Step 1: Register with CMS!

Step 1: Register with CMS!

To get started on your path to payment, begin by registering with CMS.

Step 2: Create an SLR Account.

Need to create an account?

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

Already have an SLR account?

Centers for Medicare & Medicaid Services (CMS)

(all links open in new window)

Healthcare IT News

(all links open in new window)

EMR and HIPAA

(all links open in new window)

Welcome to the Medi-Cal EHR State Level Registry (SLR) for Provider Incentive Payments — Provider Outreach Page

Important Notices

SLR Program Year 2014 Meaningful Use (MU) Attestations Update


Hospitals: The State Level Registry (SLR) will begin accepting 2014 meaningful use attestations from eligible hospitals on Friday, June 6, 2014. This will include attestations for both Stage 1 and Stage 2 meaningful use. Previously, the SLR has only been able to accept AIU (adopt, implement, upgrade) attestations from hospitals for 2014. Despite recently proposed federal rule changes, hospitals applying for 2014 payments must attest to using EHRs that meet 2014 certification standards. For questions or additional assistance, please contact the SLR Helpdesk at 1-866-879-0109.


Providers: Providers wishing to attest to MU for Program Year 2014 will not be able to do so until August 2014 and should not enter any MU data into the SLR until then. Please check back with this website for updates. This restriction only applies to 2014 MU attestations. Providers may currently submit 2014 AIU applications without restrictions. Providers applying for 2014 payments must attest to using EHRs that meet 2014 certification standards. For questions or additional assistance, please contact the SLR Helpdesk at 1-866-879-0109.


As a result of the American Recovery and Reinvestment Act, beginning October 3, 2011 Medi-Cal is able to offer eligible practitioners and hospitals substantial financial incentives to adopt, implement or upgrade to CMS-certified electronic health record (EHR) technologies. Initial payments the first year are based on adoption, implementation or upgrade of certified EHR technology, while following annual payments are based on the meaningful use of the EHR technology. Incentive payments are available to eligible hospitals over four years and for eligible professionals over six years.

Professionals and hospitals are required to first register for the program through CMS. The next step is to apply at the State Level Registry through this portal. Please note that it may take up to 48 hours for your data to be transferred from The Center for Medicare and Medicaid Services (CMS) to the State Level Registry, and you will not be able to enter eligibility information or attest until this information has been received.

The page also provides links to valuable resources for professionals and hospitals planning EHR implementation and other health information technology efforts.

Thank you for joining Medi-Cal in realizing the vision of “Connecting California for Better Health.”

Important Web Resources (all links open in new window)

Regional Extension Centers (REC) (all links open in new window)

The HITECH act provides for the establishment of RECs to provide education, outreach, and technical assistance to help primary care providers in their geographic service areas to select, successfully implement and meaningfully use certified Electronic Health Record technology to improve the quality and value of health care.

Connecting California for Better Health