Incentive Payment Overview

How and when are incentive payments for the Medicare and Medicaid programs handled?

Eligible professionals (EPs) are able to participate in the EHR Incentive Program provided they are already a participant in Medicare fee for service (FFS), Medicare Advantage (MA) or Medicaid.¹ The incentive payment for Medicare EPs is summarized in the table below and addresses the first calendar year (CY) for which EPs receive an incentive payment.

Incentive Payments for Medicare EPs^2,3,4

First Calendar Year (CY) for which the EP Receives an Incentive Payment

Additional incentives are available for Medicare EPs practicing in health professional shortage areas (HPSAs). The incentives plus the additional payments for practicing in a health professional shortage are shown in the table below:

Total Incentive Payments for Medicare EPs Practicing in HPSAs^5,6

First Calendar Year (CY) for which the EP Receives an Incentive Payment

For additional information on the Medicare incentive program please visit: http://www.cms.gov/MLNProducts/downloads/CMS_eHR_Tip_Sheet.pdf⁷

The Incentive payments for Medicaid EPs are summarized in the following table:

Incentive Payments for Medicaid EPs^8,9,10

First Calendar Year (CY) for which the EP Receives an Incentive Payment

For additional information about the Medicaid incentive program please visit: http://www.cms.gov/MLNProducts/downloads/EHRIP_Eligible_Professionals_Tip_Sheet.pdf¹¹

Additional information about comparisons of the EHR incentive payment program administered by the Medicare and Medicaid programs (e.g. programs for e-prescribing, Physician Quality Reporting System, etc.) is available at: http://www.cms.gov/MLNProducts/downloads/EHRIncentivePayments-ICN903691.pdf¹²

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