Attestations

After registering with CMS through the National Level Repository (NLR), hospitals will be directed to the New Jersey Medicaid Attestaion Application (available through the provider portal section of www.njmmis.com) to submit their New Jersey Medicaid Promoting Interoperability Program attestation information and applicable supporting documentation.  Hospitals will have to re-attest each participation year prior to receiving an incentive payment.

Eligible hospitals will attest to the following criteria:
  • The Acute Care Hospital meets or exceeds the required 10% Medicaid patient volume threshold.
  • The eligible hospital is not currently receiving an incentive payment from another state for that federal fiscal year.
  • The eligible hospital has adopted, implemented, or upgraded a certified EHR. (Year 1 Only)
  • The eligible hospital attests to meeting the meaningful use criteria associated with the facility's year of participation and applicable stage. (Year 2-3 Only)
  • The EHR product used is certified and the eligible hospital provided a Certified HIT Product List (CHPL) number, available at http://onc-chpl.force.com/ehrcert.
  • The eligible hospital attests that all information provided to the New Jersey Medicaid Promoting Interoperability Program Attestation Application is accurate and complete.
Applicable Supporting Documentation Formats

New Jersey will require applicable documentation as a mandated component of the Medicaid Promoting Interoperability Program attestation process. This documentation should include the formal contract or purchase order used to establish adoption, implementation, or upgrading of certified EHR technology and include any material supporting the provider's patient volume calculation and the achievement of meaningful use (for payment years 2-3 only). This information can be uploaded at the time of submission and the application allows a variety of file formats, including but not limited to:

  • Microsoft Excel files
  • Microsoft Word files
  • Adobe PDF files
  • Other image files in both JPG and PNG file formats (TIF, TIFF or BITMAP named files will not be accepted due to concerns over file size)

Tip: All files will need to have date and time of creation noted, preferably on the image itself. If not noted on the image, the date/time will be derived from the file properties. Files are limited in size to 10MB.

Providers should keep all documentation supporting attestation for 6 years in case of audit.

An eligible hospital can demonstrate adoption, implementation and upgrade activities through any of the following:
  • Acquiring, purchasing or securing access to certified EHR technology
  • Installing or commencing utilization of certified EHR technology capable of meeting meaningful use requirements
  • Expanding the functionality of certified EHR technology capable of meeting meaningful use requirements at the practice site, including staffing, maintenance, and training, or upgrading from existing EHR technology to certified EHR technology per the ONC EHR certification criteria.
Documentation required for attestation for adoption, implementation, and upgrading of certified EHR technology includes, but is not limited to:
  • Documentation supporting submitted patient volume data
  • Certified HIT Product List (CHPL) number which verifies that the EHR is ONC-ATCB certified,
  • a signed contract,
  • purchase order,
  • training invoice,
  • screenshots, or
  • other documentation of adoption, implementation, or upgrade activities.
Documentation required for meaningful use attestation includes, but is not limited to:
  • Documentation supporting submitted patient volume data
  • Meaningful use report of all objectives and measures entered for the reporting period, also referred to as meaningful use dashboard report (required)
  • Clinical quality measures report entered for the reporting period
  • Security risk analysis or assessment within the calendar year of the reporting period
  • Screenshot of clinical decision support rule/s
  • Immunization registry active engagement documentation (if selected as a Public Health measure)
  • Syndromic surveillance active engagement documentation (if selected as a as a Public Health measure)
  • Specialized registry active engagement documentation (if selected as a as a Public Health measure)
  • Electronic reportable laboratory result active engagement documentation (if selected as a as a Public Health measure)
Last Reviewed: 5/9/2018