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How Much Are the 
Incentives?
• Medicare Incentive Payments Detail
• Columns = first calendar year EP receives a payment
• Rows = Amount of payment each year if continue to meet requirements
CY 2011
CY 2012
CY 2013
CY2014
CY 2015 
and later
CY2011
$18,000
CY 2012
$12,000
$18,000
CY 2013
$8,000
$12,000
$15,000
CY 2014
$4,000
$8,000
$12,000
$12,000
CY 2015
$2,000
$4,000
$8,000
$8,000
$0
CY 2016
$2,000
$4,000
$4,000
$0
TOTAL
$44,000
$44,000
$39,000
$24,000
$0
11
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How Much Are the 
Incentives?
• Health Professional Shortage Area Bonuses for 
Medicare Incentive Program
• Columns = first calendar year EP receives a payment
• Rows = Amount of payment each year if continue to meet requirements
CY 2011
CY 2012
CY 2013
CY2014
CY 2015 
and later
CY2011
$1,800
CY 2012
$1,200
$1,800
CY 2013
$800
$1,200
$1,500
CY 2014
$400
$800
$1,200
$1,200
CY 2015
$200
$400
$800
$800
$0
CY 2016
$200
$400
$400
$0
TOTAL
$4,400
$4,400
$3,900
$2,400
$0
12
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How Much Are the 
Incentives?
• Medicaid Incentive Payments Overview
• Maximum incentives are $63,750 over 6 years
• Incentives are same regardless of start year
• The first year payment is $21,250
• Must begin by 2016 to receive incentive payments
• No extra bonus for health professional shortage areas 
available
• Incentives available through 2021
• Only 1 incentive payment per year
13
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How Much Are the Incentives?
• Medicaid Incentive Payments Detail
• Columns = first calendar year EP receives a payment
• Rows = Amount of payment each year if continue to meet requirements
CY 2011
CY 2012
CY 2013
CY 2014
CY 2015
CY 2016
CY 2011
$21,250
CY 2012
$8,500
$21,250
CY 2013
$8,500
$8,500
$21,250
CY 2014
$8,500
$8,500
$8,500
$21,250
CY 2015
$8,500
$8,500
$8,500
$8,500
$21,250
CY 2016
$8,500
$8,500
$8,500
$8,500
$8,500
$21,250
CY 2017
$8,500
$8,500
$8,500
$8,500
$8,500
CY 2018
$8,500
$8,500
$8,500
$8,500
CY 2019
$8,500
$8,500
$8,500
CY 2020
$8,500
$8,500
CY 2021
$8,500
TOTAL
$63,750
$63,750
$63,750
$63,750
$63,750
$63,750
14
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What are the Requirements/ 
Meaningful Use?
• Meaningful Use is using certified EHR 
technology to
• Improve quality, safety, efficiency, and reduce health 
disparities
• Engage patients and families in their health care
• Improve care coordination
• Improve population and public health
• All the while maintaining privacy and security
• Meaningful Use mandated in law to receive 
incentives
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What are the Requirements/ 
Meaningful Use?
• The Recovery Act specifies the following 3 
components of Meaningful Use:
1. Use of certified EHR in a meaningful manner 
(e.g., 
e-prescribing)
2. Use of certified EHR technology for electronic 
exchange
of health information to improve quality of 
health care
3. Use of certified EHR technology to submit clinical 
quality measures
(CQM) and other such measures 
selected by the Secretary
16
What are the Requirements/ 
Meaningful Use?
• Rule making was open to public comment
• Listened to many comments received
• Established 3 stages of meaningful use: 2011, 
2013 and 2015
Data 
capture 
and sharing
Advanced 
clinical 
processes
Improved 
outcomes
17
What are the Requirements/ 
Adopt/Implement/Upgrade?
• MEDICAID –only for first participation year
• Adopted –Acquired and Installed
• Eg: Evidence of installation prior to incentive
• Implemented –Commenced Utilization of
• Eg: Staff training, data entry of patient demographic information 
into EHR
• Upgraded –Expanded 
• Upgraded to certified EHR technology or added new functionality 
to meet the definition of certified EHR technology
• Must be certified EHR technology capable of 
meeting meaningful use
• No EHR reporting period
18
What are the Requirements/ 
Meaningful Use?
• Basic Overview of Stage 1 Meaningful Use:
• Stage 1
• Reporting period is 90 days for first year and 1 year 
subsequently
• Reporting through attestation
• Objectives and Clinical Quality Measures
• Reporting may be yes/no or numerator/denominator 
attestation
• To meet certain objectives/measures, 80% of patients 
must have records in the certified EHR technology
19
What are the Requirements/ 
Meaningful Use?
• Stage 1 Objectives and Measures Reporting
• Eligible Professionals must complete: 
• 15 core objectives
• 5 objectives out of 10 from menu set
• 6 total Clinical Quality Measures 
(3 core or alternate core, and 
3 out of 38 from menu set)
20
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