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Welcome to the TennCare/Medicaid EHR Incentive
Program

Now that you have registered with the CMS Registration & Attestation
System web site, here are the next steps.

Keep in mind, registration and attestation is for EACH provider separately.
User IDs and passwords must be established for EACH provider.

This page is primarily for those providers who have NOT done the first payment year of the EHR Incentive Program. This means you have not established a User Account nor done the first year of attestation to receive an EHR Incentive Payment.

If you are ready for a subsequent year of attestation (years 2 - 6), please click "here."

  1. CMS will send your information to the Bureau of TennCare within 24 - 48 hours of your completing registration.

    Following receipt of the CMS transaction, TennCare will send you, within 24 - 48 hours, a "Welcome to the TennCare Medicaid EHR Incentive Program" e-mail. In that e-mail will be a link to the Provider Incentive Payment Program (PIPP) portal https://pipp.tenncare.tn.gov.

    It is through the PIPP portal that the registration process is completed and through which the attestation process to qualify for an EHR incentive payment occurs. You will be able to track the process of your attestation as you complete and submit it to TennCare, and then as TennCare reviews your information.

    Our attestation portal is designed to be "user friendly." That is, if you leave something out or answer incorrectly, the system will let you know so that you can make the correction prior to submission.


  2. When you first open the PIPP portal, click on "Provider Web Registration" in the upper left corner. You will then be asked to "Create a New User" which will establish your attestation account. You will then be instructed to establish a User ID, a password, and to respond to three security questions for your attestation account. As always, pick a User ID and a password that you can easily remember, but will be difficult for others to guess.

  3. When you click on "Save" following the creation of your User ID and password, a confirmation email will be sent to you. This email will contain your User ID and a link (click "here") that activates your attestation account. You MUST use this link to access the PIPP portal. To enter the portal, go to "Log In" in the upper right corner of the page. (You will not need to use "Provider Web Registration" again.) Enter your User ID and password and you are ready to proceed.

    On the right side of each page is a "HELP" link. This link will take you to a PIPP Portal User's Manual that will assist you if you are stuck while completing your attestation. You also have the opportunity, when you log in, to recover your User ID if you have forgotten it, or to change your password, should it be necessary.

    If you have a question about what is acceptable documentation, please check our FAQs first.


  4. Please be prepared to enter all required information upon entering the attestation screens. Once you have started to attest, the system will only save the data entered on a page if there are no errors and all questions have been filled out completely. This includes uploading any required documentation.

  5. You are required to submit documentation that you have adopted, implemented, or upgraded (AIU) to certified EHR technology.

    What is adoption, implementation, or upgrade (AIU) to certified EHR technology?
    • Adopt: acquired and installed (evidence of acquisition, installation)
    • Implement: commenced utilization (staff training, data entry of patient data)
    • Upgrade: Expanded functionality of current system (with certified module(s))

    If you have a question about what is acceptable documentation, please check our FAQs first.


  6. Under the "Required Pages" button on the portal, you will find the pages that must be completed and submitted with your attestation. These include a Substitute W-9, Automated Clearing House form (for Direct Payment), a page to attach your voided check or deposit slip, and a Signature Page. The portal will not allow you to submit your attestation unless there are at least four separate documents uploaded to this page.


  7. When you have completed the attestation application process, you will first be shown a screen asking as to whether your attestation is complete and accurate.


    Once you click on "I Agree," you will be given the option to submit your information to TennCare. If submitted successfully, you will see the following message:


    Click on "OK", and then on "Log Out" in left column just below your name.


  8. Following receipt of your TennCare Medicaid EHR Incentive attestation application, we will review the information you submitted. If we identify any issues or missing documentation, we will notify you with the opportunity to make corrections. If we are unable to contact you, or if you cannot correct the problem, your attestation application will be denied.


  9. You have the option to appeal this denial or you may return to the CMS Registration & Attestation System web site and start the process over.

When can I expect to receive my EHR Incentive Payment?

This is perhaps the second biggest question, after "Have you gotten my attestation application?" (Which the answer to this question, by the way, is "Yes." With our electronic attestation system, we now receive submissions almost as quick as you click "Submit.") Processing time will vary, depending upon the volume of the attestations we receive. Our target is to process each attestation and to generate EHR incentive payments within 30 - 45 days of receipt of a complete attestation. A "complete" attestation is one where we have received all the necessary information, signatures, and required supporting documentation. If we identify a problem with your application or have to request additional information or documentation, this will cause a delay in the processing of your application. If we contact you for assistance, the sooner you respond, the more quickly we can complete the processing of your attestation application.

Occasionally our external partners encounter problems over which we have no control. These occurrences, we hope, will be rare and short, and not significantly delay your EHR incentive payment.

Following an EHR Incentive Payment, TennCare, or other state or federal entities, may perform post-payment audits. You may be asked at that time to furnish additional information and/or documentation. You are required to maintain information/documentation supporting your attestation packet for a period of not less than five (5) years.

Where can I get more information about "Meaningful Use" criteria?

Find out more by reading the Meaningful Use (MU) Overview, or click on the appropriate button below for specific criteria and resources.

If you have additional questions, please check our FAQs. If you need additional assistance, please click here to contact the TennCare/Medicaid EHR Incentive Unit.

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