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Register and Apply

The Medicaid Electronic Health Record Incentive (EHR) Program launched in September 2011 and concluded December 31, 2021 with the ending of the federal funding opportunity.

Oregon's Medicaid EHR Incentive Program 

There are two steps Hospitals and Providers must take in order to participate in the Oregon Medicaid EHR Incentive Program: They must first register with the Centers for Medicare and Medicaid Services (CMS), and then with the State of Oregon.
 
Click the following buttons for Providers or Hospitals to learn what to do to register and apply:

Steps for Providers

Step One: Preparation steps

  • Adopt, implement or upgrade to a certified EHR system, or seek out assistance with EHR systems as needed.

  • Enroll as an Oregon Health Plan (OHP) provider and ensure your information on file is current. If you are not currently enrolled as an active OHP provider, enroll now. You must also have your National Plan Identifier on file. Please check your OHP information prior to starting an Incentive Program application. Changes made to your provider enrollment file AFTER you have started an application for a given program year can cause delays. Please contact the Provider Enrollment Unit for any questions at 1-800-422-5047.

  • Sign up for direct deposit for the Oregon Health Plan. Payments may be made directly to the provider or assigned to the provider's clinic or entity, which may bill on the provider's behalf. Payee information, including assignment of payment, is set up at the CMS registration and attestation website. Direct deposit must be set up in Oregon's financial system for the designated payee. Please contact the Provider Enrollment Unit for any questions at 1-800-422-5047.

  • Access to the Provider Web Portal. The online Medicaid EHR Incentive application is accessed through the Oregon Medicaid Provider Web Portal via the individual provider's web portal account. If a provider would like a representative to complete the incentive application on their behalf, the representative must be designated as the account administrator or as a clerk with access to the clerk role of "EHR Incentive." Please contact the provider services unit at 1-800-336-6016 if you need assistance with access to the web portal such as password or PIN resets.

  • Update your information as needed, in the Web Portal.

Step Two: Register with CMS and apply for a payment in Oregon

  • Register with CMS. The Medicare & Medicaid EHR Incentive Program Registration and Attestation System serves as a federal repository to register and track payments to providers for the Medicare and Medicaid EHR Incentive Programs. Registration is required for all providers seeking an incentive payment. For more information on what you need to do to register with CMS, see this Registration User Guide PDF. Providers register once for the program and will then, update information in future years, when changes need to be made.

  • Apply (attest) for a Medicaid EHR Incentive payment via the web portal. Help manuals and worksheets are available. If you do not work in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), use the Eligible Professional Manual. For those providers who work in an FQHC or RHC, more information is available. You may also use the Worksheet to help organize your information in a format that may be helpful when you are ready to apply. Providers will apply in each year that they choose to participate in the program.

Steps for Hospitals

Step One: Preparation Steps

  • Enroll in the CMS Provider Enrollment, Chain and Ownership System (PECOS). All eligible hospitals must be enrolled in PECOS to participate in either the Medicaid or Medicare EHR Incentive Programs.

  • Obtain a CMS Identity & Access Management (I&A) User ID and Password. Additional hospital staff will need to request access to the EHR Incentive Programs application through Identity & Access Management and be approved by the Hospital's Authorized Official.

  • Adopt, implement or upgrade to a certified EHR system, or seek out assistance with EHR systems.

  • Enroll as an Oregon Health Plan (OHP) provider. If your hospital is not currently enrolled as an active OHP provider, enroll now. Your hospital must also have its National Plan Identifier on file. Please check the hospital’s OHP information prior to starting an Incentive Program application. Changes made to the provider enrollment file AFTER you have started an application for a given program year can cause delays. Please contact the Provider Enrollment Unit for any questions at 1-800-422-5047.

  • Sign up for direct deposit for the Oregon Health Plan (OHP). The Medicaid EHR Incentive Program will directly deposit incentive payments into your OHP account. If already enrolled in direct deposit, please make sure that the account set up to receive direct deposit is the same account you want the incentive payments to go. Please contact the Provider Enrollment Unit for any questions at 1-800-422-5047.

  • Secure Access to the Provider Web Portal. The online Medicaid EHR Incentive application is accessed through the Provider Web Portal via the hospital’s web portal account. When a representative of the hospital is completing the incentive application, the representative must be designated as the account administrator or as a clerk with access to the clerk role of "EHR Incentives." Please contact the provider services unit at 1-800-336-6016 if you need assistance with access to the web portal such as password or PIN resets.

  • Update your information as needed, in the Web Portal.

Step Two: Register with CMS and apply for a payment in Oregon

  • Register with CMS. The Medicare & Medicaid EHR Incentive Program Registration and Attestation System serves as a federal repository to register hospitals and track payments for the Medicare and Medicaid EHR Incentive Programs. Registration is required for all providers seeking an incentive payment. For more information on what you need to do to prepare for registration with CMS, see this Registration User Guide. Hospitals must initially register for the program and then update information in future years if changes need to be made.

  • Apply (attest) for a Medicaid EHR Incentive payment via the web portal. Help manuals and worksheets are available. Hospitals must apply in each year that they choose to participate in the program. Those hospitals seeking both a Medicare and Medicaid EHR Incentive payment must first attest and be deemed a meaningful user through Medicare prior to applying in Oregon.

Note: Hospitals are encouraged to register with CMS for both Medicaid and Medicare incentive programs, whether eligible for one or both. There is no penalty if a hospital registers for both and is found only eligible for one, but it is more difficult to add a program once registration has begun.