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

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Meaningful Use



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MU LISTSERV is a mailbox where Meaningful Use questions and information can be communicated.

Under the authority of Centers for Medicare and Medicaid Services (CMS), the Medicare and Medicaid EHR Incentive Programs provide financial incentives to eligible professionals (EPs) and eligible hospitals (EHs), including critical access hospitals (CAHs), as they adopt, implement, upgrade, and demonstrate meaningful use (MU) of certified electronic health record technology (CEHRT). Learn about the specific eligibility requirements for these incentive payments.

The CMS Final Rule [PDF - 14 MB], which was released in July 2010, details performance measures that must be met by EPs and EHs in order to qualify for these EHR incentive payments. These performance measures must be met in three stages, each of which builds on the preceding stage. Stage 1 focuses on collecting and sharing data. Based on that data, Stage 2 emphasizes the implementation of advanced clinical processes. The ultimate goal, to be realized in Stage 3, is to improve patient outcomes.

More information about the specific requirements for Stage 1 and Stage 2 is available by clicking on the links below. (The final requirements for Stage 3 have not yet been released by CMS.)

Stage 1

Stage 2

Note that, though state Medicaid programs have the same measure requirements as the Medicare program, states have the flexibility to move core objectives to the menu set. Check your State Medicaid Health Plan (SMHP) for details.


Overview of the Multi-Purpose Agreement (MPA)

Webinar Recording Exit Disclaimer: You Are Leaving
Webinar Slides [PDF - 547 KB]

The Multi-Purpose Agreement (MPA) has been signed by the IHS Director. The MPA is entered into by health programs operated by Indian tribes, tribal organizations, and urban Indian organizations that are covered entities, that desire to engage in electronic health information exchange as part of the Meaningful Use Incentive Program. To engage in the electronic health information exchange, review the MPA and return the completed MPA Joinder Agreement.

MPA Agreement [PDF - 2.28 MB]
MPA Joinder Agreement [PDF - 77 KB]
Approved Interim IHM Policy - Resource and Patient Management System Network [PDF - 305 KB]