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.

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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

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.

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 for 2015 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. Please check this webpage for future updates.

2016 Meaningful Use Attestations:DHCS anticipates opening 2016 MU attestations for hospitals and professionals after the SLR closes for 2015 MU attestations in fall, 2016. Please check this webpage for future updates.

2015 and 2016 AIU Attestations:AIU attestations remain open for hospitals and professionals for both 2015 and 2016. AIU attestations for 2015 will not close until MU attestations finally close for 2015 in the SLR. It is anticipated that this will be sometime in fall, 2016. Providers are reminded to allow time to register in the National Level Registry before attempting to apply for AIU in the SLR. Please check this website for future updates.

Medicare Payment Adjustments:Hospitals and professionals can avoid Medicare payment adjustments for 2017 in 3 ways:
  • Apply for a hardship exception. The deadline for both hospitals and professionals is July 1, 2016. Click here for further information.
  • Attest to meaningful use at CMS’s website for the Medicare EHR Incentive Program. The deadline for this is March 11, 2016. This will not enable the provider to receive EHR incentive payments from the Medicare EHR Incentive Program. In order to receive incentive payments for 2015, providers 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. Click here for further information.
  • Attest to meaningful use in the SLR when MU attestation for 2015 becomes available in summer, 2016. In order to avoid 2017 Medicare payment adjustments this must be accomplished by September 30, 2016. DHCS is currently not able to assure providers as to the amount of time they will have to attest between the time the SLR reopens and this September 30, 2016 deadline. For this reason, DHCS urges providers to take advantage of one of the two other alternatives, if possible.

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