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 payments 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 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.

NEW CMS 2015-2017 Modified Stage 2 Final Rule:
CMS has recently issued a final rule which changes many of the provisions of the Medicaid EHR Incentive Program.  Some key concepts in this final rule are:
  • Restructured Stage 1 and Stage 2 objectives and measures to align with Stage 3
    • 10 objectives for Eligible Professionals, including one consolidated public health reporting objective with measure options
    • 9 objectives for Eligible Hospitals and Critical Access Hospitals, including one consolidated public health reporting objective with measure options
  • Starting in 2015, the EHR reporting period aligns with the calendar year for all providers (this is a change for eligible hospitals and critical access hospitals)
  • Changed the EHR reporting period in 2015 to 90 days for all providers to accommodate modifications to meaningful use
  • Modified Stage 2 patient engagement objectives that require “patient action”
  • Streamlined the program by removing redundant, duplicative , and topped out measures
  • CQM (Clinical Quality Measure) reporting for all providers remains as previously finalized

Eligible Professionals and Eligible Hospitals must submit attestations to request a Medicaid Incentive Payment for Program Year 2015 starting on January 4, 2016 and ending on February 29, 2016.  Attestations for 2015 will not be accepted outside of this time period.

 Click on one of the links below for further information on the final rule changes:

 2015 Program Requirements
Eligible Professional (EP) Tip Sheet
Eligible Hospital (EH) Tip Sheet
2015-2017 Modified Stage 2 Overview
Final Rule

The last year for Eligible Professionals to begin participation in the Medicaid EHR Incentive Program is 2016.
For 2015 only, Eligible Hospitals may select a consecutive 90-day meaningful use reporting period between 10/1/2014-12/31/2015.  This allows for the change from the Federal Fiscal year reporting to the Calendar Year reporting.
Attention 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 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 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

DHHS Contact

Other Health Information Technology Information and Resources

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