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Centers for Medicare & Medicaid Services (CMS)

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Healthcare IT News

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

Important Information

2015 Attestations

Hospitals:Hospitals that have attested to meaningful use (MU) with the Medicare EHR Incentive Program for 2015 became able to attest for 2015 MU in the State Level Registry (SLR) on January 22, 2016. Hospitals that do not attest to MU with the Medicare EHR Incentive Program will have to wait until summer, 2016 to attest to MU in the SLR. Please check this webpage for future updates.

Professionals:Because of changes in federal regulations, the SLR suspended accepting 2015 meaningful use (MU) attestations from professionals on December 15, 2015. DHCS anticipates reopening MU attestations for 2015 in summer, 2016. Attestation for AIU in 2015 and 2016 remain open and are not affected by the suspension of MU attestations. Please check this webpage for future updates.

Professionals may be subject to decreases in Medicare payments in 2017 if they do not attest to meaningful use for 2015. Because of the delay in the SLR accepting MU attestations for 2015, professionals in the Medi-Cal program can attest to MU at CMS’s website for the Medicare EHR Incentive Program at to avoid these Medicare payment adjustments. However, in order to receive incentive payments for 2015, professionals will need to subsequently attest to MU for 2015 with the Medi-Cal EHR Incentive Program when the SLR reopens for MU attestations in summer, 2016.


DHCS is required to conduct audits of hospitals and professionals who receive EHR incentive payments for adopt, implement, or upgrading (AIU) or meaningful use (MU). Hospitals and professionals should retain documentation supporting their attestations for at least 7 years to be used in case of audit.

Hospitals: DHCS began auditing eligible hospital AIU incentive payments in September, 2015. DHCS is scheduling these EHR audits 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.

Professionals: DHCS is currently conducting ongoing audits of a sample of eligible professionals who have received incentive payments for AIU.

Medi-Cal EHR Incentive Program--As a result of the American Recovery and Reinvestment Act of 2011, Medi-Cal is able to offer eligible professionals and hospitals in California substantial financial incentives to adopt, implement, upgrade, and meaningfully use certified electronic health record technology. Professionals can receive $21,250 in the first year and $8,500 in five subsequent years. Hospital incentive payments vary between $0.5 to 8 million over 4 years. The last year for professionals and hospitals to start the program is 2016. As of November, 2015, the program has distributed over $1 billion to professionals and hospitals in California. For detailed information you may access CMS’s website by clicking here or by clicking on the links to guidance documents in the right hand column of this page

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)

Connecting California for Better Health