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The Medicaid EHR Incentive Program provides a financial incentive for the "meaningful use"
of certified EHR technology to achieve health and efficiency goals. By putting into action
and meaningfully using an EHR system, providers will reap benefits beyond financial incentives
such as: reduction in errors, greater accessibility of records and data, reminders and
alerts, clinical decision support, and e-prescribing/refill automation.
MU and utilization of certified EHR technology will:
The American Recovery and Reinvestment Act of 2009 describes three main components of MU:
Simply put, "meaningful use" means providers need to show they are using certified EHR
technology in ways that can be measured significantly in quality and in quantity.
Eligible providers who have attested to adopting, implementing, or
upgrading (A/I/U) certified EHR technology will work toward achieving
Stage 1 Meaningful Use in their second year of participation in the EHR
Incentive Program. For provider type-specific information regarding
Stage 1 attestation, please select one of the following categories for
For the most recent changes to Stage 1, please view the
Stage 1 Changes Tipsheet.
CMS published a final rule that specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical
access hospitals (CAHs) must meet in order to continue to participate in the Medicare and Medicaid Electronic Health Record (EHR)
Incentive Programs. All providers must achieve meaningful use under the Stage 1 criteria before moving to Stage 2.
For additional information, please follow the links below:
To demonstrate meaningful use under Stage 2 criteria,
Note: For Menu Measure, providers will no longer be permitted to count an exclusion toward the minimum of 3 menu objectives on which they must report if there are other menu objectives which they can select. In other words, a provider cannot select a menu objective and claim an exclusion for it if there are other menu objectives they can meet.
To help providers better understand Stage 2 Meaningful Use requirements, CMS developed Stage 2 Meaningful Use Specification Sheets for EPs and Eligible Hospitals that provide detailed information on each Stage 2 objective, including:
In Stage 2, CQMs are no longer a core meaningful use objective; however, EPs, EHs and CAHs are still required to submit CQMs in order to successfully participate in the program.
Beginning in 2014, all providers, regardless of whether they are in Stage 1 or Stage 2 of Meaningful Use, will be required to report on the 2014 CQMs finalized in the Stage 2 Rule.
In addition, all providers must select CQMs from at least 3 of the 6 key health care policy domains recommended by the Department of Health and Human Services’ National Quality Strategy:
Download CQMs table here
The earliest that the Stage 2 criteria will be effective is in fiscal year 2014 for eligible hospitals and CAHs or calendar year 2014 for EPs. The table below illustrates the progression of meaningful use stages from when Arizona Medicaid providers begin participation in the program.
Stage of Meaningful Use
In the first year of participation, providers must demonstrate Meaningful Use for a 90-day
(three-month quarter) EHR reporting period; in subsequent years, providers will demonstrate
Meaningful Use for a full year EHR reporting period (an entire fiscal year for hospitals or
an entire calendar year for EPs) except in 2014, which is described below. Providers who
participate in the Medicaid EHR Incentive Programs are not required to demonstrate Meaningful
Use in consecutive years as described by the table above, but their progression through the
stages of Meaningful Use would follow the same overall structure of two years meeting the
criteria of each stage, with the first year of meaningful use participation consisting of a
90-day EHR reporting period.
My EHR Participation Timeline Tool
For 2014 only, all providers regardless of their stage of meaningful
use are only required to demonstrate meaningful use for a 3-month EHR reporting period.
For Arizona Medicaid providers, this 3-month reporting period is fixed to the quarter of
either the fiscal (for eligible hospitals and CAHs) or calendar (for EPs) year in order
to align with existing CMS quality measurement programs, such as the Physician Quality
Reporting System (PQRS) and Hospital Inpatient Quality Reporting (IQR). CMS is permitting
this one-time 3-month reporting period in 2014 only so that all providers who must upgrade
to 2014 Certified EHR Technology will have adequate time to implement their new Certified
For resources related to EHR certification and standards, please follow these links to resources from the Office of the National Coordinator of Health IT (ONC):
For Stage 2 Public Health information, please visit http://www.azdhs.gov/meaningful-use/index.htm
Also, please check
CMS website for more information regarding Stage 2 Meaningful Use
Stage 2 Data Elements Tipsheet for Eligible Professionals
Stage 3 criteria have not yet been promulgated by CMS; there is no
current timeline for the release of the proposed and final rules.