How do I attest for Meaningful Use?

You can attest to Meaningful Use for the Medicaid program with your state Medicaid agency after your reporting period has ended and you have achieved all the criteria.


Download the Attestation Checklist >>


CMS Attestation Guide >>

Medicaid providers should check with their state Medicaid agency for deadline information.


Important Attestation Preparation Information


It’s your responsibility to maintain paper or electronic documentation that fully supports the data submitted during attestation for at least six years to ensure you’re prepared for a potential audit.


1) Confirm your reporting period start and end dates in your Meaningful Use Dashboard.


2) Confirm that you have achieved Meaningful Use by successfully achieving the required number of measures:

  • Stage 2: 10 Objectives


3) Confirm you have charted more than 80% of your patient records in certified EHR technology (CEHRT). This is a requirement to meet Meaningful Use.  


4) If you work in multiple locations with CEHRT, the attestation needs to combine numerators and denominators from all CEHRT.


5) You will need to address different denominator types for Meaningful Use. Some measures may be limited to patients whose records are maintained using CEHRT, while other measures must include all unique patients regardless of whether the patient’s records are maintained using CEHRT.

  • You will need to manually calculate patients who aren’t entered in Practice Fusion for measures based on all unique patients.

  • The Meaningful Use Dashboard values only include patients entered in Practice Fusion.

  • Review the CMS Attestation User Guide to see which individual measures may be limited to patients maintained using CEHRT


6) If you’re using Practice Fusion’s Meaningful Use Dashboard, make sure you’ve signed all encounters for your patients seen during the reporting period in order to see data from those visits reflected in your Meaningful Use Dashboard.


7) Note which measures for which you will claim an exclusion, if applicable. Claiming an exclusion for a specific measure qualifies as submission of that measure. Prepare any documentation needed to prove that you qualify for any exclusions claimed and save it in your records for at least six years.


For Stage 2 Objective 10: Public Health, providers must attest to at least two of the three public health measures:

  • Immunization Registry Data Submission

  • Syndromic Surveillance Data Submission

  • Specialized Registry Reporting


If you have completed two public health measures:

  • Collect documentation that proves you have actively engaged with the local public health agency (e.g. email or written confirmation of the exchange with the PHA).


If you are in Stage 2 and cannot attest to at least two measures:

  • Prepare documentation for the measures you can complete. You must then prepare documentation proving that you are excluded from the remaining public health measures.


8) Save a signed and dated copy of your completed Security Risk Analysis, including any documentation that supports the activities that you completed as a result of the analysis, for at least six years.


9) Save screenshots of functionality enabled for the entire reporting period to serve as supporting documentation for the following measures in case of an audit: Drug Interaction Checks (Stage 2 Objective 2: Clinical Decision Support) and Drug Formulary Checks (Stage 2 Objective 4: e-Prescribing). You must keep this documentation for at least six years.


10) Take a screenshot or print out the Practice Fusion Meaningful Use Dashboard on the day you attest. You must keep this documentation for at least six years.


11) There may be instances where you choose to report values for objectives that differ from the values in the Meaningful Use Dashboard. Make sure you keep documentation for these objectives, including how you accounted for the values you’re reporting, for at least six years.


12) Take a screenshot or print out your eCQMs on the day you attest. You must keep this documentation for at least six years.


13) Under the Inpatient Prospective Payment System (IPPS) Final Rule published by CMS on August 14, 2017, eligible professionals (EPs) are required to report on any six (6) quality measures applicable to their scope of practice. Please be aware that program requirements may vary by state. You should contact your state Medicaid administrator to confirm your state’s requirements for the 2017 reporting year.

  1. Data submitted for eCQMs must be reported directly from information generated by Practice Fusion’s eCQM Dashboard.
  2. Reporting a value of zero (0) for an eCQM will not prevent you from meeting the CQM requirement for Meaningful Use.
  3. Per the IPPS Final Rule published by CMS on August 14, 2017, you may select a CQM reporting period of any continuous 90-day period during the 2017 calendar year, regardless of your reporting method. 

Meaningful Use Dashboard for attestation

The Dashboard provides the information necessary to guide you through attestation, but is not directly reported to your state Medicaid agency.


Remember that any items completed outside of the EHR will not be tracked in the Dashboard. During attestation, you will populate the criteria numerators and denominators, indicate whether you qualify for exclusions to specific objectives (or individual objective measures) and legally attest that you have successfully demonstrated Meaningful Use.


Additional Resources

We recommend downloading additional attestation resources in our Meaningful Use Center.

Meaningful Use

  1. What is Meaningful Use?
  2. How do I attest for Meaningful Use?
  3. How does the Meaningful Use Dashboard work?
  4. 2018 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  5. 2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  6. 2018 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  7. 2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  8. 2018 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  9. 2018 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  10. 2018 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  11. 2018 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  12. 2018 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  13. 2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  14. 2017 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  15. 2017 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  16. 2017 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  17. 2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  18. 2017 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  19. 2017 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  20. 2017 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  21. 2017 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  22. 2017 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  24. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  25. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  26. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  27. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  28. What are the exclusions for Meaningful Use?
  29. What patients are counted for Meaningful Use?
  30. How do the components of a chart note relate to Meaningful Use?
  31. How do I print the Meaningful Use Dashboard?
  32. How do I minimize or refresh CDS notifications?
  33. How can I send a referral using Direct Messaging?
  34. How does patient portal access and auto-invite relate to Meaningful Use?
  35. What constitutes a "unique" patient?
  36. Meaningful Use attestation for previous years
  37. How do Meaningful Use payment adjustments work?
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. How do I find Practice Fusion's CMS EHR Certification ID?
  40. How do I register for the Medicaid Meaningful Use Program?
  41. Can I change, modify, or cancel my attestation?
  42. How do I choose my reporting period duration for Medicaid Meaningful Use?
  43. Is Practice Fusion a certified EHR?
  44. Patient records maintained in the EHR for Meaningful Use attestation
  45. How do I get my AIU letter from Practice Fusion?
  46. How do I report eCQMs for Medicaid Meaningful Use?
  47. Do I have to meet all 10 objectives to achieve Meaningful Use?
  48. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  49. Are there patient education materials available in Spanish?
  50. How do I select or change my reporting period start date?
  51. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  52. How do I contact my state about the Medicaid EHR Incentive Program?
  53. How do I qualify for Meaningful Use if I see patients in multiple locations?
  54. How many exclusions can each provider claim for meaningful use?
  55. How do I use multiple EHR's to qualify for Medicaid Meaningful Use?
  56. What stage of Medicaid Meaningful Use am I in?
  57. How do I prepare for the PQRS Penalty Informal Review?
  58. How do I prepare for a Meaningful Use audit?
  59. How do I batch export patient data from the EHR?
  60. How can I report CQMs for PQRS?
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