A POPULATION HEALTH MANAGEMENT COMPANY

Who are eligible professionals and hospitals?

UNDER MEDICARE

Eligible Professionals

  • Doctor of medicine or osteopathy
  • Doctor of dental surgery or dental medicine
  • Doctor of podiatry
  • Doctor of optometry
  • Chiropractor

Eligible Hospitals

  • “Subsection (d) hospitals” in the 50 states or DC that are paid under the Inpatient Prospective Payment System (IPPS)
  • Critical Access Hospitals
  • Medicare Advantage (MA-Affiliated) Hospitals

UNDER MEDICAID

Eligible Professionals

  • Physicians
  • Nurse practitioner
  • Certified nurse-midwife
  • Dentist
  • Physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant

Eligible Hospitals

  • Acute care hospitals (including CAHs and cancer hospitals) with at least 10% Medicaid patient volume
  • Children’s hospitals (no Medicaid patient volume requirements)

Reference: EHR Incentive Programs: Eligibility.  CMS.gov. Center for Medicare & Medicaid Services. Last Modified May 17, 2012.

Posted in: Meaningful Use