Nebraska Medicaid Program

Medicaid Electronic Health Record (EHR)
Incentive Program

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Medicaid EHR Incentive Program Information

In February 2009, Congress enacted the Health Information Technology for Economic and Clinical Health Act ("HITECH"), as part of the federal stimulus package. The legislation included a number of provisions designed to encourage the adoption and use of health information technology, including electronic health records (EHRs) and the development of a health information exchange (HIE) infrastructure to improve health outcomes while providing cost savings efficiencies.

One of the initiatives of this legislation is the Medicaid Electronic Health Record (EHR) Incentive Program. Under this program, States will distribute incentive payments to qualified Medicaid providers that adopt, implement, upgrade, or meaningfully use, certified EHR technology.

Professionals  eligible for the Nebraska Medicaid EHR Incentive Program include:  Physicians (DO or MD), Dentists, Certified Nurse Midwives,  Advance Practice Nurse Practitioners or Physician Assistants practicing in a FQHC or RHC which is “so led” by a physician assistant.    Hospitals eligible for the Nebraska Medicaid EHR Incentive Program include:  Acute care hospitals (including CAHs) and Children’s hospitals.


EHR Incentive payment are subject to review by Nebraska Department of Health and Human Services, Medicaid Program Integrity Reviewers.  If selected for an audit you will receive a notification e-mail with instructions on required documentation.   As a recipient of an incentive payment, you are required to comply with these reviews and grant access to the reviewers as needed.  Documentation to support the EHR Attestations should be retained six years from the date of attestation.  Click on the appropriate link Audit Tips of Eligible Hospitals and Audit Tips of Eligible Professionals.

 Nebraska Medicaid Incentive Program (MIP) System – October 6, 2014


Effective October 6, 2014 all new attestations by eligible professionals and eligible hospitals must be submitted via the above linked website instead of the previously used paper forms.  In order to register for the Nebraska EHR Incentive Program, providers must have the CMS registration number (obtained when registering on the CMS EHR Registration), NPI and last four numbers of tax id.

NewAttention Specialty Providers - Click on the link 2014 CQM for Specialists Tool to see information that was generated by the Clinical Quality Measure (CQM) Task Force of the Specialty EHR Workgroup from the Office of the National Coordinator.  It is our understanding that CMS will not revise the CQMs for Program Year 2015 but if they are revised, we will link those revised CQMs as soon as available.
The deadline for eligible professionals to register for Program Year 2015 is February 29, 2016.  The website will be updated for Eligible Hospital requirements when the CMS modification final rules has been issued.
Medicaid Electronic Health Record (EHR) Incentive Program Attestation Guideline for 2015: The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule change that would impact the guidelines by which providers attest to receive Meaningful Use (MU) Incentives for 2015. At this time, Nebraska EHR Incentive Program is capable of accepting 2015 EHR Incentive attestations from eligible providers for Adopt, Implement, Upgrade (AIU) & MU Stage 1, 90 day reporting period as outlined in the original federal rule so long as the provider is able to attest to the current MU guidelines. Once CMS has finalized the proposed changes Nebraska EHR Incentive Program will need to make system modifications to comply with the new federal guidelines prior to accepting the remainder of the 2015 attestations.   We will update the Nebraska Medicaid EHR Incentive Program website when system modifications are complete.
The User Guide is available in a link on the left column of the Medicaid Incentive Program (MIP) System.  This User Guide will help with navigating the Medicaid Incentive Program (MIP) System.
Some new fields have been added to capture enhanced information about meaningful use and the EHR system on the Medicaid Incentive Program (MIP) System.
The “MORE” link is on some screens of the Medicaid Incentive Program (MIP) System.  This link will show a full description of the requirements.
Explanations of certain requirements or questions will be defined through “hover-overs” on the Medicaid Incentive Program (MIP) System.

All future correspondence regarding the EHR Incentive Program will only be sent to the contact email you used at the CMS EHR Registration.  It is the provider’s responsibility to ensure that this email address remains current/updated.   To review or update the contact information go to this website and modify the registration.  Be sure to click on the Submit button at the end of the registration even if no changes were made. 

For all Medicaid Provider Bulletin click here.


Public Health Meaningful Use objectives
CMS Final Rule
CMS Frequently Asked Questions
CHPL Certified Health IT Product List
Nebraska Medicaid EHR Incentive Program - Frequently Asked Questions
Eligible Professional Patient Volume Calculation
Eligible Hospital Patient Volume Calculation
State Medicaid Health Information Technology Plan
Broadband Exclusion Guidance Link

Rules and Regulations:

The Centers for Medicare and Medicaid Services (CMS) published the final rule for the Medicare and Medicaid EHR Incentive Programs on July 28, 2010. This rule outlines the requirements for participation in the programs. A copy of the final rule and up-to-date, detailed information about the programs, including eligibility, payments, meaningful use, and registration, is available on the CMS website:

DHHS Contact

Other Health Information Technology Information and Resources

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