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Health Information Technology

Texas Medicaid Electronic Health Record (EHR) Incentive Program

Under the provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act, State Medicaid programs are establishing EHR Incentive Programs.  These programs provide for incentive payments to certain health-care professionals and hospitals that meet specific eligibility requirements when they adopt, implement, and meaningfully use certified EHR technology. To be eligible for incentive programs, health-care professionals and hospitals must fall within the defined classifications and meet minimum Medicaid patient volume thresholds.  [Provider Eligibility Requirements]
Eligible professionals and hospitals must also meet meaningful use criteria.  Over time, meaningful use criteria will be broadened.  Minimally, a Stage 1 meaningful user of certified EHR technology must meet these three requirements:

  • Demonstrate use of certified EHR technology in a meaningful manner, including e-prescribing.
  • Demonstrate connectivity to other providers to improve access to the full view of a patient’s health history.
  • Use certified EHR technology to submit, in a form and manner specified by the Secretary of HHS, information on clinical quality measures and other measures.

The final rule on Stage 1 meaningful use criteria was released on July 28, 2010.  It outlines in greater detail what participating providers will need to do to qualify for the Medicaid EHR incentive payments.  On February 23, 2012, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule for Stage 2 requirements for the Medicare and Medicaid EHR Incentive Programs.  In Stage 2, CMS hopes to expand the meaningful use of certified EHR technology.

Participating in the Texas Medicaid EHR Incentive Program

The Texas Health and Human Services Commission (HHSC) has prepared three documents that guide providers through the steps they must follow to participate in the EHR incentive payment program.

For more information on the EHR Incentive Program, please see the following resources: