The EHR Incentive Program includes both Medicare and Medicaid. However, the Medicare EHR Incentive Program differs from the Medicaid EHR Incentive Program in a few ways. The Medicare EHR Incentive Program has a maximum incentive amount of $44,000 across five years of program participation. Additionally, payment reductions begin in 2015 for providers who are eligible but choose not to participate. During the first year and the remaining years, providers have objectives they must achieve in order to get incentive payments.
On the other hand, the Medicaid EHR Incentive Program is different in that each state runs its own program with a maximum incentive amount of $63,750 across six years of program participation. Unlike Medicare, there are no Medicaid payment reductions if you choose not to participate. But, in the first year, providers can receive an incentive payment for adopting, implementing, or upgrading a certified EHR. In the remaining years, providers have objectives to achieve, similar to Medicare. For more information about the differences between the Medicare and Medicaid Incentive Programs and to find out if you’re eligible to participate, click here.