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Need to create an SLR account?

Need to create an DC SLR account?

Click here to leave this site and create an SLR account for accessing the Medicaid Provider Incentive Program site.

Already have an SLR account?

Click here to go directly to the State Level Registry for Provider Incentive Payments site.

Tools

Group AIU Attestation Workbook

Group Eligibility Workbook

If you would like to continue your application process with the help of a Conduent support agent, contact the Hawaii Medicaid Fiscal Agent Call Center at SLRHelpdesk@Conduent.com to schedule an appointment.
It’s as easy as 1, 2, 3   4 & 5  ;-)

Please Note: This information is provided for Medicaid practitioners interested in applying for the Hawai'i Medicaid EHR Incentive Program. If you are a Medicare practitioner looking for information on the Medicare EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms for more information.

 

Aloha Group Administrators - Let's get started!

(A representative for a group or clinic who will enter data for the group and enter data on behalf of individual providers associated with the group/clinic.)

Below are the step by step instructions on how to complete the registration process.



  1. Read the Hawaii Medicaid EHR Incentive Program Provider Manual. Providers must attest that they have read and understand the policies set forth in the provider manual.
  2. Locate your National Provider Identifier (NPI) and Tax Identification Number (TIN). You will need this information to create an account at Hawaii's State Level Registry (SLR) site. You must be enrolled with Med-QUEST (MQD) under the NPI/TIN combination as an active group/clinic. If you don’t have an NPI, visit CMS’s site to apply for one. Need a TIN? Visit IRS.gov.
    • To enroll as a Hawaii Medicaid group/clinic, or to update your Hawaii Medicaid group/clinic record, please visit the Med-QUEST website to download the DHS 1139 form. Completed forms should be mailed directly to the Medicaid Fiscal Agent office.
      Hawaii Medicaid Fiscal Agent
      ATTN: Hawaii Medicaid EHR Incentive Program
      P.O. Box 1220
      Honolulu, HI 96807-1220
    • You may contact the Medicaid Fiscal Agent Call Center to check the status of your enrollment. (800) 235-4378, select option #3.
  3. Identify the NPI, TIN and Medicaid Provider Number for each provider in your practice.
  4. Locate information related to the medical license for each provider in your practice, such as license number and the Board with which the provider is licensed.
  5. Create or locate an electronic copy of your signed contract with a vendor for the purchase, implementation or upgrade of a certified EHR system. Providers must report Meaningful Use using an EHR technology certified to the 2014 Edition for 2015. Providers must use EHR technology certified at least to the 2014 Edition in 2016 and 2017, and may adopt EHR technology certified to the 2015 Edition prior to 2017 or 2018. Click here to view a tip sheet on the types of contracts that are acceptable.
  6. Verify that your system is on the ONC list of certified products for Adopt, Implement and Upgrade (AIU) or Meaningful Use (MU). Identify the CMS EHR Certification ID, as this data will be required when completing your attestation.
  7. Identify an individual who will be the primary contact for your application - you’ll need their name, direct phone number and email address. This is the person who will be contacted if questions regarding your attestation arise, so please ensure all information is accurate.
  8. Each provider in your practice must register at the CMS Medicare & Medicaid EHR Incentive Program Registration and Attestation System. The registration process must be successfully completed 48 hours prior to creating a Hawaii SLR account.
  9. Determine if the providers in your group will use the group Medicaid patient volumes. If one practitioner in the group opts out, then all practitioners must use the individual patient volume. Please include a de-identified Practice Management Report when using group Medicaid patient volumes. PHI Examples.
  10. Determine the Medicaid Patient Volume that you intend to report. Patient volume must come from an auditable data source.
  11. Download and complete the Group Eligibility Workbook, located in the Tools section of this page. You will be required to upload a copy of the workbook during the attestation process. Click here for tips on how to successfully complete the Group Eligibility Workbook.
  12. Determine which method of Certified EHR technology you will be attesting to- Adopt, Implement, or Upgrade (AIU) or Meaningful Use (MU).
  13. Ensure that you have access to a scanner or electronic faxing technology such as RightFaxTM.
  14. Create an SLR account for the group and individual SLR accounts for each provider that plans to participate in Hawaii’s Medicaid EHR Incentive Program. Click here for SLR account creation troubleshooting tips.