Attestations

After registering with CMS though the National Level Repository (NLR), providers will be directed to the New Jersey Medicaid provider portal to submit their New Jersey Medicaid Promoting Interoperability Program attestation information and applicable supporting documentation.  All information entered into the attestation application may be subject to audit that could result in payment recoupment. Providers will have to re-attest each participation year prior to receiving an incentive payment.

Eligible professionals will attest to the following criteria:
  • The eligible professional is licensed in the State of New Jersey and not currently under sanction.
  • The eligible professional is one of the Medicaid Promoting Interoperability Program eligible provider types recognized in the State of New Jersey and is not a hospital-based professional.
  • The eligible professional's percentage of Medicaid encounters or Needy Individual patient volume is equal to or greater than 30%, unless the eligible professional is a pediatrician.  Pediatricians are eligible for 2/3 of the full incentive payment amount if their Medicaid encounter percentage is between 20% and 30%.
  • Only providers practicing predominantly in an FQHC may use the more expansive "Needy Individual" patient encounter measure and only if 50% of the providers' encounters take place in an FQHC over any six month period in the most recently completed calendar year.
  • The provider is not currently receiving an incentive payment from another state, under another NPI number, or through the Medicare Promoting Interoperability Program.
  • The eligible professional has adopted, implemented, or upgraded a certified EHR. (Year 1 Only)
  • The EHR product used is certified and the eligible professional provided a Certified HIT Product List (CHPL) number).
  • The eligible professional attests to meeting the meaningful use criteria associated with his/her year of participation and applicable stage. (Year 2-6 Only)
  • The eligible professional has confirmed assignment of his/her payment to another TIN and agrees to this assignment, if applicable.
  • The eligible professional attests that all information entered into 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 2-6 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.

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

An eligible professional 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
  • Certified HIT Product List (CHPL) number which verifies that the EHR is ONC-ATCB certified,
  • 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
  • Screenshot of drug-drug and drug-allergy interaction checks (Stage 2 providers)
  • 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)
Last Reviewed: 5/9/2018