Skip to Main Content

Need Help? Call TennCare Connect at 855-259-0701

Meaningful Use Overview

Announcement: CMS has changed the name of the EHR Incentive Program name to Promoting Interoperability (PI) Program. This has already occurred, and you will begin to see references to both PI and MU, but they are one in the same. This change was made to reflect the program’s focus on interoperability and patient access to their health information.

 MIPS does not replace Medicaid Meaningful Use. Eligible Professionals who meet the eligibility criteria for the Medicaid EHR Incentive Program will continue to submit to TennCare to receive Medicaid EHR incentive payments. EPs can receive up to six incentive payments with the EHR Incentive Program through 2021. EPs that meet the eligibility criteria for MIPS/APMs and the Medicaid EHR Incentive Program can receive incentive payments from both programs but must attest to each program respectively. There are many overlaps between the ACI requirements and the EHR Incentive program requirements.  You can find the requirements for MIPS/PI

Meaningful use (MU) is using certified EHR technology to

  • Improve quality, safety, efficiency, and reduce health disparities
  • Engage patients and families in their healthcare
  • Improve care coordination
  • Improve population and public health
  • Maintain privacy and security

The overarching goal of the Health Information Technology for Economic and Clinical Health (HITECH) Act is not the mere adoption of new technology but the use of electronic health records (EHR) to systematically improve healthcare access, delivery, and quality. The HITECH Act and its associated regulations describe the application of EHR technology toward that end as "meaningful use."

Being a meaningful user indicates successful achievement of specific procedural and clinical benchmarks using certified EHR technology. Eligible Professionals (EPs) will attain meaningful use by progressing through three stages during their years of participation in the EHR Incentive Program and attesting to those achievements. Stage 1 criteria focused on capturing information electronically in a structured format, implementing clinical decision support tools, engaging patients in their healthcare, and reporting public health and quality measures. Stage 1 meaningful use has been effectively retired by CMS starting December 15, 2015.  Modified Stage 2 and Stage 3 have a greater focus on advanced clinical processes, health information exchange, and improvements in quality of care and patient access. In addition to the EHR Incentive Program, other aspects of the HITECH Act such as provisions for health information exchanges are designed to support the meaningful use of electronic health information.

Eligible providers can earn incentive payments by attesting to meaningful use Modified Stage 2 or Stage 3 objectives and measures using the Provider Incentive Payment Program (PIPP) portal. To successfully attest to Modified Stage 2 objectives and measures the EP must use EHR technology certified to the 2014 Edition. EPs using 2015 CEHRT or a combination of 2014 and 2015 CEHRT can attest to Modified Stage 2 or Stage 3 objectives and measures for Program Year 2018.  Beginning in Program Year 2017, only EPs who have previously attested to adopting, implementing, or upgrading (AIU) certified EHR technology or previously attested to MU can work toward achieving Meaningful Use for up to six years through 2021. Below are resources and information to facilitate successful attestation.  Also review the links on the left toolbar for more detail information about MU requirements.

2019 Final Rule Provisions

CMS has finalized a 90-day reporting period for the Meaningful Use measures for 2019 and 2020 effective October 1, 2018. The CQM reporting period remains as a full calendar year for EPs.

Important Meaningful Use Information:

IPPS Final Rule 2019

OPPS/ASC Final Rule Changes for 2017

CMS Security Risk Analysis Tipsheet

Health Information Exchange 2017

MU Requirements for Previous Years