TennCare Electronic Health Record (EHR) Provider Incentive Payment Program

The EHR Provider Incentive Payment Program began in 2011 as the result of the HITECH Act, which was a part of the American Re-Investment and Recovery Act (ARRA) of 2009. By that same act, PIPP ended with final payments being made on or before December 31, 2021. However, post-payment audits will continue through September 30, 2023. If you have a question about an audit finding or wish to appeal an audit decision, please select “Program Integrity & Audit” in the left column for additional information.

If you received a 1099 from the State of Tennessee and don’t understand why, please select “Why did I get a 1099?” in the left column for an explanation.

If you have a question, you can still send an email to TennCare.EHRIncentive@tn.gov.

For 11 years, it has been our pleasure to work with Eligible Professionals and Eligible Hospitals in advancing EHR technology across Tennessee. We understand it was a difficult process for some and shared your frustration at times. It remains an ongoing process. Those who are also MediCARE providers are still required to submit data to CMS through your certified EHR technology (CEHRT) system. TennCare does not currently have plans to gather information through CEHRTs. Of course, CMS could change our mind.

The EHR Adoption Goals & Objectives were:

Benefits Produced:

  • Improve Quality, Safety, & Efficiency

Improve the quality of care by making health care more accessible, safe, and patient-centered.

  • Engage Patients & Families

Ensure that each person & family is engaged as partners in their care.

  • Improve Care Coordination

Promote effective communication and coordination of care.

  • Improve Population & Public Health

Work with communities to promote wide use of best practices to enable healthy living.

  • Ensure Privacy & Security Protections

Protecting the privacy and healthcare information of patients.

Confirmed by our annual survey of TennCare enrollees, we are seeing improvements in these areas.

As of December 31, 2021, the following EHR Provider Incentive Payment Program payments have been made:

EHR Provider

Attestations Paid Incentive Payments

Eligible Professionals



Eligible Hospitals






This represents 93% of the attestations which were attempted passed and received the appropriate EHR Provider Incentive Payment.

TennCare Newsletters

The publication of the TennCare EHR Newsletter ends March 31, 2022.