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Program Year 2015

Adopt, Implement or Upgrade (AIU) - Year 2015

March 31, 2016 – Last Day to Apply for AIU Program Year 2015
Eligible Professionals (EPs) applying for their first year have until March 31, 2016 to submit their Program Year 2015 Adopt, Implement or Upgrade (AIU) application. If you are planning to attest for AIU for Program Year 2015, don’t wait. Apply today.

Adopt, Implement, Upgrade (AIU) for First Program Year 2015

EPs participating in their first year do not have to attest to Meaningful Use Modified State 2 rules. They may apply under AIU.
  • Adopt = Acquired
  • Implement = Started Using
  • Upgrade = Expanded existing EHR
To qualify unde AIU for an incentive payment, EPs must meet the eligibility requirements below.

Eligibility Requirements

  • EPs participating in their first year of AIU, must meet the eligibility requirements:
  • Must attest to using ONC 2014-edition (or beyond) Certified Electronic Health Record Technology (CEHRT)
  • Have a minimum 30% Medicaid patient volume (20% for pediatricians) and not be hospital-based. Hospital-based providers perform 90% or more of their services in an inpatient hospital or emergency room setting, unless:
  • EP practices predominantly in an Federally Qualified Health Center (FQHC) or Rural Health Center (RHC) and have a minimum 30% needy individual patient volume.
  • Must be an eligible provider type, whis is one of the following:
    • Physicians (MD, DO) - Doctor of Medicine and Doctor of Osteopathy (Pediatricians have special eligibility and payment rules
    • Nurse Practitioners (NP), including Nurse Practitioner Nurse-Midwives
    • Dentists
    • Physician Assistants (PA) in certain settings

Additional Information about Eligibility

For more about eligibility, how to calculate patient volume, payment amounts and more, visit the Provider Overview page.

For more information on if you are using an ONC 2014-edition (or beyond) of CEHRT, please refer to the Certified Health IT Product List.

How to Apply for AIU

EPs are required to register on the national level through the CMS Registration and Attestation System (R&A) prior to completing an Oregon Medicaid EHR Incentive Program attestation through Oregon's Medicaid Provider Portal.

Step 1: Register at the national level

Eligible Professionals will need to have the following required information in order to complete registration:
Once Eligible Providers have the required information listed above, they can successfully register at the Medicare and Medicaid EHR Incentive Program Registration and Attestation System.

Step 2: Register at the state level

Once you have registered nationally, you will need to register with Oregon.
  • Set up a provider account through the state's Medicaid Provider Portal.
  • If you serve Medicare clients, you may want to consider attesting to Meaningful Use your first year, rather than AIU due to Medicare's payment adjustments. Visit CMS to learn more before attesting. Medicaid providers who do not submit claims through Medicare are not subject to these MU payment adjustments.

Step 3: Set up electronic fund transfer (EFT) for payment from the state

Incentive program payments are disbursed via EFT and deposited into your designated payee account on your attestation. If you have already set up your EFT, you do not need to do it again. It is a one-time process.
  • Fill out Form MSC 189 and follow directions on how to return form via mail or fax. 

Step 4: Attest to the Medicaid EHR Incentive Program for an AIU incentive payment

Incentive program payments are disbursed via EFT and deposited into your designated payee account on your attestation. If you have already set up your EFT, you do not need to do it again. It is a one-time process.
  • Sign back into the state's Medicaid Provider Portal and begin attestation.
  • You will need specific documentation when attesting. Please see the Required Supporting Document section below.

Required Supporting Documentation

If attesting for your first year Adopt, Implement or Upgrade in the Medicaid EHR Incentive Program with the State of Oregon, the below documents need completed and uploaded directly to the attestation. The provider or designated signer can upload documents at the time of attestation or after submission. If needed you may also submit documents to the

Please note, additional documents may be requested on a case by case basis.

CEHRT Documentation Requirements

All Eligible Professionals must submit at least one of the following documents to support the acquisition of 2014 Edition CEHRT:
  • Contract
  • Lease
  • Proof of purchase
  • Receipt
  • Signed vendor letter
All of the following must be identified on the submitted CEHRT documentation, regardless of format:
  • Vendor
  • Product
  • Product version number
You may also need a signed vendor letter, although the vendor letter alone is not sufficient documentation.

FQHC, RHC, IHC Providers Only

For Eligible professionals (EP) who practice predominantly in a Federally Qualified Health Center (FQHC), Rural Health Center (RHC) or Indian Health Center (IHC) ONLY.
  • Fill out the Form Practice Predominantly, located on our forms page (make a link to the form).
  • Please be sure to fill out the form in its entirety, including the header of the document with the provider specific identifiable information.

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