Promoting Interoperability Program

Announcement: Electronic Health Records (EHR) Incentive Program has been renamed.

Promoting Interoperability (PI) Program

 CMS is proposing to focus on interoperability, improve flexibility, relieve burden, improving patients’ access to health information and place emphasis on measures that require the electronic exchange of health information between providers and patients. To better reflect this new focus, CMS is renaming the EHR Incentive Programs to the Promoting Interoperability (PI) Programs.


Program Overview

The Promoting Interoperability Program was established by the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act of the American Recovery & Reinvestment Act (ARRA). The program is designed to support providers during the period of health information technology transition and to improve the quality, safety and efficiency of patient health care through the use of electronic health records (EHRs).

The Medicaid PI Program provides incentive payments to eligible professionals, eligible hospitals and critical access hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

In 2018, eligible hospitals and eligible professionals (EPs) that attest directly to a state for the state’s Medicaid Promoting Interoperability (PI) Program will continue to attest to the measures and objectives as finalized in the 2015 EHR IncenStive Programs Final Rule (80 FR 62762 through 62955). 

Eligible hospitals can access the 2018 Modified Stage 2 program requirements here and the 2018 Stage 3 program requirements here. 

EPs can access the 2018 Modified Stage 2 program requirements here and the 2018 Stage 3 Program requirements here. 

If you are interested in the PI Program, view CMS' guide, An Introduction to the PI Program for Eligible Professionals. The program is closed to first time attestors from 2017 on. If you need to change your registration information, you can do so here. You can then start your attestation.

You can find the user manual for Eligible Professionals here, and for Eligible Hospitals here.

If you have any questions about attesting, you can call the helpline at 844-607-7455 or send us an email at

Program Snapshot