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 April 1, 2013   Establish Practice Request Form 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 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.
  
  
• Thur Jun 29, 2011
  EHR Incentive Reference Guide 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 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:

• Arizona REC: Call 602-688-7200 or Email ehr@azhec.org or Visit www.arizonarec.org.
• National Indian Health Board AI/AN National REC: Visit www.nihb.org/rec/rec.php