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Below are the step by step instructions on how to complete the registration process.
Adobe PDF Click here to print this list.

Below are the step by step instructions on how to complete the registration process.
Adobe PDF Click here to print this list.

Below are the step by step instructions on how to complete the registration process.
Adobe PDF Click here to print this list.

  1. You’ll need a Provider Enrollment, Chain, & Ownership System (PECOS) ID to complete your CMS EHR Incentive Program Registration. Register for a PECOS ID here.
  2. Locate the National Provider Identified (NPI) and Tax Identification Number (TIN) you’ll need to register at CMS’s EHR Incentive Program Registration site. You’ll also need this to create a State Level Registry (SLR) account.
    If you don’t have an NPI, visit CMS’s site to apply for one. Need a TIN? Visit IRS.gov.
  3. Locate the National Provider Identified (NPI) and Tax Identification Number (TIN) you’ll need to register at CMS’s EHR Incentive Program Registration site. You’ll also need this to create a State Level Registry (SLR) account.
    If you don’t have an NPI, visit CMS’s site to apply for one. Need a TIN? Visit IRS.gov.
  4. Register at CMS’s EHR Incentive Program Registration site.
    Important Tip for the CMS NPPES site: After saving each page, use the SUBMIT button at the end to complete your update.
  5. You must have an active Medicaid Provider Number. To enroll or check the status of your enrollment, visit the enrollment site, https://mtaccesstohealth.acs-shc.com/mt/general/providerEnrollmentHome.do or contact 1-800-624-3958.
  6. more info Determine if the providers in your group will use the group Medicaid patient volumes. If one practitioner in the group opts out, then all practitioners must use individual patient volume.
  7. Identify the NPI and TIN for each provider in your practice.
  8. Create or locate an electronic copy of your signed contract with a vendor for the purchase, implementation or upgrade of a certified EHR system.
  9. Locate information related to your medical license such as your license number and the Board with which you are licensed.
  10. Identify an individual who will be the primary contact for your application - you’ll need their name, phone and email.
  11. more info Determine the Medicaid Patient volume you’ll be reporting.
  12. Identify an individual who will be the primary contact for your application - you’ll need their name, phone and email.
  13. more info Determine the Medicaid Patient volume you’ll be reporting.
  14. Locate the three most recent years of cost report data.
  15. more info Determine the Medicaid Patient volume you’ll be reporting.
  16. Determine which method of Certified EHR technology you will be attesting to — more info adopt, more info implement, or more info upgrade.
  17. Certified EHR info — verify that your system is on the list from ONC.
  18. Ensure that you have access to a scanner or electronic faxing technology such as RightFax™.

The following workbook samples are designed to help you in gathering the necessary attestation information. These workbooks may be updated to reflect the latest guidance from CMS, so check back often to ensure you have the latest.

It’s as easy as 1, 2, 3   4 & 5  ;-)

Please Note: This information is provided for Medicaid practitioners interested in applying for the Medicaid EHR Incentive Program. If you are a Medicare practitioner looking for information on the Medicare EHR Incentive Program, please visit www.cms.gov\EHRIncentivePrograms for more information.

CMS

Beginning January 3, 2011, the Electronic Health Record (EHR) Information Center will be open to assist the EHR Provider Community with both program and system inquiries from 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays, at 1-888-734-6433 (primary number) or 888-734-6563 (TTY number).
Adobe PDF more info…

CMS EHR Incentive Program Registration site

Office of the National Coordinator for Health Information Technology (ONC)

Office of the National Coordinator for Health Information Technology (ONC) Certified Health IT Product List