Eligible Professionals (EP) Logo

Providers under the Arizona Medicaid program are eligible to participate in the Arizona EHR Incentive Program if they meet the EHR Incentive Program requirements.

Medicaid EPs include:

  • Physicians
  • Nurse Practitioners
  • Certified Nurse - Midwife
  • Dentists
  • Physicians Assistants who practice in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) that is led by the Physician Assistant

To assist you with registering, AHCCCS has prepared a Toolkit for Eligible Professionals. The toolkit contains:

  • Mon December 29, 2014 
    Establish Practice Request Form
    [Excel] is used when Eligible Professionals (EPs) in a Group Practice or Clinic would like to attest using the Practice’s data to qualify for the EHR Incentive Program’s patient volume criteria. The Aggregate Patient Volume Methodology uses the Practice’s patient encounters for the entire Practice (multiple providers) but can only be used as a proxy for all EPs in the Practice if all the Mandatory Federal and State Specific Rules are met.

  • Thur Jun 29, 2011
    EHR Process Diagram [PDF] is designed to be a quick visual reference to the CMS Registration and the State Medicaid Registration and Attestation process. Providers will initiate their registration at the Federal portal and then navigate to the State portal to participate in the Arizona Medicaid EHR Incentive Program.

  • Fri Jan 19, 2014
    EHR Incentive Reference Guide [PDF] a comprehensive, step-by-step guide to the Medicaid EHR Incentive Program with detailed information and criteria for each component needed to complete registration and attestation.

  • Thur Nov 3, 2011
    EHR Eligibility Worksheet [Excel] eligibility spreadsheets with detailed information for each data component needed to determine the Medicaid EHR Incentive Program eligibility for attestation.

Have Questions? Need assistance in completing your worksheet? To learn more about how the Regional Extension Center can serve you, please contact them at:


Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site. Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.

Microsoft offers Excel file viewer and converter programs to enable those who do not have MS-Excel or have another version of MS-Excel to view MS-Excel files. Download Excel file viewer