Promoting Interoperability Program
(formerly known as the Medicaid EHR Incentive Payment Program)
Technology has the potential to transform our health care delivery system and improve the quality of care for the patients we serve. Tools such as electronic health records and a health information exchange increase a provider's access to patient's medical information and also provide for more efficient information sharing by reducing error rates and the overall cost of care. Health information technology is now an integral part of a long-term solution for improving the quality of life for all Pennsylvanians.
The Medicaid Electronic Health Records (EHR) Incentive Payment Program was created by the American Reinvestment and Recovery Act and administered by the Centers for Medicare & Medicaid Services. This program provides funding to states to develop and administer provider incentive programs. In 2018, CMS changed the name of the EHR Incentive Program to the Promoting Interoperability Program.
The Pennsylvania Department of Human Services (DHS) conducted a statewide survey in October and November of 2020 to determine the extent of Health Information Technology and Health Information Exchange (HIT/E) adoption and usage among Pennsylvania's healthcare providers. More than 150,000 healthcare professionals representing a wide variety of solo and group practices were invited to participate.
The deadline to submit your Program Year (PY) 2021 application has passed. MAPIR will no longer allow you to submit a new attestation. If you submitted a PY 2021 app and have not received payment yet, make sure your provider(s) MA eligibility does not close due to revalidation, license renewal, etc.
CMS allowed providers to submit their PY 2021 application prior to completion of the 2021 Security Risk Assessment (SRA); however, you must complete it by December 31, 2021.
- Please upload your completed SRA to your MAPIR attestation or email it to the Program at RAemail@example.com.
- Failure to submit your SRA could result in the recoupment of your incentive payment.
If you have any questions, please contact us at RAfirstname.lastname@example.org.
Helpful Audit Information
The Centers for Medicare and Medicaid Services (CMS) requires states to ensure that payments are being made to the right person, at the right time, for the right reason. To receive an incentive payment, eligible professionals attest that they are using Certified Electronic Health Record Technology (CEHRT), meeting Meaningful Use (MU) requirements, and providing all supporting documentation upon request. We encourage you to read and review the various resources listed below to help guide you with valuable information regarding the audit process.
If you are chosen for an audit, you will be notified, and additional details will be provided to you. As indicated at the time you received your incentive payment, we require you to keep all supporting documentation for 6 years. To ensure a smooth audit process, we recommend having dedicated staff members who have the knowledge and access to all supporting documents. This would include all login credentials as well as the knowledge of where in the system to access this information. The Audit Team has developed a Best Practices for Retaining Audit Documents guide to help in the case you are chosen for a post-payment audit.
The Program has resources to help providers understand the supporting documentation requirements:
PV reports must be in Excel format and sent to the Program using one of the following secure methods:
- DIRECT Messaging Account (if you have a DIRECT account): PADPW-OMAP-MAHEALTHIT@directaddress.net.
- Password Protect: You may password protect your Excel document to ensure its security. If you choose this method, please send us a separate email to RA-MAPIRaudit@pa.gov providing us with the password to open your Excel document. If you are unsure how to password protect an Excel file, you can find instructions here: https://support.office.com Search Protect Excel File
- Email: RA-MAPIRaudit@pa.gov by using secure/encrypted email. Due to your document containing PHI, it must be sent securely. If you are unable to send a secure/encrypted email from your location, please email us and we will be happy to send you a secure email that you may reply to by attaching your Excel document in a secure format
For questions and/or to provide feedback about the Promoting Interoperability Program, please utilize one of the following options:
CMS EHR Information Center: An information center is now available to answer Electronic Health Records Incentive questions. The center is open from 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except for federal holidays, at 1-888-734-6433 (primary number) or 888-734-6563 (TTY number).