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Need to create an SLR account?

Need to create an SLR account?

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

Already have an SLR account?

Already have an SLR account?

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

Mail signed original Alaska Medicaid EHR Incentive Program Attestation Form, Substitute Form - W9 and EDI Payment Agreement Form (if applicable) to:

State of Alaska Department of Health and Social Services Division of Health Care Services EHR Incentive Program Office 3601 C Street Suite 902 Anchorage, AK 99503

Let’s get started!

Please select your role. more info more info…

Below are the step by step instructions on how to complete the registration process. Adobe PDF Click here to print this list.

Below are the step by step instructions on how to complete the registration process. Adobe PDF Click here to print this list.

Below are the step by step instructions on how to complete the registration process. Adobe PDF Click here to print this list.

  1. You’ll need a Provider Enrollment, Chain, & Ownership System (PECOS) ID to complete your CMS EHR Incentive Program Registration. Register for a PECOS ID here.
  2. Locate the National Provider Identified (NPI) and Tax Identification Number (TIN) you’ll need to register at CMS’s EHR Incentive Program Registration site. You’ll also need this to create an SLR account.
    If you don’t have an NPI, visit CMS’s site to apply for one. Need a TIN? Visit IRS.gov.
  3. Register at CMS’s EHR Incentive Program Registration site.
  4. Eligible Professionals – Learn How to Attest in the Alaska Medicaid State Level Registry
  5. Eligible Hospitals – Learn How to Attest in the Alaska Medicaid State Level Registry
  6. You must have an active Alaska Medicaid Provider Number. To enroll or check the status of your enrollment, visit the enrollment site.
  7. more info 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 individual patient volume.
  8. Identify the NPI and TIN for each provider in your practice.
  9. Create or locate an electronic copy of your signed contract with a vendor for the purchase, implementation or upgrade of a certified EHR system.
  10. Locate information related to your medical license such as your license number and effective dates.
  11. Identify an individual who will be the contact for your application - you’ll need their name, phone and email.
  12. more info Determine the Medicaid Patient volume you’ll be reporting.
  13. more info Determine the Medicaid Patient volume you’ll be reporting.
  14. more info Determine the Medicaid Patient volume you’ll be reporting.
  15. Locate the three most recent years of cost report data.
  16. Determine which method of Certified EHR technology you will be attesting to — more info adopt, more info implement, or more info upgrade.
  17. Certified EHR info — verify that your system is on the list from ONC.
  18. Create an SLR account to register for the Alaska Medicaid EHR Incentive Program.
  19. Ensure that you have access to a scanner or electronic faxing technology such as RightFax™.
  20. more info Contact the Alaska Medicaid EHR Incentive Program Office if you have questions or would like to set up a meeting to discuss the Alaska Medicaid EHR Incentive Program registration and attestation process.
  21. Mail signed original Alaska Medicaid EHR Incentive Program Attestation Form, Substitute Form - W9 and EDI Payment Agreement Form (if applicable) to:
    State of Alaska Department of Health and Social Services Division of Health Care Services EHR Incentive Program Office 3601 C Street Suite 902 Anchorage, AK 99503

The following workbooks are designed to help you in gathering the necessary attestation information:

It’s as easy as 1, 2, 3   4 & 5  ;-)

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

CMS

Beginning January 3, 2011, the Electronic Health Record (EHR) Information Center will be open to assist the EHR Provider Community with both program and system inquiries from 7:30 a.m. – 6:30 p.m. (Central Time) Monday through Friday, except federal holidays, at 1-888-734-6433 (primary number) or 888-734-6563 (TTY number). Adobe PDF more info…

CMS EHR Incentive Program Registration site

Office of the National Coordinator for Health Information Technology (ONC)