Program Resources

Follow this link to the CMS EHR Program Index page.

EHR Reporting Period in 2020

For 2020, the EHR reporting period for Medicaid EPs and eligible hospitals is a minimum of any continuous 90-day period.   EHR Attestations for Stage 3 Meaningful Use Program Year 2020 will be accepted in the MS State Level Registry (MS SLR) between January 11 and March 31, 2021.

2015 Edition Certified EHR Technology

Beginning with the EHR reporting period in calendar year 2019, all participants in the Medicaid Promoting Interoperability Program are required to use 2015 Edition CEHRT. This requirement will benefit health care providers and patients by using the most up-to-date standards and functions to better support interoperable exchange of health information and improve clinical workflows.

The 2015 Edition CEHRT did not have to be implemented on January 1, 2019.   However, the functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period.

Remember, October 1, 2020 will be the last date that a 90-day EHR Reporting Period can begin for Program Year 2020.

eCQM Policies for Performance Year 2020 

The 2020 Physician Fee Schedule (PFS) Final Rule established that in 2019, Medicaid EPs who are returning participants must report on a one year eCQM reporting period, and first-time meaningful users must report on a 90-day eCQM reporting period.   EPs are required to report on any six eCQMs related to their scope of practice.

(New in 2019)    In addition, Medicaid EPs are required to report on at least one outcome measure.   If no outcome measures are relevant to that EP, they must report on at least one high-priority measure.   If there are no outcome or high priority measures relevant to an EP’s scope of practice, they must report on any six relevant measures.  *Reporting zero over zero (0/0) does not represent acceptable data for Outcome and High Priority measures

The list of available eCQMs for EPs in 2020 is aligned with the list of eCQMs available for Eligible Clinicians under MIPS in 2020.   Those eCQMs can be found at

Objectives and Measures 

The 2020 Medicare Physician Fee Schedule (PFS) Final Rule made changes to the previously established Stage 3 Objectives and Measures.   The threshold for Stage 3 Objective 6, Measure 1 (View, Download, Transmit) and Measure 2 (Secure Messaging) was set at five percent for the remainder of the Medicaid Promoting Interoperability Program.   In addition, the requirement that only EPs in urgent care settings can use the Syndromic Surveillance measure to meet the Objective 8 (Public Health) was removed.

Please see our page that details New (or updated) Stage 3 Meaningful Use reporting requirements for Program Year 2020.  This includes required measure thresholds and allowable exclusions for each measure (link to be added ASAP)

Please see the Medicaid Specification sheets for more information on the requirements to meet all eight Objectives:

Medicaid Patient Volume Calculator updated for Program Year 2020

Please follow this link to download the MS Medicaid Patient Volume Calculator for Program Year 2020.

Suggestion:  You may wish to use the same Medicaid Patient Volume Period as your selected EHR Meaningful Use Reporting Period from calendar year 2019.

Security Risk Analysis

See our page on Security Risk Analysis

Download and install the Security Risk Assessment Tool from   SRA Tool Logo