1. EHR Incentive Program 2017 Program Requirements

2. Overview Introduction to the EHR Incentive Program
Brief Tutorial on How to Attest
Supporting Documentation List
Explanation of Meaningful Use
Update on Program Year Changes
Review Process Overview
List of Common Attestation Mistakes
Contact Information for Issues

3. EHR Incentive Program
Government Program through Centers for Medicare and Medicaid Services (CMS)
Encourage Uptake of Electronic Health Records
Six Year Program
Adopt, Implement, Upgrade (1 year)
Meaningful Use
Program continues through Program Year 2021
After 2016, no longer taking brand new applicants, only those who have attested successfully before (can be from a different state)

4. How to Attest Attest by visiting the MAPIR website
System will prompt attester for certain necessary information
Attester will need to select stage (for 2017, stage 2 or 3)

5. 2017 Stage 2 Meaningful Use 10 Meaningful Use Objectives
Protect electronic protected health information
Clinical Decision Support
Computerized provider order entry (CPOE)
ePrescribing (eRx)
Health Information Exchange
Patient-specific education
Medication reconciliation
Patient electronic access
Secure electronic messaging
Public Health Reporting
Certified EHR Technology from 2014 or later
Providers may count numerator occurrences from outside 90 days
Must upload supporting documentation showing fulfillment of objective numerator
CQMs for returning providers collected over 365 days
For more information, see 2017 CMS Stage 2 Guidelines

6. 2017 Stage 3 Meaningful Use 8 Meaningful Use Objectives
Protect electronic protected health information
ePrescribing (eRx)
Clinical Decision Support (CDS)
Computerized provider order entry (CPOE)
Patient electronic access
Coordination of care
Health Information Exchange
Public Health Reporting
Certified EHR Technology from 2015 only
Some exceptions made for a mix of 2014 and 2015 technology as long as MU requirements can be met
Providers may count numerator occurrences from outside 90 days
Must upload supporting documentation showing fulfillment of objective numerator
CQMs for returning providers collected over 365 days
For more information, see 2017 CMS Stage 3 Guidelines

7. How to Attest Attester will need to upload supporting documentation
Checklist of Supporting Documentation available on CHATTER website
Attester will need to submit attestation before March 30th, 2018
If they have done Meaningful Use in prior program years, they will need 365 days of CQM data, so they cannot attest until January 2018 for the 2017 program year

8. Supporting Documentation
CEHRT Page
EHR Technology certification ID
Generated by Office of National Coordinator (
2014 edition or later for Stage 2
2015 edition only for Stage 3
Invoice or Purchase Order
Shows proof of purchase
NOT License Agreement
Security Risk Analysis (SRA)
Includes date of analysis done in 2017
Patient Encounter List (PEL)

9. Supporting Documentation
Patient Encounter List (PEL)
Excel file format
Must contain all columns specified in template (see CHATTER website)
90 Days of data
No duplicate encounters
“One provider, one patient, one day”
Must contain 30% or more Medicaid patients by volume (20% for Pediatricians)
If attesting as group, PEL must be same for entire group

10. Meaningful Use Meaningful Use Documents Meaningful Use (MU) Objectives
90 days worth of information for all providers generated by CEHRT
Clinical Quality Measures (CQMs)
90 days worth of data for all first time meaningful use generated by CEHRT
365 days worth of data for all returning meaningful use generated by CEHRT
Immunization Registry for EPs who administer immunizations to patients 0-6
MUST Portal certificate from previous program year (2015 or 2016)
If EP does not have a MUST certificate from prior years, contact Diane Fraiter at DPH for registration: or
Registration Confirmation for additional specialized registries

11. Review Process After submission, a review process begins:
Reviewers: UConn HIT staff
with issues will be sent to all listed contacts post-review
Attester will revise attestation and resubmit if necessary
Review continues until all issues resolved
After issues are resolved, the review is considered complete
Payment is typically issued in the next financial cycle which can be up to 2 weeks from the completion date.

12. Common Attestation Errors
PEL is not in the required format (see CHATTER website)
PEL contains duplicate encounters (same patient, same day, same provider)
Missing Supporting Documentation (see CHATTER website for list)
CEHRT ID put in MAPIR different than ONC provided CEHRT Page
SRA from wrong program year or no SRA completed at all (SRA must be from 2017 for PY2017)
Supporting documentation numbers do not match numbers entered into MAPIR (PEL and CEHRT Report)

13. More Information
Center for Medicaid and Medicare Service website (cms.gov)
UConn HIT support website (CHATTER)
Department of Social Services (ctdssmap.com)
If you have questions that those sites cannot answer contact:
For MAPIR technical issues: DXC
1 (855)
For program and attestation issues: UConn HIT staff
1 (844)

14. Questions?