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Incentive Payments: Eligible Professionals
The incentive program does not provide additional incentive payments beyond the limits established by legislation, regardless of your EHR system’s cost. The purpose of the incentive payments is to encourage the adoption and meaningful use of certified EHR technology, not to act as a direct reimbursement. The CMS final rule does not dictate how Medicaid providers must use their EHR incentive payment.
Eligible professionals (EPs) can receive $63,750 over six years. Pediatricians who qualify with a 20-29% Medicaid patient volume receive two-thirds of the maximum incentive payment, totaling $42,500. Pediatricians who qualify with a 30% Medicaid patient volume can receive the full incentive payment.
EPs may receive an incentive payment from either Medicaid or Medicare, but not both. A Medicaid eligible professional may receive an incentive payment from only one state in a payment year.
An EP can participate in the Medicaid EHR Incentive Program and CMS eRx Incentive Program simultaneously.
| Calendar Year | Payment |
| Year 1 | $21,250 |
| Year 2 | $8,500 |
| Year 3 | $8,500 |
| Year 4 | $8,500 |
| Year 5 | $8,500 |
| Year 6 | $8,500 |
| Total | $63,750 |
