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

2016 Deadline Extended to July 25th for First Year Attestations

Providers who do not begin the Medi-Cal EHR Incentive Program by Program Year 2016 will permanently lose the ability to participate in the Medi-Cal EHR Incentive Program. For this reason, CMS has granted DHCS’s request to extend the attestation period for Program Year 2016 to July 25, 2017 for providers attesting to 2016 as their first program year. In order to utilize this extension providers must have satisfied all requirements by the original deadline of May 23, 2017, including:

• Established eligibility through Medi-Cal encounters ending on or before May 23, 2017
• For AIU, have a contract or other binding agreement for a certified EHR signed on or before May 23, 2017

Providers wishing to attest for the first year in program year 2016 who missed the original deadline of May 23, 2017 for any reason should contact the State Level Registry Help Desk at 866-879-0109 to take advantage of this opportunity. Providers who have not yet established an account in the National Level Registry (NLR) should do so at least 2 days before contacting the SLR Help Desk. NLR registration can be accessed at:

Providers who have successfully attested to AIU or MU in a program year prior to 2016 are not eligible for this extension. These providers will be able to continue the program by attesting to MU in 2017 or future years even though they missed attesting in 2016.

2017 Attestations

Program year 2017 attestations opened on May 23, 2017. MU attestations initially will be available only for Stage 2. All providers will be able to attest to Stage 2 in 2017 regardless of how many prior years of Stage 2 attestations they may have submitted. All providers will have the option to attest to Stage 3 for program year 2017, However, in order to do so providers will have to wait until January, 2018 when DHCS anticipates that the State Level Registry will be able to accept Stage 3 attestations. All providers will be able to use a 90-day reporting period for objectives in 2017. However, providers who have previously attested to MU will be required to use a full year reporting period for CQMs. Providers who have not previously attested to MU will be able to use a 90-day reporting periods for both CQMs and objectives.

2017 Groups

Although membership in groups for 2017 can currently be entered into the SLR, DHCS strongly recommends against doing this until most provider attestations have been reviewed and approved for 2016. In this way groups will be relatively certain that it will not be necessary to reopen their 2016 group attestation. Reopening of a 2016 group attestation could result in the necessity to reenter data for the group’s 2017 attestation.

2017 Hospitals

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 MU attestation.

Medicare Payment Adjustments

Providers who attested to meaningful use (MU) with the Medi-Cal EHR Incentive Program for program year 2015 are exempt from Medicare Payment Adjustments in 2017. Because of the late closure of applications for MU for the 2015 program year on December 13, 2016, DHCS was not able to send information to CMS regarding 2015 MU attestations until late in December 2016. For this reason, some Medi-Cal providers are now erroneously receiving letters from CMS warning that they are subject to Medicare Payment Adjustments in 2017 because of not attesting to MU in 2015. These letters offer providers the option of filling out and sending in a “reconsideration form” to CMS to avoid the payment adjustments. DHCS has received assurance from CMS that all providers who attested to MU with the Medi-Cal EHR Incentive Program for 2015, even as late as December 13, 2016, will not be subject to Medicare payment withholds in 2017. Submission of the “reconsideration form” should not be necessary because CMS has now removed the names of all providers who had attested to MU for 2015 with the Medi-Cal EHR Incentive Program from the list of providers subject to payment adjustments in 2017. Click here for the names and NPIs of providers who attested to MU in 2015.


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.

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)