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

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EHR Payment Tables

Medicare Time Line (EPs/EHs) and Incentives (EPs)

Download the Medicare Payment Table [PDF - 72 KB]

The EP incentive amounts listed below are based on 75 percent of allowable Medicare Part B charges.

YearMU StageMU StageMU StageMU Stage
2011 Stage 1, year 1, 90 days, $18,000
2012 Stage 1, year 2, 366 days, $12,000 Stage 1, year 1, 90 days, $18,000
2013 Stage 1, year 3, 365 days, $8,000 Stage 1, year 2, 365 days, $12,000 Stage 1, year 1, 90 days, $15,000
2014* Stage 1, year 4, 3 months, $4,000 Stage 1, year 3, 3 months, $8,000 Stage 1, year 2, 3 months, $12,000 Stage 1, year 1, 3 months, $12,000
2015 Stage 2, year 1, 365 days, $2,000 Stage 2, year 1, 365 days, $4,000 Stage 2, year 1, 365 days, $8,000 Stage 1, year 2 ,365 days, $8,000
2016 Stage 2, year 2, 366 days, $2,000 Stage 2, year 2, 366 days, $4,000 Stage 2, year 1 ,366 days, $4,000
TOTAL $44,000 $44,000 $39,000 $24,000

*For CY 2014, the reporting period has been reduced to three months based on the quarters within the calendar year (Jan. 1 - March 31, April 1 - June 30, July 1 - Sept. 30, Oct. 1 - Dec. 31).

 
 
 

Medicaid Time Line (EPs/EHs) and Incentives (EPs)

Download the Medicaid Payment Table [PDF - 81 KB]

The EP incentive amounts listed below are contingent on EPs meeting the required 30 percent minimum Medicaid patient volume. Pediatricians must meet a minimum 20 percent Medicaid patient volume to receive two-thirds of these incentive amounts or a minimum 30 percent for full payment.

YearMU StageMU StageMU StageMU StageMU StageMU Stage
2011 A/I/U, $21,250
2012 Stage 1, 90 Days, $8,500 A/I/U, $21,250
2013 Stage 1, 365 Days, $8,500 Stage 1, 90 Days, $8,500 A/I/U, $21,250
2014* Stage 2, 3 Months, $8,500 Stage 1, 3 Months, $8,500 Stage 1, 3 Months, $8,500 A/I/U, $21,250
2015 Stage 2, 365 Days, $8,500 Stage 2, 365 Days, $8,500 Stage 1, 365 Days, $8,500 Stage 1, 90 Days, $8,500 A/I/U, $21,250
2016 Stage 2, 366 Days, $8,500 Stage 2, 366 Days, $8,500 Stage 2, 366 Days, $8,500 Stage 1, 366 Days, $8,500 Stage 1, 90 Days, $8,500 A/I/U, $21,250
2017 Stage 3, 365 Days, $8,500 Stage 2, 365 Days, $8,500 Stage 2, 365 Days, $8,500 Stage 1, 365 Days, $8,500 Stage 1, 90 Days, $8,500
2018 Stage 3, 365 Days, $8,500 Stage 2, 365 Days, $8,500 Stage 2, 365 Days, $8,500 Stage 1, 365 Days, $8,500
2019 Stage 3, 365 Days, $8,500 Stage 2, 365 Days, $8,500 Stage 2, 365 Days, $8,500
2020 Stage 3, 366 Days, $8,500 Stage 2, 366 Days, $8,500
2021 Stage 3, 365 Days, $8,500
TOTAL $63,750 $63,750 $63,750 $63,750 $63,750 $63,750

*For CY 2014, the reporting period for all EPs and EHs, regardless of their stage, has been reduced to a three-month reporting period. States have the option to limit this reporting period to the quarters within the CY or to any consecutive 90-day period.