Medicaid EHR Incentive - Registration
Providers must register with the CMS registration and attestation system at the federal level to start their registration process.
Once registered at the federal level,
providers will be invited to complete their registration at the state level.
Federal Level Registration
To register with the CMS registration and attestation system, all providers must have a National Provider Identifier (NPI), and hospitals
must be enrolled in the CMS Provider Enrollment, Chain and Ownership System (PECOS). The
CMS registration and attestation system
is open for registrations and is available at
CMS has published a
Registration User Guide for Medicaid Eligible Professionals and
Registration User Guide for Eligible Hospitals that has step by
step instructions for registering with the CMS registration and attestation
system. They have also established
an EHR Information Center.
The EHR Information Center's hours of operation are 7:30 a.m. – 6:30 p.m.
(Central Time) Monday through Friday, except federal holidays. They can be
reached at 1-888-734-6433 (primary number) or 888-734-6563 (TTY number). Or you
can submit an inquiry to
the EHR Information Center online. The CMS EHR Information Center can
answer questions on the CMS registration and attestation system and Medicare
EHR Incentive program.
To access the CMS registration and attestation system, providers will need a username and password.
For Eligible Professionals:
- Eligible professionals can use the same User ID and Password they use for the National Plan and Provider Enumeration System (NPPES). This is also the same User ID and Password that is used to access PECOS.
- If you do not have an active User ID and Password for NPPES or PECOS, request
them via CMS Identity & Access Management. You will need your type 2 NPI, your Taxpayer Identification Number (TIN), and your address from IRS Form CP-575. You will also need to mail a copy of IRS Form CP-575 as directed.
For Hospitals/Critical Access Hospitals:
- Authorized Officials can use the same User ID and Password they use to access PECOS.
- If you do not have an Authorized Official with access to PECOS, request a User ID and Password via
CMS Identity & Access Management. You will need your type 2 NPI, your Taxpayer Identification Number (TIN), and your address from the IRS Form CP-575. You will need to mail a copy of the IRS Form CP-575 as directed.
- Additional hospital staff will need to request access to the "EHR Incentive Programs" application through
CMS Identity & Access Management and be approved by the Hospital's Authorized Official.
What information will you need when you register with CMS registration and
Registering for the Medicare and Medicaid EHR Incentive Programs is easy when you have the following information available during the process:
For Eligible Professionals
- National Provider Identifier (NPI).
- National Plan and Provider Enumeration System (NPPES) User ID and Password.
- Payee Tax Identification Number (if you are reassigning your benefits).
- Payee National Provider Identifier (NPI)(if you are reassigning your benefits).
- CMS Identity and Access Management (I&A) User ID and Password.
- CMS Certification Number (CCN).
- National Provider Identifier (NPI).
- Hospital Tax Identification Number.
You do not have to provide information on the certified EHR technology you are
using or your email address when you register with the CMS registration and
attestation system. However, it is
strongly recommend that you do so, since it will speed up your registration
process at the state level.
The invitation letter for the state level registration (see below) will go to
the address provided in the CMS registration and attestation system.
Providers will need to know their
federal registration number to access the state
level registration. This is provided by the CMS registration and attestation
system at the completion of
registration. It can also be retrieved by logging back into the CMS registration
and attestation system with the
same username and password that was originally used during federal registration.
NOTE: the state cannot retrieve this information, the provider must do it.
Any changes to the information in the CMS registration and
attestation system, must be done by the provider in the
CMS registration and attestation system. Any changes may delay your incentive payment.
State Level Registration
Providers have to complete their registration at the state level after the
CMS registration and attestation system. Providers will receive a letter
inviting them to complete the registration process in the CHAMPS system, if they
are not already registered. EPs who are providing services through managed care
entities must be individually registered as a Medicaid provider and are required
to complete a similar process to verify the provider is in good-standing and is
eligible to receive an EHR incentive. Information entered at the CMS
registration and attestation system may only be
changed at the federal level and must match the information provided in CHAMPS.
