Medicaid Electronic Health Record (EHR) Incentive Program

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REGISTRATIONUSER GUIDEFor Eligible ProfessionalsMedicaid Electronic Health Record(EHR) Incentive ProgramDECEMBER 2010(12.28.10 ver2)

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE Step 1 . Getting started 3Step 2 . Login instruction 5Step 3 .Welcome 6Step 4 . Registration instructions 7Step 5 . Reason for this registration 8Step 6 .Incentive program questionnaire 9Step 7 . Personal information 10Step 8 . Business address and phone 11Step 9 . Topics for this registration 12Step 10 .Verify registration 13Step 11 . Registration Disclaimer 14Step 12 . Submission receipt 15Step 13 . Status Summary/Detail 16Questions/Help . 18Acronym translation. 19DisclaimerThe Centers for Medicare & Medicaid Services (CMS) is providing this material as aninformational reference for physicians and non-physician practitioners-providers.Although every reasonable effort has been made to assure the accuracy of the informationwithin these pages at the time of posting, the Medicare and Medicaid program is constantlychanging, and it is the responsibility of each physician, non-physician practitioner, supplier orprovider to remain abreast of the Medicare and Medicaid program requirements.Medicare and Medicaid regulations can be found on the CMS Web site at http://www.cms.govMedicaid EHR Incentive Program User Guide – Page 2

REGISTRATION USER GUIDEhttps://ehrincentives.cms.govFOR MEDICAID ELIGIBLE PROFESSIONALSStep 1 – Getting StartedThis is a step-by-step guide for the Medicaid Eligible Professionals (EPs) ElectronicHealth Record (EHR) Incentive Program. The page layout consists of theregistration screen with written instructions to the right, as well as helpful tipsat the bottom. To get started, click on the link at the top of the page or type thewebsite into your computer’s browser.STEPSEnter the EHRIncentive ProgramURL (located at thetop of the page) intoyour web browserClick CONTINUEto start theregistration processTIPSTo determine your eligibility,click on the CMS websiteMedicaid EHR Incentive Program User Guide – Page 3For a list of Eligible Professionals(EPs), click on thenext toEligible Professionals

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 1 - ContinuedOnce you have clicked on the you will be presented with a list of professionalswho are eligible to participate in the program.STEPSReview the list of EligibleProfessionals (EPs)Click CONTINUEto start theregistration processTIPEligible Professionals (EPs) may not be hospital based. This is defined as EPs seeing90% or more of their Medicare covered services in:– Hospital Inpatient setting (Place of service 21)– Emergency Department setting (Place of service 23)Medicaid EHR Incentive Program User Guide – Page 4

REGISTRATION USER GUIDEhttps://ehrincentives.cms.govFOR MEDICAID ELIGIBLE PROFESSIONALSStep 2 – LoginReview the Login Instructions for Eligible Professionals.STEPSEnter your NationalPlan and ProviderEnumeration System(NPPES) web useraccount, user ID andpassword to log into theregistration system.Click LOG INTIPSContact the NPPES Help Deskif you cannot remember yourpassword. (800) 465-3203 or sendan email to customerservice@npienumerator.comMedicaid EHR Incentive Program User Guide – Page 5To locate your NPI number, ome.doUser name and password arecase sensitive

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 3 – WelcomeIf your login was successful you will receive the “Welcome Screen”.STEPSClick on theREGISTRATION TAB tocontinue registering for theEHR Incentive Program.TIPSThe Welcome screen consistsof five tabs to navigatethrough the registration andattestation process. Home Registration Attestation (AttestationTab is for Medicare EPsand EHs only. MedicaidEPs attest with their State.Contact your state formore information) Status Account ManagementMeaningful Use ms/30 Meaningful Use.aspMedicaid EHR Incentive Program User Guide – Page 6

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 4 – RegistrationSTEPSClick on REGISTERin the Action columnto continue theregistration process.TIPS“Resubmit”, “Modify”,“Cancel” and “Reactivate”are the available Action weblinks for returning usersOnly oneaction can beperformed at atime on this pageMedicaid EHR Incentive Program User Guide – Page 7If the user selects the Actionweb link of “Register” or“Resubmit” they will bedirected to the Topics forRegistration screen

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 5 – Reason for this RegistrationReview and follow the registration instructions below.STEPSClick on STARTREGISTRATIONto continue withthe Topics for thisRegistration.TIPSData required for thisregistration is groupedinto three topics. All threemust be completedMedicaid EHR Incentive Program User Guide – Page 8Check marks willappear in thecompleted columnto indicate that thetopics are completeWhen all topics are checkedcompleted user can selectBEGIN SUBMISSION

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALSStep 6 – Incentive Program QuestionnaireReview and follow the Incentive Program Questionnaire instructions below.STEPSSelect Medicaid andclick on APPLYSelect your MedicaidState/Territory.Select your EligibleProfessional Type.Click Yes or No at ‘doyou have a certifiedEHR?’ If yes, enterthe EHR CertificationNumber if you haveit.Click SAVE ANDCONTINUETIPSStates are launching theirprograms at different times,so your state may not yetbe available. Click on theCMS website link for ograms/Medicaid EHR Incentive Program User Guide – Page 9Click on the CMSEHR CertificationNumber websiteto obtain yourcertified EHRnumber.http://healthit.hhs.gov/CHPLFollow theinstructions onthe website tolocate your CMSEHR CertificationNumberYou must enter yourcertification number whenAttesting for the EHRIncentive Program.Thenumber is not required forregistration

