Medicaid HIT

Utah Promoting Interoperability (PI) Program (Formerly Known as EHR Incentive Program)

Electronic Health Record (EHR) Meaningful Use Incentive Payments

Utah Medicaid participated in the Medicaid Promoting Interoperability Payment Program (formerly known as the EHR Incentive Program). This program was supported through the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology, as part of the American Recovery and Reinvestment Act of 2009. As of 12/31/2021, the Medicaid Promoting Interoperability Program has sunset and will no longer accept or process Promoting Interoperability attestations or payments.

Details regarding the program are available in the State Medicaid Health Information Technology Plan opens in a new tab (SMHP). This document explains how Utah made EHR incentive payments to eligible Medicaid providers and hospitals as they adopted, implemented, upgraded, or demonstrated meaningful use of certified EHR technology.

CMS goals for this program were:

  1. Enhancing care coordination and patient safety
  2. Reducing paperwork and improving efficiencies
  3. Facilitating electronic information sharing across providers, payers, and state lines, and
  4. Enabling data sharing using state Health Information Exchanges (HIEs) and the National Health Information Network (NHIN).

Achieving these goals will improve health outcomes, facilitate access, simplify care, and reduce the costs of healthcare nationwide.

As of December 31, 2021, Utah has approved 3,368 payments to eligible professionals and hospitals totaling $99,910,740.56

Post Payment Audits

Payments from this program are subject to audit according to federal regulations. Post-payment audits will be conducted in order to ensure that state and federal funds are expended appropriately and accounted for in a transparent manner. Please retain all supporting documentation for your attestation for six years, and refer to this audit documentation guide opens in a new tab for recommended documentation sources. Utah Medicaid has contracted with Myers & Stauffer LC to perform the post-payment audits. Providers who are selected for audit will be notified directly. Any questions about the audit documentation requests should be directed to Myers & Stauffer at (800) 336-7721 or by email to UtahEHR@mslc.com.

Additional Resources

For questions or concerns, please call (801) 538-6929 or send an e-mail to: EHRIncentive@utah.gov.

Business hours: Monday – Friday, 8:00 a.m. – 5:00 p.m., closed on all state and federal holidays.