Step 1: Register with CMS!

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

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.

Already have an SLR account?

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

2018 Attestations

Currently providers are able to open an account for Program Year 2018, but are not able to progress beyond Step 2 and are not able to submit meaningful use information.
CMS has announced that Program Year 2018 attestations cannot be accepted until new regulations are approved and take effect. This may not occur until the summer of 2018. Please check this webpage for updates on when Program Year 2018 attestations will be accepted.


2017 Eligible Professional (EP) Attestations

Program Year 2017 attestations will close on May 8, 2018. DHCS does not anticipate any extensions beyond this date. Technical extensions may be granted to EPs who are not able to attest by May 8, 2018 if they open a ticket with the SLR Help Desk before this date.
Beginning March 6, 2018 EPs can choose to attest to Stage 3 for 2017. This is optional and all EPs can continue to choose to attest to Stage 2 for 2017.
Only EPs who attested to AIU or MU in a prior year will be able to continue the program by attesting to MU for the 2017 Program Year. Attestations for AIU will not be accepted for 2017 or subsequent program years.
Beginning October 3, 2017 all EPs, including those who have previously attested to MU, are able to use 90-day MU and CQM reporting periods and are required to only report on any six CQMs (as opposed to nine CQMs from three domains).
EPs who opened an attestation in the SLR prior to October 3, 2017 should contact the SLR Help Desk if they wish to use the new MU requirements for 2017. If they do not contact the SLR Help Desk they will not be able to take advantage of the new 2017 MU requirements.
Beginning in program year 2017, DHCS requires that documentation for EPs in groups/clinics be uploaded into the group/clinic’s or EP’s SLR account demonstrating at least one Medi-Cal encounter with the group/clinic during the prior calendar year or during the 12 months prior to the EP’s attestation. This applies to all EPs in prequalified clinics and to EPs in non-prequalified groups/clinics not listed as having encounters with the group/clinic during the group/clinic representative period. Encounter documentation from a practice management system or meaningful use documentation from an EHR are examples of documentation that may be sufficient for this purpose if the documentation is specific for individual EPs.


2017 Eligible Hospital (EH) Attestations

Program Year 2017 attestations will close on May 8, 2018. DHCS does not anticipate any extensions beyond this date. Technical extensions may be granted to EHs that are not able to attest by May 8, 2018 if they open a ticket with the SLR Help Desk before this date.
Beginning March 6, 2018 EHs can choose to attest to Stage 3 for 2017. This is optional and all EHs can continue to choose to attest to Stage 2 for 2017.
Only EHs that attested to AIU or MU in a 2016 will be able to continue the program by attesting to MU for the 2017 Program Year. Attestations for AIU will not be accepted for 2017 or subsequent program years.
Hospitals that changed their designation in the National Level Registry (NLR) from “dually eligible” to “medicaid only” in order to attest to meaningful use in the SLR for 2016 Program Year will need to change their designation back to “dually eligible” in the NLR (even if they have completed the Medicare EHR Incentive Program) so that they can attest to MU in the NLR for 2017 and future years. The SLR will require registration by dually eligible hospitals but will not require the hospital to re-enter MU data.

2017 Prequalification

The lists of NPIs of prequalified clinics and providers have been loaded into the SLR and are available for viewing by clicking the links below;

Clinics — Click here
Providers — Click here

Medicare Payment Adjustments

Providers attesting to MU for the first time in 2017 will avoid 2018 Medicare payment adjustments. Those providers who are unable to attest to MU for the first time until after October 1, 2017 may initially experience payment adjustments for 2018 that will be reversed in the future. Providers who attest to MU in 2017 but who are not attesting to MU for the first time will not be able to avoid the 2018 Medicare payment adjustments. Providers who begin attesting to the MIPS program in 2017 may be eligible for a hardship exception for 2018 Medicare payment adjustments if they file a hardship exception form with CMS by October 1, 2017. Click here for information about this one-time hardship exception.

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 are counted as acute inpatient bed days and discharges. In the past, only nursery bed days billed under code 174 were 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 a sample 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)