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Attestation & Payment Years

Eligible Professionals (EPs)

Payment Year 1:

  • EPs must show & document Adoption, Implementation, or Upgrading (AIU) to a certified EHR system.


  • Patient Volume (PV) data (both Medicaid and Total) are from a consecutive 90-day period in the previous calendar year. CMS requirements are that EPs have a PV equal to or exceeding 30% paid Medicaid encounters for the qualifying period. (Pediatricians may qualify for a reduced payment if their paid Medicaid encounter PV equals to or exceeds 20%.) For example, an EP attesting for the first time in 2012 will use PV data from 2011; in 2013 use 2012 data, etc.


  • EPs must begin registration and attestation no later than 2016 In order to receive all incentive payments to be made through 2021.


  • The first year EHR incentive payment for EPs who meet the PV requirement of 30% or greater is $21, 250. The EHR Incentive payment for Pediatricians who meet the PV requirement of 20% - 29% is $14,167.

Payment Year 2:

  • EPs must successfully attest to Meaningful Use (MU) criteria for a consecutive 90-day period in the current calendar year. For example, to attest to MU in 2012 EPs must use a 90-day reporting period in 2012. (If the second payment year is 2013, the EP must use a 90-day reporting period in 2013.) If an EP begins the 90-day reporting period on January 1, the earliest attestation to MU would be in early April.


  • Patient Volume (PV) data (both Medicaid and Total) must be from a consecutive 90-day reporting period in the previous calendar year. To attest to MU in 2012, the PV data must come from a90-day reporting period in 2011.


  • For more information about MU criteria, click here.


  • EP EHR Incentive Payments for Payment Years 2 - 6 are $8,500 (each) for EPs meeting the 30% or greater PV requirements, and $5,667 for Pediatricians who have PVs in the 20% - 29% range.

Payment Years 3 - 6:

  • EPs must successfully attest to MU criteria for the full calendar year. EPs cannot attest to MU until the calendar year is complete; for example, to earn a Payment Year 3 incentive payment for 2013, an EP would attest to MU criteria in 2014, once the 2013 data can be reported and calculated. The payment year and the reporting period would be 2013, in this example, although payment would not occur until the following year (or 2014 in this example).


  • Patient Volume (PV) data (both Medicaid and Total) must be from a consecutive 90-day period in the calendar year preceding the MU reporting period. If the MU reporting period were the full calendar year of 2013, then PV data would be a consecutive 90-day period in 2012.


  • Total EHR Incentive Payments are

    • $63,750 for EPs who have paid Medicaid encounters of 30% or greater each year during the six-year EHR Incentive Period; and


    • $42,000 for Pediatricians having paid Medicaid encounters in the 20% - 29% range during the six-year EHR Incentive period.

For more information, go to FAQs.

Eligible Hospitals (EHs)
(Tennessee is making the EH EHR Incentive Program Payments over a 3-year period.)

Payment Year 1:

  • EHs must show & document Adoption, Implementation, or Upgrading (AIU) to a certified EHR system. (Medicaid attestation only; Medicare always requires Meaningful Use [MU].)


  • Patient Volume (PV) data (both Medicaid and Total) data are a consecutive 90-day period in the previous fiscal year* and must equal or exceed 10% for acute care hospitals and Critical Access Hospitals (CAHs). Children's hospitals do not have to meet a PV requirement.


  • Providers must begin registration and attestation no later than 2016 In order to receive all incentive payments through 2021 (see note above).


  • The EH's EHR Incentive Payment is based on information the EH submits with this attestation. The breakdown on the EH's EHR Incentive Payment is 50% in the first year, 30% in the second year, and 20% in the third year.

Payment Year 2:

  • For EHs attesting under the TennCare Medicaid EHR Incentive Program only, the MU reporting requirement period is for a consecutive 90-day period in the previous fiscal year.* This would be children's hospitals and those acute care hospitals and CAHs that did not enroll as dually eligible hospitals when registering at the CMS Registration and Attestation System web site.


  • EHs attesting dually under both the Medicare and Medicaid programs, the MU reporting period is 12 months in the previous fiscal year.*


  • Patient Volume (PV) data (both Medicaid and Total) must be from a consecutive 90-day period in the previous fiscal year.* PV must equal or exceed 10% for acute care hospitals and Critical Access Hospitals (CAHs). Children's hospitals do not have to meet a PV requirement.

    Per CMS, if an EH attests with Medicare and Medicaid in the same year, that EH has used its 90-day MU attestation period. Attestation for the second payment year requires a full year of MU. For example, if an EH attested under both programs in 2011, then the earliest second-year attestation can occur is October 1, 2012.


  • For more information about MU requirements, click here.

Payment Year 3:

  • The MU reporting requirement for Payment Year 3 is 12 months in the previous fiscal year.*


  • Patient Volume (PV) (both Medicaid and Total) data must be from a consecutive 90-day period in the previous fiscal year.* PV must equal or exceed 10% for acute care hospitals and Critical Access Hospitals (CAHs). Children's hospitals do not have to meet a PV requirement.

*For an explanation of how to determine fiscal year, go to https://questions.cms.hhs.gov/app/answers/detail/a_id/10826/kw/fiscal%20year. Per CMS, the reporting period must begin and end in the Federal Fiscal Year (FFY) that constitutes the payment year.

For more information, go to FAQs.