American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Medicare vs. Medicaid Promoting Interoperability Programs

For information on how to participate in the Medicaid Promoting Interoperability program in your state, download the CMS state contacts list. Please note that 2016 was the last year to begin the Medicaid PI program. 2021 will be the final year for incentive payments relating to the Medicaid PI program.

The Medicare Promoting Interoperability program is now part of the Merit-based Incentive Payment System (MIPS) program. For more information on participation in MIPS and the PI category in MIPS, see the ACS Quality Payment Program Resource Center and the associated 2019 information.

Note: EPs who meet the eligibility requirements for both MIPS and the Medicaid PI programs are able to participate in only one program, and must designate which one they wish to participate in. At this point in the programs, there can be no changes in participation, as the Medicaid PI program is nearing completion, with 2021 being the final year to receive Medicaid PI incentive payments.

If you have further questions, please contact Molly Murray at mmurray@facs.org or 202-494-9023.