ND Medicaid Promoting Interoperability (PI) Program


Medicaid Promoting Interoperability (PI) Program

First-time registration for eligible professionals (EPs) and eligible hospitals (EHs) for the ND Medicaid PI Program ended in 2016. If you registered and attested by 2016 as an EP and have not received all 6 payments, you are eligible to attest for program year (PY) 2021. If you are unsure if you have received all 6 payments, please contact the ND PI Program using the information provided at the bottom of this web page.


At this time, the Medicaid PI Program is no longer accepting attestations from hospitals. EHs were required to attest for consecutive years after 2016. 


CMS Promoting Interoperability Programs Registration Systems

Each program year that an EP is attesting, the EP should confirm that all registration information is up-to-date by logging into the Promoting Interoperability Programs Registration Systems provided by CMS. Please navigate to the registration system and log-in to confirm that all provider information is updated by using the following link: https://ehrincentives.cms.gov/hitech/loginCredentials.action


The PY 21 attestation period is scheduled to be open from 7/1/2021 - 8/31/2021


ND Attestation Portal Login


General Requirements for Program Year 2021:

Medicaid Patient Volume Reporting Requirements:

  • Any 90-day period during the calendar year 2020 or falling within the 12 months preceding the attestation submission date. For example, anytime within the 12 months before the date the attestation was submitted.
  • Acceptable date ranges for Program Year 2021 based on above requirements:
    • Any 90-day period during calendar year 2020 or falling within the 12 months preceding the attestation submission date.
    • Examples of acceptable patient volume reporting ranges for program year 21 include but are not limited to:
      • 4/1/2021- 6/29/2021 (any 90-day period within 12 months preceding attestation date)

      • 1/1/2020- 3/30/2020 (Any 90-day period during 2020)

  • An excel spreadsheet of all encounters for the 90-day patient volume period must be uploaded to SLR.
  • 30% Medicaid patient volume for all eligible providers must be met or 20% for pediatricians.


EHR Dashboard Reporting Requirements:

  • Provide an EHR generated dashboard depicting the 8 objectives and 6 electronic clinical quality (eCQM) measures.
    • All objectives and eCQMs must also be entered into the SLR.

    • The EHR Reporting Period for Program Year 2021 is any consecutive 90-day period between January 1, 2021 and August 31, 2021.

  • eCQM requirements: EPs must report on 6 of the approved available eCQMs.
    • National Quality Strategy domain requirement has been removed and EPs must attest to 6 eCQMs that are relevant to the EP's scope of practice.
    • EPs are required to report to at least one outcome measure. If no outcome measures are relevant to the EP, they must report on at least one high-priority measure. If there are no outcome or high-priority measures relevant to an EP's scope of practice, they must report on any six relevant measures.


Program year 2021 Outcome Measures are listed in the table below:

Year Type CMS eCQM ID Measure Name


EP/EC CMS75v9 Children Who Have Dental Decay or Cavities
2021 EP/EC CMS133v9 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
2021 EP/EC CMS159v9 Depression Remission at Twelve Months

All available eCQMs are listed in the SLR.