Medicare electronic health record ehr incentive program

An official website of the United States government

Here’s how you know

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

U.S. Dept. of Health & Human Services

Medicare and Medicaid Promoting Interoperability Program Basics

Guidance for Medicare and Medicaid Promoting Interoperability program basics.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 20, 2020

Beginning in 2011, the Promoting Interoperability (formerly the Medicare and Medicaid EHR Incentive Programs) were developed to encourage eligible professionals (EPs) and eligible hospitals and critical access hospitals (CAHs) to adopt, implement, upgrade (AIU), and demonstrate meaningful use of certified electronic health record technology (CEHRT).

In the Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) for Acute Care Hospitals and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) adopted changes and new requirements for the Medicare Promoting Interoperability Program for participating eligible hospitals and critical access hospitals (CAHs). Please visit the 2022 Promoting Interoperability Program Requirements page for more information on changes.

2022 Medicare Promoting Interoperability Program Requirements

• A minimum EHR reporting period of any consecutive 90 days for new and returning participants.
• Must report on the four objectives and their associated measures:
  • Electronic Prescribing
  • Health Information Exchange
  • Provider to Patient Exchange
  • Public Health and Clinical Data Exchange
  • Security Risk Analysis measure
  • Safety Assurance Factors for EHR Resilience (SAFER) Guides measure
  • Actions to limit or restrict the compatibility or interoperability of CEHRT attestation
  • Office of the National Coordinator for Health IT (ONC) direct review attestation

  Additional Resources

  • Scoring, Payment Adjustment, and Hardship Information webpage
  • Certified EHR Technology webpage
  • eCQI Resource Center

  HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

  DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.

  Date Published: 12/31/2020