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Meaningful Use

To participate in the Medicaid EHR incentive program, an EH would need to have submitted a registration for program year 2016 or earlier. 2016 was the last year a hospital could start their participation in the Medicaid EHR Incentive program.

For EHs, continued participation in the Medicaid EHR incentive program requires yearly attestations. EHs are not allowed to skip years after 2016. Failure to submit yearly attestations, would result in the EH forfeiting future incentive payments.

To receive Michigan Medicaid EHR Incentive Program payments, EHs must show that they are “meaningfully using” certified EHR technology. EHs 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.

Certified EHR Technology (CEHRT)

Before EHs 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

Certified EHR Technology requirements:

For program year 2017, dual eligible EHs will continue to submit their Meaningful Use registrations with Medicare. Following the submission of a registration with Medicare, dual eligible EHs will then need to submit a registration with the State of Michigan. The State of Michigan will be going by the MU objectives and requirements that are attested to with Medicare. EHs will have the choice of either attesting to Modified Stage 2 or to Stage 3 in 2017. The CEHRT you have, will play a role in which option you can chose to attest to.

2017 Program Year:

  • EHs attesting to Modified Stage 2 in 2017 will require either a 2014 CEHRT, a 2015 CEHRT or a 2014/2015 hybrid CEHRT.
  • EHs attesting to Stage 3 in 2017 will require either a 2014/2015 hybrid CEHRT or a 2015 CEHRT.

2018 Program Year:

  • All registrations will require a 2015 CEHRT.


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 ELECTRONIC PROTECTED HEALTH INFORMATION (ePHI)
    Protect electronic protected health information (ePHI) created or maintained by the CEHRT through the implementation of appropriate technical capabilities.
  2. ELECTRONIC PRESCRIBING (eRx)
    Generate and transmit permissible discharge prescriptions electronically (eRx).
  3. HEALTH INFORMATION EXCHANGE
    The eligible hospital or CAH 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.
  4. PATIENT-SPECIFIC EDUCATION
    Use clinically relevant information from CEHRT to identify patient-specific education resources and provide those resources to the patient.
  1. MEDICATION RECONCILIATION
    The eligible hospital, or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation.
  2. PATIENT ELECTRONIC ACCESS
    Provide patients the ability to view online, download, and transmit their health information within 36 hours of hospital discharge.
  3. PUBLIC HEALTH REPORTING
    The eligible hospital or CAH 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 (eRx)
    Generate and transmit permissible discharge prescriptions electronically (eRx).
  3. PATIENT ELECTRONIC ACCESS
    Provide patients (or patient authorized representative) with timely electronic access to their information and patient-specific education.
  1. COORDINATION OF CARE
    Use CEHRT to engage with patients or their authorized representatives about the patient’s care.
  2. HEALTH INFORMATION EXCHANGE
    The eligible hospital or CAH 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 summry of care information from other providers into their EHR using the functions of CEHRT.
  3. PUBLIC HEALTH REPORTING
    The eligible hospital or CAH 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 Modified Stage 2 Requirements, please visit:
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage2Modified_RequireEH.html
For additional information on the Stage 3 Program Requirements, please visit:
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage3_RequieEH.html

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.