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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

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.

2015 Attestations

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 (click here). For important information about meaningful use in Program Year 2015, please read Understanding Meaningful Use in 2015 (click here).

2016 Attestations

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.

2016 Changes

• 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 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