Supporting Documentation to upload during EHR Attestation

Please use the lists below to help you gather all the supporting documents that will be uploaded during the online application process in the MS State Level Registry (MS SLR), our provider portal through which yearly EHR data is reported.  Failure to upload these documents will result in delayed EHR Incentive payments.  If we need additional information during our pre-payment verification, we will notify you.


 

Eligible Professionals – Modified Stage 2 (2015 -2017)

All Attestations for Meaningful Use

Medicaid Eligibility (MS SLR Step 2):

Supporting Management Report   |   MS Medicaid Encounter Volume Calculator (EP) revised for PY 2017 going forwardMS Medicaid Encounter Volume Calculator (EP) revised for PY 2017 going forward

Attestation of Your EHR (MS SLR Step 3):

Current EHR Contract (showing upgrade to 2014 CEHRT)

Attestation Agreement (MS SLR Step 4)

Please sign, date and initial all pages appropriately.  Scan and upload into SLR.

Meaningful Use Supporting Documentation (MS SLR  MU Step 3):

  • Security Risk Analysis (summary report – one per clinic)
  • Program year 2017 90-day EHR Meaningful Use Summary Report (one per provider).  This MU Summary Report will document all Meaningful Use Objectives and Measures reported through the MS SLR
  • Evidence of Public Health Reporting (Level of Engagement – Registration, Testing, Production)  We need the Acknowledgement Letter from the Public Health Registry your clinic is submitting data (MS Immunization Registry, Specialized Registry).  One letter per clinic works for all providers in the organization.

 

Dually Eligible Hospitals

Medicaid Eligibility (Step 2):

Supporting Management Report   |   MS Medicaid Encounter Volume Calculator (EH)   |  Cost Report (FY 2016)

Previous Cost Reports (FY 2015, FY 2014, FY 2013, )   |   Original One-Time Payment Calculator

Attestation of Your EHR (Step 3):

Current EHR Contract (showing upgrade to 2014 CEHRT)

Meaningful Use Supporting Documentation:

CMS may require additional supporting documentations when you attest to Meaningful Use with Medicare

Attestation Agreement

Please sign, date and initial all pages appropriately.  Scan and upload into SLR

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