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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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CMS Registration and Attestation

To participate in the Medicare and Medicaid EHR Incentive Programs, EPs and EHs must register with CMS. Part of the process involves choosing in which program(s) they wish to participate.

Note that IHS cannot register on behalf of EHs and EPs; each EH or EP must register independently.

EPs

EPs must decide whether to register under the Medicare or Medicaid Incentive program. EPs who qualify for both Medicare and Medicaid programs may only participate in one program. Although incentives are higher with Medicaid, providers must meet specific patient volume requirements to be eligible for EHR incentive payments.

EPs can switch programs as often as they desire–until they receive their first payment. After receiving their first payment, they may only switch once between programs prior to 2015.

EHs

Because all IHS hospitals are dual-eligible, they should register for both the Medicare and Medicaid Incentive programs, provided that they have at least 10 percent Medicaid volume. Otherwise, they should choose Medicare only. It is important to select "Both Medicare and Medicaid" during registration in order to maintain this option.

Hospitals that register for only one program will not be able to change their registration manually from one program to the other after a payment is initiated. This can cause significant delays in receiving a Medicare EHR incentive payment.

Prior to Registering with CMS

To expedite the registration process, gather the following information in advance.

  • National Provider Identifier (NPI)
  • An enrollment record in Provider Enrollment, Chain, and Ownership System (PECOS) Exit Disclaimer: You Are Leaving www.ihs.gov.
    Note: Even without an enrollment record in PECOS, you should still register for the Medicare and Medicaid EHR incentive programs. EPs/EHs who are only participating in the Medicaid EHR incentive program are not required to enroll in PECOS.
  • National Plan and Provider Enumeration System (NPPES) User and ID and Password. (Go to the NPPES website Exit Disclaimer: You Are Leaving www.ihs.gov to create an NPPES Web user account.)
  • Payee Tax Identification Number (TIN) for reassignment of individual provider benefits to facility or Facility Tax Identification Number. Note: IHS EPs must re-assign incentive payments to their facility. Tribal EPs should confer with their tribal and facility management.
  • Your address from IRS form CP-575 and a copy of the form.

Registering for the Incentive Programs

Register for the Medicare and Medicaid EHR Incentive Program at CMS's EHR Incentive Program Registration and Attestation System website Exit Disclaimer: You Are Leaving www.ihs.gov. Registration does not mean that an EP/EH must participate in the EHR Incentive Program and may be cancelled at any time.

Medicaid providers must also go to their State Level Repository (SLR) to register and attest (confirm) to meeting the AIU or MU requirements for payment by their states.