Medicare Eligible Professionals

The Medicare EHR Incentive Program for eligible professionals started in 2011 and will continue through 2016. Depending on the first year they participate, eligible professionals can participate for up to 5 years throughout the duration of the program. The last year to begin participation in the Medicare EHR Incentive Program was 2014.

  • For calendar years 2011–2016, eligible professionals who demonstrate Meaningful Use of certified EHR technology can receive up to $44,000 over 5 years under the Medicare EHR Incentive Program. See the payment table below for more information.
  • For 2015 and later, Medicare eligible professionals who do not successfully demonstrate Meaningful Use will have a payment adjustment to their Medicare reimbursement. The payment reduction starts at 1% and increases each year that a Medicare eligible professional does not demonstrate Meaningful Use, to a maximum of 5%.If you qualify for both the Medicare and Medicaid EHR Incentive Programs, you must choose which program you want to participate in. If you are only eligible for the Medicaid EHR Incentive Program, you will not be subject to payment adjustments.
  • Medicaid eligible professionals who also treat Medicare patients will have a payment adjustment to Medicare reimbursements starting in 2015 if they do not successfully demonstrate meaningful use.

Medicare EHR Incentive Payment Schedule for Eligible Professionals

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Medicaid Eligible Professionals

The Medicaid EHR Incentive Program is offered and administered voluntarily by states and territories.. The program continues through 2021. Eligible professionals can participate for 6 years throughout the duration of the program. The last year to begin participation in the Medicaid EHR Incentive Program is 2016.

  • To qualify for Medicaid incentive payments, Medicaid eligible professionals must adopt, implement, upgrade, or demonstrate Meaningful Use of certified EHR technology in the first year of participation, and successfully demonstrate Meaningful Use in subsequent participation years.
  • EHR incentive payments are made by the state based on the calendar year
  • Medicaid eligible professionals and providers who are not eligible to participate in the Medicare and Medicaid EHR Incentive Programs will not be subject to payment adjustments. However, Medicaid eligible professionals who also treat Medicare patients will have a payment adjustment to Medicare reimbursements starting in 2015 if they do not successfully demonstrate Meaningful Use.

Medicaid EHR Incentive Payment Schedule for Eligible Professionals

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