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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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 Attestation Extension

The 2018 attestation deadline has been extended to April 5, 2019 to compensate for periods of SLR downtime in recent weeks. The deadline will be 9PM on April 5, 2019 but users should be aware that the SLR Helpdesk will not be available after 5PM. Providers prevented from attesting for technical reasons should file a ticket with the SLR Helpdesk before the deadline.


Greenway Health EHR

In December 2018 Greenway notified users of its SuccessEHS, Intergy, and Prime Suite EHRs that some data reported for meaningful use (MU) attestations was incorrect. DHCS, following guidance from CMS, continued to accept MU attestations from Greenway EHR users with the understanding that Greenway would subsequently provide software updates that would allow users to submit corrected data for 2018. In May 2019 Greenway announced that it would not provide an update for SuccessEHS. For this reason, CMS advised that professionals who attested for 2018 using SuccessEHS should be rejected for incentive payments. However, CMS has agreed that these professionals can receive payments if they are able to produce corrected MU data from their EHR using an alternative reporting tool, even if that reporting tool has not been certified by the Office of the National Coordinator (ONC). DHCS intends to individually contact professionals regarding this situation. DHCS does not intend to accept MU data from SuccessEHS for program years 2019 and later even if produced by an alternative reporting tool.
Greenway has notified DHCS that it is in the process of obtaining approval from ONC for an updated version of the Intergy EHR. This update, when approved, will enable professionals to accurately report MU data for 2018 and going forward. Greenway will notify Intergy users when this approval is obtained. At that point, DHCS will contact Intergy users to submit new MU data for 2018 attestations. Greenway continues to work on an update for the Prime Suite EHR. DHCS has not identified any MU attestations using Prime Suite for 2018.


Google Chrome Browser Issue

Recent updates to the Google Chrome have resulted in browser issues when logging into the State Level Registry. Providers should use other browsers, such as Internet Explorer or Firefox, until this issue can be resolved. Please revisit this website for updated information.


2019 Attestations

DHCS does not anticipate that 2019 attestations will be available on April 1, 2019. Providers should check this website for updates as to when 2019 attestations will be available.
Attestations for the 2019 program year will be available for Stage 3 only
All providers will have a 90-day MU reporting period
Providers do not have to use 2015 CEHRT for the entire year, but must use 2015 CEHRT for the entire 90-day MU reporting period.
Providers that have not reported MU previously will have a 90-day CQM reporting period, and providers that have reported MU previously will have an entire calendar year CQM reporting period
Only hospitals that successfully attested to MU in 2018 are able to attest for MU in 2019.
Only professionals that successfully attested to AIU or MU in the past are able to attest to MU for 2019.


2018 Attestations

The State Level Registry will close for 2018 attestations on March 31, 2019.
Providers are able to attest to either Stage 2 or Stage 3.  Attestation to Stage 3 is optional
All providers have a 90-day MU reporting period
All providers attesting to MU for the first time have a 90-day CQM reporting period and providers that have attested to MU previously have an entire calendar year reporting period
Only hospitals that successfully attested to MU in 2018 are able to attest for MU 2018.
Only professionals that successfully attested to AIU or MU in the past are able to attest for 2018


2018 Prequalification Lists

The clinic prequalification list is available and can be accessed by clicking here.
The prequalification list for professionals is available and can be accessed by clicking here.


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 may be counted as acute inpatient bed days and discharges. In the past, only nursery bed days billed under code 174 could be 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.
Professionals: DHCS recently began auditing the meaningful use attestations of selected professionals.



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)