Eligibility
Who is eligible for ARRA incentives?
Only clinicians who are Medicare or Medicaid providers are eligible.
Medicare: A Medicare Eligible Provider is defined as a doctor of medicine or osteopathy, doctor of dental surgery or dental medicine, doctor of podiatry, doctor of optometry, or a chiropractor who is not hospital-based. A Medicare Eligible Provider is considered hospital-based if 90% or more of the provider’s services are performed in a hospital inpatient or emergency room setting.
Medicaid: A Medicaid Eligible Provider is defined as a physician, nurse practitioner, certified nurse-midwife, dentist, or physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant. To qualify for an EHR incentive payment, a Medicaid Eligible Provider must not be hospital-based and must meet one of the following criteria:
- Have a minimum 30% Medicaid patient volume*
- Have a minimum 20% Medicaid patient volume, and is a pediatrician*
- Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30% patient volume attributable to needy individuals.
A Medicaid Eligible Provider is considered hospital-based if 90% or more of the provider's services are performed in a hospital inpatient or emergency room setting.
* Children's Health Insurance Program (CHIP) patients do not count towards the Medicaid patient volume criteria.
