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 2018?

The Montana State Level Registry (SLR) will open for Program Year 2018 MU attestations as follows:

  • Eligible Professionals (EPs): 01/01/2019 - 03/31/2019
  • Eligible Hospitals (EHs): 01/01/2019 - 03/31/2019

Eligible Hospitals that have attested and received payment for Program Year 2017 can continue to participate in Program Year 2018.

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

Eligible Hospitals are eligible to participate and receive 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.

Name Change ALERT

CMS has renamed the EHR Incentive Program to the Promoting Interoperability (PI) Program!

What to Expect for Program Year 2018?

  • All participants must attest to Meaningful Use, either Modified Stage 2 or Stage 3 - no attestations will be accepted for AIU (Adopt, Implement or Upgrade).
  • All EPs will report on a continuous 90-day EHR reporting period with a CQM reporting period of a full year for returning meaningful users, or 90 days for first time meaningful users. Six (6) CQMs must be reported, regardless of Stage.
  • All providers must attest using Certified EHR Technology (CEHRT) that is certified (at minimum) to the 2014 Edition. However EPs who wish to attest to Stage 3 objectives must use Certified EHR Technology (CEHRT) that is certified to the 2015 Edition or a combination of 2014/2015 Edition CEHRT.
  • There are 10 Objectives including 2 Public Health Measures for Modified Stage 2, and 8 Objectives including 2 Public Health Measures for Stage 3.
  • 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 2018.
  • Broadband Access Exclusion: CMS offers broadband access exclusions for two meaningful use objectives; Patient Electronic Access and Secure Electronic Messaging. 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 either of these objectives.
  • The following documentation must be uploaded to the Montana State Level Registry (SLR) for EP Program Year 2018:
  • Eligibility Workbook
  • Copy of Contract with EHR Vendor
  • Supporting Documentation (screen shots or EHR report with PHI removed)
  • Copy of Security Risk Assessment
  • Full Meaningful Use Summary Report (All MU objectives/measures and all CQMs)
  • 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 2018 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