Vermont Medicaid EHRIP Application Process

Updated MAPIR User Guides for Eligible Professionals are now available for all Program Year 2016 attestations.

Links are here.

MAPIR: The Web-Based Application Tool for Vermont Medicaid Payments

Vermont is one of thirteen states using the Medical Assistance Provider Incentive Repository (MAPIR) System to manage Medicaid EHRIP applications. MAPIR (pronounced "mapper") is the state-level information system that tracks information regarding registration, attestation and EHRIP payments. Eligible Professionals and Eligible Hospitals participating in the EHR program will use MAPIR to submit their initial applications and annual attestations. MAPIR is accessed the Provider Portal on the Vermont Medicaid website.

Before You Begin

There are several tasks to complete prior to applying for state Medicaid EHR Incentive payments using MAPIR.

  • Complete your CMS Medicare & Medicaid EHR Incentive Program Registration and Attestation System (R&A) registration. Retain a copy of your R&A Registration ID.
  • Identify one individual from your organization who will be responsible for completing the MAPIR application and attestation information. This person can also serve as a contact point for state Medicaid communications.
  • Consult the MAPIR User Guide to gather the necessary information in order to facilitate the completion of the application and attestation processes.

Complete your CMS R&A Registration

You must register at the R&A before accessing MAPIR. If you access MAPIR and have not completed this registration, you will receive a screen message notifying you that you are not registered at the R&A site and you won't be allowed to continue with the Vermont MAPIR registration and attestation.

This helpful CMS checklist describes the information you will need to have on hand in order to register.

This CMS Registration and Attestation information page contains links to R&A User Guides, tutorials, resources and a CMS Registration Information Center helpline.

Access the CMS Registration and Attestation (R&A) System here:

Success with First-time Registration Confirmed with a “Welcome” Email from MAPIR

You will not be able to start the MAPIR application process unless you have successfully completed this Federal registration process. When Vermont’s MAPIR system has received and matched your provider information, you will receive an e-mail welcoming you to begin the MAPIR application process. Receipt of the welcome e-mail may take several days from the time you complete your Federal registration, but it is confirmation that the necessary exchange of data between the R&A system and the Vermont Medicaid and MAPIR systems has occurred. You will not be able to proceed in MAPIR until this data exchange is successfully completed.

Ensure the provider's Payee NPI and Payee TIN are accurate and consistent with the information on file in the Vermont Medicaid system. This can be the source of error notifications, and the failure of registrations to start a MAPIR application correctly.

Trouble Getting Started?

If you do not receive a “Welcome” email as expected,  if you are not sure of the Payee NPI/TIN to enter, or if you have any issues or errors when attempting to proceed with an application, please consult this contact the Vermont Medicaid EHRIP Team:

MAPIR User Guides

Before proceeding with an application in MAPIR, download and review the helpful User Guides. As you step through the screens in the MAPIR system, the User Guide provides additional explanation, illustrated hints, tips on how to navigate, and documentation forms. Reviewing the User Guide will help you organize the reports and data needed for attestation. Assembling this information ahead of time will maximize your productivity when you are logged into the MAPIR system.

The MAPIR 5.8 User Guides for Eligible Professionals are separate documents, as listed below:

Part 1 - Getting Started, Confirm R&A and Contact Info, Eligibility, Patient Volumes  (PDF 3.0 MB; Updated 1/09/17)

Part 2B (PY2016) - Attestation Phase, MU General Requirements, MU Objectives, CQMs  (PDF 4.6 MB; Updated 1/09/17)

Part 3 - Review; Questionnaire; File Uploads; Required Documentation; Submission; Statuses; Adjustments  (PDF 1.3 MB; Updated 1/09/17)

Part 4 - Additional User Information, Appendices (PDF 540 MB; Updated 1/09/17)

Logging into MAPIR

MAPIR is accessed through the Vermont Medicaid provider secure web portal, and the link is included in the welcome e-mail sent upon successful registration at the CMS R&A website.

Providers must be properly identified in the Vermont Medicaid system. In addition, there must be a relationship between the person attesting on behalf of the provider(s), the login User ID at the Medicaid Provider Portal, and the providers' information within the Medicaid system.

Aligning this information is necessary in order to proceed in MAPIR. Some providers and preparers have experienced common issues in accessing the MAPIR system for reasons relating to provider information alignment. A troubleshooting guide for these common MAPIR access issues is available here

Contact the EHRIP Team for Additional Assistance

For assistance with Vermont’s EHR Incentive Program and the MAPIR system, email us at, and a member of the Vermont EHRIP Team will respond as quickly as possible during business hours.

For questions, contact the Vermont EHRIP Team at

Back to the Vermont Medicaid EHRIP Home Page

(Page last updated 01/20/2017)