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALSStep 7 – Personal InformationFollow the instructions below regarding your personal information.STEPSSelect where yourpayment will go in thePayee TIN Type.Click APPLYSSN Payee TIN Typeindicates that theprovider receives thepayment.EIN Payee TIN Typeindicates the groupreceives the payment.Enter the Group Nameand Group Payee TINand NPI Number.Click SAVE ANDCONTINUETIPMedicaid EPs can elect to have their payment go to another qualified entity byselecting Payee TIN Type of EIN. This information will be sent to the State. There arerules around reassignments governing this program. Please see the CMS website formore information – http://www.cms.gov/EHRIncentivePrograms/Medicaid EHR Incentive Program User Guide – Page 10

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 8 – Business Address and PhoneBe sure to complete all requested information.STEPSReview the BusinessAddress & Phoneinformation and reviseif applicable.Enter your e-mailaddress and confirm thee-mail address.Click SAVE ANDCONTINUETIPSData on this page is pulled from the provider’s practice locationstored in NPPES, affiliated with the NPI. Address and Phonenumber can be changed for purposes of this program, howeverit will not update your NPI record in NPPES. If this informationis incorrect, please update your NPPES account as well.Medicaid EHR Incentive Program User Guide – Page 11The business addresscannot be a P.O. Boxaddress.

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 9 – Topics for this RegistrationBe sure to complete all the topics below.STEPSClick on BEGINSUBMISSIONto continue theregistration process.TIPCheck marks indicate that thetopics are completedMedicaid EHR Incentive Program User Guide – Page 12

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 10 – Verify RegistrationBe sure to verify all your personal information.STEPSReview yourregistrationinformation foraccuracy and clickSUBMIT to continue.TIPClick on PREVIOUS PAGE to revise your information.The topics for registration screen presents then click onMODIFY to modify your registration.Medicaid EHR Incentive Program User Guide – Page 13

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 11 – Registration DisclaimerBe sure to read the entire disclaimer.STEPSRead the disclaimerand click on AGREEor DISAGREE at thebottom of the page.TIPIf DISAGREE is chosen, the user is directed to the RegistrationInstructions Page. To restart the process, click MODIFY in theAction column of the Registration Instructions PageMedicaid EHR Incentive Program User Guide – Page 14

REGISTRATION USER GUIDEhttps://ehrincentives.cms.govFOR MEDICAID ELIGIBLE PROFESSIONALSStep 12 – Submission Receipt (Successful Submission)Confirm that your registration was completed successfully.STEPSYou must contact yourState to complete yourregistration.Continue yourregistration using theState’s Medicaid EHRregistration tool.Click on You can findyour State here tocomplete the Medicaidregistration.TIPSWait 24 hours to contact yourState to finish the registration,to allow for processingMedicaid EHR Incentive Program User Guide – Page 15Print a copy of the receipt for yourrecords.You will not receive an emailconfirmation of this registration.

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 13 – Status SummaryReview all current and previous information related to your account.STEPSClick the STATUS tabto view registrationsummary.TIPClick Select in the ActionColumn to view detail.Medicaid EHR Incentive Program User Guide – Page 16

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govStep 13 – Status DetailReview the details of your registration process.STEPSRegistration detailsappear in the body ofthe screen.Click ADDITIONALINFORMATIONfor the registrationstatus reason, FiscalIntermediary (FI)/Carrier/MedicareAdministrativeContractor (MAC) andvalidations performedon registration.TIPSRegistration status will readPENDING STATE VALIDATIONuntil the registration process iscompleted by the StateMedicaid EHR Incentive Program User Guide – Page 17Other registration statuses are, PENDING STATEAPPROVAL, ISSUE PENDING, IN PROGRESS, andREJECTED. The status reason is listed onthe Additional Information page

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govHave Questions?There are many resources available to you.STEPSClick on the HELPLINK which is locatedon every screen.ResourcesContact the EHR Information Center Help Desk for Questions concerningregistration, (888) 734-6433 / TTY: (888) 734-6563 TIPHours of operation: Monday-Friday 8:30 a.m. – 4:30 p.m. in all time zones(except on Federal holidays)NPPES Help Desk for assistance. 800) 465-3203 / TTY (800) 692-2326EHR Incentive Program; aid EHR Incentive Program User Guide – Page 18

REGISTRATION USER GUIDEFOR MEDICAID ELIGIBLE PROFESSIONALShttps://ehrincentives.cms.govAcronym TranslationACRONYMSRegister for CMSElectronic Health Record IncentivesClickHereMedicaid EHR Incentive Program User Guide – Page 19

REGISTRATION USER GUIDE FOR MEDICAID ELIGIBLE PROFESSIONALS Medicaid EHR Incentive Program User Guide – Page 3 Step 1 – Getting Started ible.Professionals.(EPs).Electronic.

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