Program Year 2016 was the last year an EP could begin participation in the Medicaid EHR Incentive Program.

When can I attest for Program Year 2021?

The Montana State Level Registry (SLR) will open for Program Year 2021 MU attestations as follows:

  • Eligible Professionals (EPs) & Groups: 07/01/2021 – 09/30/2021
  • Eligible Hospitals (EHs): No Hospitals in MT can attest for 2021

Eligible Professionals are eligible to participate and receive payments for up to six years.

Eligible Hospitals were eligible to participate and receive consecutive payments for up to four years.

Already have an SLR account?

Centers for Medicare & Medicaid Services (CMS)

Services provided by the CMS EHR Information Center and Help Desk ended on March 13, 2018. However, assistance with technical issues related to NLR-State/SLR file transactions, connectivity and State account password expirations are now handled by the new NLR Production Support Help Desk.

Contact email address -
Contact phone number - 1-833-238-0203 (Toll free)
Hours of operation – Monday to Friday, 8am to 5pm EST. Voicemail is available outside regular operating hours.

Welcome to the Montana State Level Registry (SLR) — Provider Outreach Page

Montana providers must register with the CMS registration and attestation system, formerly known as NLR, prior to registering with the Montana State Level Registry. The tools in this Provider Outreach Page will help you start collecting and organizing the information you will need in order to register with Montana's SLR.

As the healthcare landscape continues to modernize, recent legislation was passed to encourage the adoption of Electronic Healthcare Record (EHR) technology in documenting patient care. The American Recovery and Reinvestment Act of 2009, beginning in 2011, eligible Medicaid providers are offered financial incentives for the implementation and meaningful use of Health Information Technology (HIT) in the management of patient populations.

To streamline the process in applying for the incentive and provide supportive resources throughout your HIT transition, this web portal centralizes the national, state and regional links for additional program information. It also serves as the portal to access the Montana State Level Registry (SLR). In support of The State of Montana Department of Public Health and Human Services vision to improve access to health care and quality of health care for Montanans, this site also offers the following:

  • A centralized “one-stop” launching pad of available tools for managing your EHR Incentive Program information
  • A secure portal to access the MT State Level Registry (SLR)
  • Organized information offering real-time feeds of current HIT news and updates from other federal organizations such as CMS.

Educate yourself today on the benefits of HIT and be a part of transforming the quality, efficiency and safety of healthcare delivery.

What to Expect for Program Year 2021?

  • Eligible Professionals can continue through 2021 if they have previously attested and been paid at least once in any program year prior to and including 2016.
  • All participants must attest to Meaningful Use Stage 3 - no attestations will be accepted for AIU (Adopt, Implement or Upgrade).
  • Beginning with program year 2019 through the end of the program, EPs must use 2015 Edition certified EHR technology. The 2015 Edition functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period. The EP must be using the 2015 Edition functionality for the full EHR reporting period. In many situations the product may be deployed but pending certification. If the certification is received by the last day of the reporting period, the EP will be able to meet the Stage 3 objectives and measures.
  • EHR reporting period for Medicaid EPs and EHs is a minimum of any continuous 90-day period within calendar year 2021.
  • Unlike in previous years, there are no alternate exclusions or specifications available.
  • Security Risk Assessment must be conducted by both EHs and EPs during Calendar Year 2021.
  • Broadband Access Exclusion: CMS offers broadband access exclusions for three meaningful use objectives; Patient Electronic Access to Health Information, Coordination of Care through Patient Engagement, and Health Information Exchange. However, according to the Federal Communications Commission’s (FCC) most current map, all counties in Montana are listed as having 50 percent or more of its housing units with 4Mbps broadband available. Therefore, no providers are eligible to take the broadband exclusion for these objectives.
  • The following documentation must be uploaded to the Montana State Level Registry (SLR) for EP Program Year 2021:
  • Copy of Contract with EHR Vendor (if contract is not current upload a current invoice)
  • Copy of Security Risk Assessment
  • Full Meaningful Use Summary Report (All MU objectives/measures and all CQMs) or Supporting Documentation (screen shots or EHR report with PHI removed)
  • Letter from the Public Health Agency (or statement/reason for exclusion- “We don’t give immunization due to provider type. We are Dentists.”)
  • Signed and Dated Program Year 2020 Attestation

Important Web Resources (all links open in new window)

Are You Eligible?

Run the CMS Eligibility Wizard and quickly see if you may qualify for incentive payments.

Frequently Asked Questions

Have a question? Click here to view the CMS list of frequently asked questions.

Healthcare IT News

Health IT in the News

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Health Technology Services

Contact Us

Mountain-Pacific Quality Health
3404 Cooney Drive
Helena, MT 59602
Local: (406) 443-4020 / Toll Free: (800) 497-8232
Fax: (406) 513-1920