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Welcome to the S.C. Medicaid Promoting Interoperability Program Website

      S.C. Medicaid Promoting Interoperability Program


The Medicaid Electronic Health Record (EHR) Incentive Program has been renamed the “Promoting Interoperability (PI) Program”. Please note that this rebranding does not merge or combine the Medicaid PI Program and MIPS, or any other Medicare programs. Eligible Medicare professionals who participate in Medicare payment and quality programs may also participate in the Medicaid PI Program and receive a separate incentive payment. Incentive payments will end after 2021, so there is still limited time to take advantage of this opportunity and be rewarded for your EHR usage for each of the remaining four program years!

The PI Program continues to provide incentive payments to Eligible Professionals (EPs) and Eligible Hospitals (EHs) who demonstrate Meaningful Use (MU) of certified EHR technology and submit an attestation using the State Level Repository (SLR). The individual EP attests for his/her achievement of the program requirements. Incentive payments may be received by the EP, or an entity which has a contractual arrangement to bill for the EP’s covered professional services (for example: the EP's employer). This is established via the CMS registration system and once changes are saved, updated payment information is communicated to SCDHHS.

EP incentives are $8500 per individual EP, per attestation. A reduced incentive amount is available to pediatricians if they are unable to meet certain requirements. Individual EPs are eligible to receive up to six (6) separate incentive payments from the Medicaid PI Program. Participation in another incentive or quality program, such as MIPS, does not count toward these maximums. Practices/ organizations who are the designated “Payee” for their collective individual EP incentive payments are not limited on the amount they may receive. EPs should be meeting meaningful use and attesting each program year, since there are only four more program years left to participate. However, EPs can skip program years and continue their participation at any time (skipping program years is allowed).

How do I determine if I, or my providers, are eligible to participate in the PI Program and receive additional incentive payments?

To be sure, you must send your providers' NPIs to or call us at 803-898-2996. The HIT Division will check this information for you. Providers could have received an incentive payment from a state or territory other than South Carolina to qualify to participate with SC Medicaid. It is unlikely that practices or EPs know their past participation history, as they may not have access to this information. EPs who qualified for an adopting, implementing, or updating (AIU) incentive payment but never attested to meaningful use can begin to demonstrate meaningful use for current program year 2018 and qualify for an incentive payment. Click here to read more.

What are the Meaningful Use (MU) requirements I need to meet during CY2018 to receive an incentive payment?

For current program year (PY) 2018, EPs and EHs have the option to meet Modified Stage 2, or optional Stage 3, MU requirements. If an EP elects to attest to optional Stage 3, they must have used certified EHR technology (CEHRT) that is certified to the 2015 edition, or to a combination of the 2015 Edition and 2014 Edition as long as the combination would not prohibit the EP from meeting Stage 3 requirements. However, an EP who has technology certified to the 2014 Edition only, may not attest to optional Stage 3 and would need to attest to Modified Stage 2. Check what edition your CEHRT is certified to via this link. Contact us if you need help.

If you are eligible for both stage 2 and 3, please review and determine which stage is most applicable with your EHR vendor. You do not need to meet the requirements for both stages, only select one stage:

  • Eligible Professionals(EPs): Modified Stage 2 PY2018 MU requirements here and Stage 3 here.
  • Eligible Hospitals(EHs): Modified Stage 2 PY2018 MU requirements here and the Stage 3 here.

Please read the all of the information for each Objective in full; paying particular attention to the "Additional Information" sections. See Resources Tab for more information.

When should EPs be performing Meaningful Use (MU) actions?

For program year 2018, EPs select a minimum of any continuous 90-day EHR reporting period from within Jan. 1, 2018 and Dec. 31, 2018. EPs should be tracking or planning their progress toward meeting the measures with their vendors and via their EHR reports. If an EP did not meet meaningful use for the 90-day period they initially selected, they may select another period. Who are EPs? Click here.

Some meaningful use requirements allow qualifying actions to be performed outside of the 90-day period selected. This helpful guide explains which MU requirements provide this flexibility. Many providers have had success with meeting MU by using the helpful guide.

If you are unable to meet certain MU requirements, you may exclude them if eligible. Excluding MU requirements will still allow you to receive an incentive payment and will not reduce the incentive payment amount.

What if EPs see patients at locations without Certified Electronic Health Record Technology (CEHRT)?

During the EP's selected 90-day period, at least 50% of the EP’s patient encounters must have occurred at a location or locations that were equipped* with CEHRT to be considered a meaningful user. *Equipped with CEHRT would include:

  • CEHRT could be permanently installed at the practice/location.
  • The EP could bring CEHRT to the practice/location on a portable computing device.
  • The EP could access CEHRT remotely using computing devices at the practice/location

EPs calculate their MU data only using data from their practice locations equipped with CEHRT for their chosen continuous minimum 90-day period.

How do I submit an attestation to receive incentive payments for demonstrating meaningful use?

Step #1: obtain/ retrieve your CMS Registration ID

If you have not already done so, EPs, EHs, or representatives who wish to attest on their behalf, must first register with CMS by clicking the following link: CMS Registration System [click the continue button and follow the instructions]. Once you complete your registration, you will receive your CMS Registration ID. You will then need to navigate to the SLR and enter your CMS Registration ID and your individual National Provider Identifier (NPI) to login.

If you have already registered with CMS but do not know your CMS Registration ID, please login to the CMS Registration System by clicking this link to retrieve it. Note: The CMS Registration System is a separate system. The CMS Registration System and the SLR require different login credentials. You cannot submit a Medicaid PI attestation via CMS; you must submit through the SLR.

Step #2: Login to the SLR to attest – (The SLR is not yet accepting PY2018 attestations. Please refer back to this website for updates on when you may submit your attestation.) 

Start Attestation

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Jul 6, 2018 | Updates
Staff of the S.C. Medicaid Promoting Interoperability Program recently hosted a web session...
May 15, 2018 | Updates

Program Deadlines

The State Level Repository (SLR) is not yet accepting
Program Year 2018 Meaningful Use Attestations.
Please refer to this website, for
the latest news/ announcements, attestation
submission deadlines, and updates from our program.
We look forward to serving you in the future.

Thank you for your continued participation.

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The SLR is NOT yet accepting Program Year 2018 Attestations. You will not be permitted to begin an attestation yet but you can check past attestation status and update your contact inforamtion to be sure you receive updates. However, you should be evaluating your progress toward meeting PY18 Meaningful Use with your EHR vendor if you have not already done so. Please refer to our Resources page for helpful information.

Please refer to this website, for the latest news/ announcements, deadlines, and updates from our program. We look forward to serving you in the future. Thank you for your continued participation.

EHR Payment information

  • 6197 Payments ($86,435,134.00) to Eligible Professionals
  • 173 Payments ($88,353,289.94) to Eligible Hospitals
Overall Total = $ 174,575,923.94
Payment information in detail

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