page icon

Meaningful Use (MU)

To receive Michigan Medicaid EHR Incentive Program payments, EPs must show that they are “meaningfully using” certified EHR technology. EPs do this by meeting Centers for Medicare and Medicaid Services (CMS)-established MU objectives, which are specific, measurable ways in which an EHR can or must be used. This page is a brief introduction to MU. For more detailed information, and to see how MU applies specifically to the Michigan Medicaid EHR Incentive Program, download the EP Guide below:
EP Guide to the Medicaid EHR Incentive Program

Certified EHR Technology (CEHRT)

Before EPs can meet MU requirements, they must acquire or have access to a CEHRT. EHR certification is conducted by an Office of the National Coordinator for Health Information Technology (ONC) Authorized Testing and Certification Body.

All certified EHR products appear on the Certified Health IT Products List (CHPL). Products can be certified as stand-alone EHRs, capable of meeting MU on their own, or as separate modules pieced together to achieve MU functionality. The CHPL will assign each EHR, or group of modules, a CMS EHR Certification ID. This ID is required for registration.

Find your Certified EHR product below:

ONC-Certified Health IT Product List

Adopt, Implement, or Upgrade (AIU)

EPs do not have to meet MU requirements in their first year of participation. Instead, all EPs in their first year of participation have the option to either attest to adopting, implementing or upgrading (AIU) to a CEHRT or they may attest to MU. All subsequent years (years 2 through 6) EPs will be attesting to MU. EPs should know that attesting to AIU will not prevent them from receiving a Medicare Payment Adjustment. Only attesting to MU will prevent a payment adjustment.

Modified Stage 2 Meaningful Use (MU)

Please review the 2017 Modified Stage 2 Spec sheet and the table below to understand how to meet the EHR Incentive Program requirements.


  1. PROTECT PATIENT HEALTH INFORMATION
    Protect electronic protected health information (ePHI) created or maintained by the CEHRT through the implementation of appropriate technical capabilities.
  2. CLINICAL DECISION SUPPORT
    Use clinical decision support to improve performance on high-priority health conditions.
  3. COMPUTERIZED PROVIDER ORDER ENTRY
    Use computerized provider order (CPOE) entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines.
  4. ELECTRONIC PRESCRIBING
    Generate and transmit permissible prescriptions electronically (eRx).
  5. HEALTH INFORMATION EXCHANGE
    The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
  1. PATIENT-SPECIFIC EDUCATION
    Use clinically relevant information from CEHRT to identify patient-specific education resources and provide those resources to the patient.
  2. MEDICATION RECONCILIATION
    The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation.
  3. PATIENT ELECTRONIC ACCESS
    Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.
  4. SECURE MESSAGING
    Use secure electronic messaging to communicate with patients on relevant health information.
  5. PUBLIC HEALTH REPORTING
    The EP is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.

Stage 3 Meaningful Use (MU)

Please review the 2017 Stage 3 Spec sheet and the table below to understand how to meet the EHR Incentive Program requirements.


  1. PROTECT ELECTRONIC PROTECTED HEALTH INFORMATION (ePHI)
    Protect electronic protected health information (ePHI) created or maintained by the CEHRT through the implementation of appropriate technical, administrative, and physical safeguards.
  2. ELECTRONIC PRESCRIBING
    Generate and transmit permissible prescriptions electronically (eRx).
  3. CLINICAL DECISION SUPPORT (CDS)
    Implement clinical decision support (CDS) interventions focused on improving performance on high-priority health conditions.
  4. COMPUTERIZED PROVIDER ORDER ENTRY
    Use computerized provider order entry (CPOE) for medication, laboratory, and diagnostic imaging orders directly entered by any licensed healthcare professional, credentialed medical assistant, or a medical staff member credentialed to and performing the equivalent duties of a credentialed medical assistant, who can enter orders into the medical record per state, local, and professional guidelines.
  1. PATIENT ELECTRONIC ACCESS
    The EP provides patients (or patient-authorized representative) with timely electronic access to their health information and patient-specific education.
  2. COORDINATION OF CARE
    Use CEHRT to engage with patients or their authorized representative about the patient’s care.
  3. HEALTH INFORMATION EXCHANGE
    The EP provides a summary of care record when transitioning or referring their patient to another setting of care, receives or retrieves a summary of care record upon the receipt of a transition or referral or upon the first patient encounter with a new patient, and incorporates summary of care information from other providers into their EHR using the functions of CERHT.
  4. PUBLIC HEALTH REPORTING
    The EP is in active engagement with a public health agency or clinical data registry to submit electronic public health data in a meaningful way using certified EHR technology, except where prohibited, and in accordance with applicable law and practice.

Patient and family engagement

Patient safety

Care Coordination

Population/public health

Efficient use of healthcare resources

Clinical process/effectiveness

For additional information on the 2017 Stage 3 Program Requirements, please visit:
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage3Medicaid_Require.html

Reporting Period

The MU reporting period is a continuous period during which the EP successfully meets MU objectives. It should not be confused with the eligibility reporting period. MU employs a three-stage approach, with each stage building on the preceding stage:

Stage 1- Data capture and sharing

Stage 2- Advanced clinical Processes

Stage 3- Improved Outcomes

Available stages and reporting periods for MU are shown in the following table:

Medicaid MU Stages

Program years do not have to be consecutive; an EP may skip a year, although one must keep in mind that the program expires at the end of 2021. EPs must conduct 50% or more of their combined patient encounters at locations equipped with CEHRT.

Note: Beginning in 2015, Providers who do not meet the minimum Medicaid threshold to participate in the EHR Incentive program can submit an “alternate attestation” through the CMS site to avoid the Medicare Payment adjustments https://ehrincentives.cms.gov/hitech/login.action. Please refer to the “Alternate Medicare Attestation Guide” for further information.

For Further Assistance

Please click on the Contact button – at the top of every page – for further support on the Michigan Medicaid EHR Incentive Program. Or check out the EP Guide to the Medicaid EHR Incentive Program for more complete information.