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Path to Payment 

 
Eligible professionals may receive up to $63,750 through the Medicaid EHR Incentive Program.

EP payments will be made in alignment with the calendar year and an EP must begin receiving incentive payments no later than CY 2016.

The timeline for receiving incentive payments is illustrated below:

Year CY 2011 CY2012 CY 2013 CY 2014 CY 2015 CY 2016
CY 2011 $21,250 $0 $0 $0 $0 $0
CY 2012 $8,500 $21,250 $0 $0 $0 $0
CY 2013 $8,500 $8,500 $21,250 $0 $0 $0
CY 2014 $8,500 $8,500 $8,500 $21,250 $0 $0
CY 2015 $8,500 $8,500 $8,500 $8,500 $21,250 $0
CY 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250
CY 2017 $0 $8,500 $8,500 $8,500 $8,500 $8,500
CY 2018 $0 $0 $8,500 $8,500 $8,500 $8,500
CY 2019 $0 $0 $0 $8,500 $8,500 $8,500
CY 2020 $0 $0 $0 $0 $8,500 $8,500
CY 2021 $0 $0 $0 $0 $0 $8,500
Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750

Note: Pediatricians receive 2/3 of the incentive payments above. For any given year that a pediatrician attests to 30% or more Medicaid encounters, the pediatrician shall receive the full incentive above.

Eligible Hospitals' payments will vary depending on each hospital's data. For more information on how the hospital aggregate incentive amount is calculated, please review the CMS Medicaid Hospital Incentive Payment Calculations Tip Sheet (pdf).

HFS plans to disburse EH incentive payments on the following payment schedule:

Percentage of the overall EHR amount to be paid, by payment schedule and year

Payment Schedule Year 1 Year 2 Year 3 Year 4 Year 5
A 25% 25% 20% 15% 15%
B 40% 30% 20% 10% 0%
E 50% 40% 10% 0% 0%

Hospitals may qualify for an expedited schedule. See the EHR Medicaid Incentive Payment Program Toolkit for more information about how to qualify for the expedited schedule.

Step 2 – Determine Eligibility