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Adopt, Implement, Upgrade and Supporting Documentation

Eligible Professionals must demonstrate that they have Adopted; Implemented; or Upgraded (AIU) certified EHR technology in order to receive a Medicaid EHR Incentive Program Year 1 payment.

  • Adopt: acquire, purchase, or secure access to certified EHR technology.
  • Implement: install or begin using certified EHR technology.
  • Upgrade: upgrade from existing EHR technology to certified EHR technology or expand the functionality of existing certified EHR technology.

Adopt, Implement, Upgrade Supporting Documentation

CMS EHR Certification ID Documentation: all certified modules or EHRs that are available at a practice(s) at the start of the EHR reporting period must be added to the cart on the Office of the National Coordinator Certified Health IT Product List (CHPL) website to generate an accurate CMS EHR Certification ID. Eligible Professionals (EPs) must upload a screenshot of the CHPL webpage with the CMS EHR Certification ID at the time of attestation.

Proof of AIU: Eligible Professionals must upload a document(s) that shows proof that certified EHR technology has been adopted, implemented, or upgraded. All documents must be fully executed, i.e., signed and dated by both the provider (or provider organization) and vendor and clearly reflect obligation and/or payment for an EHR. In the event of audit, providers should retain AIU documentation for six years following payment year 1. AIU documentation can include a(n):

  • EHR vendor contract;
  • Purchase order and paid invoice (copy of organization check; bank check; or credit card slip that matches the purchase order amount) for an EHR system or annual maintenance fee;
  • Other document showing legal contractual obligation.

Patient Volume Numerator and Denominator Reports: refer to Medicaid Patient Volume and Hospital-Based Eligibility or Needy Individual Patient Volume and Practice Predominantly Eligibility for reporting requirements.

Practice Predominantly Report: for Eligible Professionals that work in an FQHC/RHC. Refer to Needy Individual Patient Volume and Practice Predominantly Eligibility for reporting requirements.

Physician Assistants (PAs) in FQHCs or RHCs: a signed attestation from the facility director that the PA who leads the FQHC/RHC satisfies one of the following requirements:

  • Primary provider in a clinic (example: part-time physician and full-time PA);
  • Clinical or medical director at a clinical site of practice;
  • Owner of an RHC

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New Hampshire Department of Health and Human Services
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