State level registration is open now.
- Currently Medicaid-Enrolled Provider - Once Medicaid receives a valid EP request
from the CMS registration and attestation system, the Medicaid staff will send a
welcome letter to the EP with instructions for logging on to CHAMPS to register
for the EHR incentive payment on-line. Once the EP submits the registration
information, Medicaid staff will start the review/validation process. In order
to ensure that only eligible providers receive EHR incentive payments, a series
of verifications will take place at registration, and annually thereafter.
- Not Currently Medicaid-Enrolled Provider - Once Medicaid receives a valid EP request from the
CMS registration and attestation system, the Medicaid staff will send a welcome letter to the EP with instructions on enrolling in CHAMPS to register for the EHR incentive payment on-line. Note that this enrollment is for EHR incentive purposes only. To access the CHAMPS system for enrollment, the EP must follow the directions on the website at
www.michigan.gov/medicaidproviders, scroll down the middle of the page to Hot Topics, and click on the CHAMPS link. Once on the CHAMPS page, scroll down the page to Accessing the CHAMPS system portion and there are step by step instructions. There is also a toll free number for help in enrolling in CHAMPS. The number is 800-292-2550, option 2 and they will be able to answer any enrollment questions. Once approved, the EP will receive a letter with instructions on completing the EHR portion of the enrollment.
All participating provider, will have to re-register with CHAMPS every year. This will ensure the providers report on meaningful use and re-attest to program information They will also be required to complete an annual survey that will address general EHR issues and concerns.
What information will you need when you register at the state level?
In addition to the items submitted to the CMS
registration and attestation system above, eligible professionals have to
provide certain information at the state level. A great way to collect
this information in a logical manner is to use the Annual Eligibility Worksheet for the Michigan Medicaid EHR Incentive Program for Eligible Providers. These include:
- What 90 consecutive day period are you using for your eligibly reporting period.
- Type of provider, with additional items for Physician Assistants
- Any encounters in the hospital inpatient or emergency room setting, broken down
by Medicaid and total encounters in each setting
- If using the Eligible Patient Volume by Practice/Organization Proxy (see above)
option, encounters, broken down by Medicaid and total encounters and the NPI of
the organization who’s encounters are being used as a proxy [OPTIONAL]
- Any encounters in a Federally Qualified Health Center (FQHC)or Rural Health
Clinic (RHC) broken down by Medicaid, MiChild, charity care, sliding fee scale
and total patient encounters in the FQHC and/or RHC setting
- Any Medicaid managed care primary care patient panel encounters that are
included, broken down by Medicaid patients assigned to PCP panel, unduplicated
Medicaid patient encounters (i.e., fee for service encounters), total patients
assigned to PCP panel (including any other payers) and total unduplicated
patient encounters [OPTIONAL]
- All other encounters in any other setting, broken down by Medicaid and total
encounters EHR stage information, adopt, implement, upgrade or meaningful use
- CMS EHR Certification ID, available from EHR vendor [if not provided at federal
level]. Learn more.
- If any reported encounters are from any other state than Michigan, what states.
- Contact email [if not provided at federal level]
Note: Most NPIs are associated with an employer Tax Identification Number (TIN)—a corporation, partnership, LLC, etc. If you registered at the Federal Level and requested that your incentive payment be sent to your SSN rather than your employer TIN, then during your state-level registration (in CHAMPS), you will receive an error message that will prevent you from continuing with registration. (You will not receive an error if your NPI is already associated with your SSN at the Michigan Department of Treasury.) To resolve the error, you must link your SSN to your NPI at the Michigan Department of Treasury website (http://www.michigan.gov/treasury/0,4679,7-121--131970--,00.html) and then return to the registration process.
How to Complete the State Level
Instructions for EPs
Instructions for hospitals
Learn more about the Medicaid EHR Incentive