Program Year 2018

Program Year 2018 began as of January 1st, 2018.

CMS has published its "2018 Program Requirements" page:

The guidance at the CMS website confirms that providers who attest to a state's Medicaid EHR Incentive Program will continue to attest to the measures and objectives as finalized in the 2015 EHR Incentive Programs Final Rule.

CEHRT Edition

In Program Year 2018, providers have the option to use 2014 CEHRT, or 2015 CEHRT, or a combination of 2014/2015 CEHRT.

Options for Meaningful Use Stage
  • Attesting to Meaningful Use Stage 3 criteria is an option for Program Year 2018 for those providers who have upgraded their CEHRT to 2015 standards, or a combination of 2014/2015 editions that supports MU 3.
  • Providers may continue to attest to Modified-Meaningful Use Stage 2 Objectives and Measures.

Reporting Periods for Meaningful Use Objectives and for CQMs
  • In Program Year 2018, all providers will once again be attesting to a minimum 90-day EHR Reporting Period for the Meaningful Use Objectives and Measures.
  • CMS has clarified that a Full Year Reporting Period will required for PY2018 CQMs.

Clinical Quality Measures
  • Eligible Professionals must utilize a Full-Year reporting period for reporting Clinical Quality Measures in Program Year 2018.
  • The only exception to this requirement is for providers meeting Meaningful Use for the first time in PY2018. This is possible for providers who have skipped one or more years of PIP/EHRIP participation since receiving their initial Year 1 incentive payment. Providers meeting MU for the first time in PY2018 may utilize a 90-day CQM reporting period.
  • The total number of available CQMs to select from remains 53. There are no domain requirements. A MAPIR screenshot of all CQMs available for Eligible Professionals in Program Year 2018 is here:
    PY2018 CQMs in MAPIR

Public Health Objective Reporting

A provider may utilize a combination of measure reporting and measure exclusions to pass the Public Health Objective. Please review the detailed guidance, screenshots and Documentation Aids available at our webpage: Public Health Reporting in PY2018

Security Risk Analysis

Eligible professionals must conduct or review a security risk analysis for each EHR reporting period to ensure the privacy and security of their patients’ protected health information. All PY2018 attestations must include a Security Risk Analysis document that was reviewed or conducted  by December 31, 2018

For guidance and a printable SRA Tool, see our Security Risk Analysis webpage:

Objectives that Allow Actions Outside the 90-Day EHR Reporting Period

For those providers challenged to meet revised, higher thresholds for certain Meaningful Use measures in Program Year 2017, remember that the data on certain actions can be included even if the action occurred before, during or after the 90-day EHR Reporting Period (but within the calendar year). Each objective’s specification sheet lists the information under the ‘Additional Information’ section of any objective that allows this. The following objectives for Modified Stage 2 in Program Year 2018 include this option:

  • Objective 1 - Protect Patient Health Information
  • Objective 5 - Health Information Exchange
  • Objective 6 - Patient-Specific Education
  • Objective 8 – Patient Electronic Access; Measure 2 – Patient View/Download/Transmit
  • Objective 9 - Secure Electronic Messaging

In order to provide the necessary documentation to support inclusion of the data, the EHRIP Team requests a data file that verifies that the action that occurring outside the EHR Reporting period during the calendar year is valid for a patient seen during the 90-day EHR reporting period. For guidance on documenting and reporting data, please contact the Vermont Medicaid EHRIP Team:

A complete listing of Meaningful Use measures for Modified-MU2 and MU3 in 2018 is available here: ActionsAllowableOutside90DayEHR_ReportingPeriod

CMS Guidance for Program Year 2018 EHRIP Reporting Requirements

Providers Concluding the Vermont Medicaid EHRIP: What's Next?

Congratulations to all those providers who have completed the six years of their eligibity with the Medicaid Promoting Interoperability/EHR Incentive Program!

Providers finishing their incentive payments for meeting Meaningful Use in the PIP/EHRIP, please keep in mind that other quality programs still exist. If providers also see Medicare patients, the Merit-based Incentive Payment System has replaced Medicare reporting for the Medicare EHR program, Physician Quality Reporting System and the Value-Based Payment Modifier. The Quality Payment Program is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and includes two tracks — Advanced Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS).

If you have questions or need assistance with determining eligibility or requirements, visit the Quality Payment Program to find out if providers should participate in MIPS at

For questions, contact the Vermont PIP/EHRIP Team at

Back to the Vermont Medicaid PIP/EHRIP Home Page

(Page last updated 10/29/2018)