Welcome to the State Level Registry (SLR) for the Medi-Cal Electronic Health Record
EHR Certification Validation
The SLR is intermittently experiencing difficulties validating CMS EHR Certification
IDs with Internet Explorer version 11. The issue may occur when the user enters
a Certification ID and presses "Save" or "Save and Continue". The SLR may fail to
respond and eventually time out. If you experience this difficulty, (click here) for instructions to correct this issue.
The SLR will continue to accept 2015 MU and AIU attestations
until December 12, 2016. An updated Quick Start Guide is now available for 2015
For important information about meaningful use in Program Year 2015, please read Understanding Meaningful Use in 2015 (click here).
2016 MU attestations under the new federal regulations will open in the SLR on the
evening of December 13, 2016 and will remain open until March 31, 2017. 2016 AIU
attestations are currently open and will remain open until March 31, 2017.
2016 is the Last Year to Start the Program
2016 is the last program year for professionals and hospitals to start the Medi-Cal
EHR Incentive Program. Applications from hospitals that have not successfully participated
in the program in 2016 will not be accepted for 2017 and subsequent years. Applications
from professionals who have not successfully participated in program year 2016 or
a prior program year will not be accepted for 2017 and subsequent years. Professionals
and hospitals are urged to be aware of these deadlines and to submit applications
to the 2016 program year to continue participation in the program.
• Professionals, groups/clinics, and hospitals can choose
to use a 90-day representative period in the 12 months prior to attestation or in
the last calendar year (2015).
• Professionals can qualify for the program using the
eligibility of a group/clinic if the professional delivered at least one Medicaid
patient encounter with the group/clinic in either the 12 months prior to attestation
or in the previous calendar year (2015).
• Contracts and other binding agreements for adopting,
implementing, or upgrading certified EHR technology do not need to be signed by
December 31, 2016, and can be signed as late as March 31, 2017 as long as they are
signed before attestation in the SLR for AIU.
• The meaningful use reporting period for all professionals
and hospitals will be 90 continuous days within the 2016 calendar year.
Medicare Payment Adjustments
Professionals and hospitals that successfully attest to MU for the 2015 program
year will avoid Medicare payment adjustments for 2017.
Temporary Suspension of Hospital Reviews and Payments
DHCS has received preliminary results from audits that the Office of the Inspector
General conducted at 64 hospitals. These audits found overpayments and underpayments
at a number of hospitals. DHCS is unable to determine the impact of the OIG’s findings
until the final report is received and can be analyzed. Rather than make payments
to hospitals that may have to be quickly adjusted, DHCS has temporarily suspended
all hospital attestation reviews and payments until the OIG final report is received
and analyzed. We hope that this will be by the end of July. California is not alone
in this situation. Many states have experienced similar findings and impacts from
the OIG audits. We apologize for any inconvenience this delay may cause.
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
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)
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