Michigan Health IT

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 https://ehrincentives.cms.gov/hitech/.

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 attestation system?

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).

For Hospitals

CMS Identity and Access Management (I&A) User ID and Password.
CMS Certification Number (CCN).
National Provider Identifier (NPI).
Hospital Tax Identification Number.

Additional Items

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 Registration

Instructions for EPs

Instructions for hospitals

Learn more about the Medicaid EHR Incentive Program.