Step 1: Register with CMS!

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Step 2: Create an SLR Account.

Click here to create a Medi-Cal EHR Provider Incentive Portal account for accessing the Medi-Cal EHR Provider Incentive Portal site.

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Welcome to the State Level Registry (SLR) for the Medi-Cal Electronic Health Record Incentive Program


The Medi-Cal EHR Incentive Program is able to provide substantial financial incentives to health professionals and acute care hospitals to adopt, implement, upgrade and meaningfully use certified electronic health record technology. Professionals can receive up to $61,250 over 6 years and hospitals (depending on size) can receive up to $10-15 million over 4 years. As of June 2017, the program has distributed $1.4 billion in federal funding to over 22,000 health professionals and over 390 hospitals. The last year to begin the program was 2016, but previously enrolled professionals and hospitals may continue to receive incentive payments through 2021.


Important Information

Greenway Health EHR

Greenway Health EHR recently announced that errors have occurred in its calculation of some meaningful use measures.  DHCS, following CMS’ guidance, will not ask providers using Greenway Health EHR to submit corrected meaningful use information as a result of the errors.  Providers using Greenway Health EHR will not be singled-out for audit or penalized for an attestation using Greenway Health EHR.  However, per regulation EPs must maintain documentation to support their attestations for at least 7 years.


2018 Attestations

The State Level Registry will open for 2018 attestations on June 21, 2018
Providers will be able to attest to either Stage 2 or Stage 3.  Attestation to Stage 3 is optional
All providers will have a 90 day MU reporting period
All providers attesting to MU for the first time will have a 90-day CQM reporting period
All providers that have attested to MU previously will have a one-year CQM reporting period and will need to wait until January 1, 2019 to submit their attestations.
Only hospitals that successfully attested to MU in 2017 will be able to attest in 2018
Only professionals that successfully attested to AIU or MU in the past will be able to attest in 2018


2018 Prequalification Lists

The clinic prequalification list is available and can be accessed by clicking here.
The prequalification list for eligible professionals is not yet available. Please check back with this webpage for updated information about its availability.


2017 Eligible Professional Attestations

Program Year 2017 attestations closed on May 8, 2018. DHCS does not anticipate any extensions beyond this date. Technical extensions may be granted to EPs who were not able to attest by May 8, 2018 if they opened a ticket with the SLR Help Desk before this date.


Audits

DHCS is required to conduct audits of hospitals and providers who receive EHR incentive payments for AIU or MU. Hospitals and providers should retain documentation supporting their attestations for at least seven years in case of an audit.
Hospitals: DHCS began auditing hospital AIU incentive payments in September 2015. The EHR audits are scheduled in the same manner as the Medi-Cal cost report audits. To the extent possible, the EHR audits will be combined with the cost report audits to minimize disruption to the hospital’s operations and staff.
Based on recent clarification and approval received from the Centers for Medicare and Medicaid Services (CMS), DHCS revises its EHR Incentive Program auditing standards as described below. These changes will apply both retroactively and going forward.
Administrative bed days are counted as acute inpatient bed days when calculating the Medicaid Share.
Psychiatric and rehabilitation bed days and discharges with care occurring in beds that would be paid under IPPS for Medicare patients are counted as acute inpatient bed days and discharges. Psychiatric and rehabilitation bed days and discharges with care occurring in beds that would not be paid under IPPS for Medicare patients are not counted as acute inpatient bed days or discharges.
DHCS has also clarified its auditing standards for Nursery Bed Days as follows.
Nursery bed days and discharges for sick children with care billed under codes 172-174 may be counted as acute inpatient bed days and discharges. In the past, only nursery bed days billed under code 174 could be counted as acute inpatient bed days or discharges.
Hospitals that have already been audited will, if appropriate, receive revised audit statements reflecting these changes. Hospitals with pending appeals should consult with their legal counsel regarding the relevance of these changes to their appeals.
Providers: DHCS is currently conducting audits of providers who have received incentive payments for AIU.



California Technical Assistance Program (CTAP)--In November, 2015 the California Technical Assistance Program was launched with $37.5 million in federal and state funds. This program is designed to continue the work of the Regional Extension Center Program which has provided assistance to over 12,000 professionals in adopting, implementing, upgrading and meaningfully using certified electronic health record technology. The CTAP program is designed to deliver free services to assist an additional 7,500 professionals, with special emphasis on solo practitioners and specialists. The four CTAP organizations can be accessed by clicking on the links below..

Important Web Resources (all links open in new window)