-States call. Additional resources can also be found on the CMS EHR Web site with an upcoming schedule on various general briefings. Information is also being disseminated on different CMS EHR/MU listservs. You can sign up for those lists on the CMS EHR Web site as well.

If you have any questions on these documents or the additional information request as part of this message, please e-mail CMS.AllStates@briljent.com. Please direct questions related to state specific operational issues and changes related to the rule to your CMS Regional HITECH lead.

State Overview Map

As states progress in their implementation of Meaningful Use stages, we are pleased to announce that the State Overview map below has been updated to depict more detailed implementation statuses. This revised map drills down into the different stages of implementation for states' Medicaid EHR Incentive Payment systems.

State Overview

The stages depicted below include: Not Launched, AIU Paid, Stage 1 2013 - approved, Stage 2 - approved, MU Paid, Stage 1 2013 - implemented, Stage 2 - implemented. An approved status indicates that the state has CMS approval for screen changes for a particular MU stage. An implemented status indicates the state has implemented changes for that particular MU stage.

Text-Only Version

Implementation Report as of July 31, 2016

Disbursed Incentives 53 (AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, MP, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY)
Total Disbursed Incentives $11,010,193,509
EPs Received Incentives 302,862
Medicaid Only Hospitals Paid 135
Dually Eligible Hospitals Paid 2,618