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Registration & Attestation

For Medicare eligible hospitals and CAHs, CMS is migrating the 2017 meaningful use submission process form the Medicare & Medicaid EHR Incentive Program Registration and Attestation System to the QualityNet Secure Portal (QNet). QNet is the same system you currently use for CQM reporting, so beginning January 2, 2018, you can submit both meaningful use and quality attestation in one place. The change applies to 2017 meaningful use data, as well as future reporting periods. CAHs that attest to meaningful use using QNet will also have the option to manually or electronically attest for CQMs using QNet.

Please reference this Transition to QualityNet Secure Portal overview fact sheet and this QualityNet Secure Portal Enrollment and Login User Guide for additional information. Both of these documents are also available on this website under “Resources”.

The Registration and Attestation System will still be available for Medicaid eligible hospitals. Medicaid-only hospitals in the State of Michigan will still attest through the EHR module within the Community Health Automated Medicaid Processing System (CHAMPS). See below for details on submitting to the State of Michigan.

Hospitals and CAHs attesting for both Medicare and Medicaid (as dually eligible hospitals) will register and attest for Medicare on the QNet portal and update and submit registration information in the Medicare & Medicaid EHR Incentive Program Registration and Attestation System. Once hospitals and CAHs have completed the attestation process in QNet, they will also need to submit to the Medicaid program through the EHR module of CHAMPS just as they have in prior program years. There has been NO CHANGE in how dually-eligible hospitals attest to the Medicaid EHR Incentive program with the State of Michigan.

Starting in October 2017, CMS will open new user enrollment registration on the QNet portal. Between October and December 2017, you will be able to view your data in the existing CMS EHR Incentive Program’s Registration and Attestation system.

As of October 1, 2017, QNet enrollment is open, and you can take one of two actions:

  • If you don’t have an account on QNet already from previous CQM submission, you’ll need to create a new one before you attest.
  • If you – or the person/department at your hospital who usually submits meaningful use data – already has an account, you’ll need to update that existing account by adding the “meaningful use” role before attestation. If your organization’s account has several users associated with the account, you may not have permission to make the change. The designated Security Administrators can make the meaningful use role update.

On January 2, 2018, QNet will be open for 2017 meaningful use attestations. CMS will release a user guide in the coming weeks to help you navigate QNet registrations and attestation screens.

If you have authorized a surrogate to attest for you, they will need to create their own QNet account to attest using your data.

At this time, vendors will not be able to electronically attest on behalf of hospital clients. Measure and objective results files exported by vendors will need to be entered into QNet manually, rather than imported directly. CMS is working toward allowing vendor attestation in the future.

For more information visit the CMS EHR Incentive Program website for more information on the transition. You can also submit questions to the EHR Information Center at 1-888-734-6433 (option 1) from 9:00 a.m. to 5:00 p.m. CT Monday through Friday, except federal holidays. CMS will distribute more information on this transition as it becomes available.

Beginning with program year 2016, EHs are no longer allowed to skip a year. EHs will not be allowed to test in subsequent years if a year is skipped.

eMIPP Program Availability for 2017MU Reporting PeriodCQM Reporting PeriodStartEnd
Modified Stage 2 registrations
- first year of MU
90-365 days90-365 days4/1/20175/1/2018 at 11:59PM
Modified Stage 2 & Stage 3
90-365 daysElectronic submission =
1 self-selected calendar quarter;

Attestation submission =
4 quarters;
1/2/20185/1/2018 at 11:59PM
eMIPP Program Availability for 2018MU Reporting PeriodCQM Reporting PeriodStartEnd
Modified Stage 2 & Stage 3 registrationsSubmitted via QNetSubmitted via QNet1/1/20193/1/2019 at 11:59PM

*Please note, these time frames are for Medicaid attestations only. Dual eligible hospitals (attesting to Medicare and Medicaid) still need to attest to both programs.

For more information, contact Michigan’s Medicaid EHR Incentive Program Outreach Coordinator, Robin Hepfinger, during regular business hours. Robin can be contacted at  or (517) 324-8366.

Registering for the Medicaid EHR Incentive Program is a two-step process:

EHs must first register with the Centers for Medicare and Medicaid Services (CMS) Registration and Attestation System (RAS).To register with the CMS RAS, all hospitals must be enrolled in the CMS Provider Enrollment, Chain and Ownership System (PECOS). The CMS RAS is available at: CMS Registration and Attestation System (RAS). CMS has published a “Registration User Guide for Eligible Hospitals” that has step-by-step instructions for registering with the CMS RAS.
CMS Registration Guide for EH’s

Once registered in the CMS RAS, and attested to Medicare using QualityNet, EHs must complete their registration with the State of Michigan, in the EHR registration module within the Community Health Automated Medicaid Processing System (CHAMPS).Once EHs have completed their registration at the federal level, they will receive a letter inviting them to complete state-level registration in an EHR module within the Community Health Automated Medicaid Processing System (CHAMPS). A step-by-step guide to state level registration can be found at the link below:
State Level Registration Guide for EH’s
CHAMPS – MiLogin

Further Assistance

Please click on the Contact button – at the top of every page – for further support on the Michigan Medicaid EHR Incentive Program.