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)

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Healthcare IT News

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

Important Information

2014 MU Attestations

2014 MU attestations are no longer being accepted. The deadline for 2014 MU attestations closed on June 14, 2015.

2015 MU Attestations

The SLR began accepting 2015 MU attestations from eligible professionals on June 15, 2015. Professionals and hospitals are encouraged to apply quickly because DHCS may be required to stop accepting 2015 MU attestations using the current objectives and measures after December 14, 2015. Should that occur, professionals and hospitals will not be able to resume applying for 2015 until the SLR can be modified to accommodate the new objectives and measures, which may take several months and may not occur until spring of 2016. AIU attestation will not be affected by the proposed regulation changes.


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.

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