Registration & Attestation

As the Medicaid EHR Incentive Program is administered as a partnership between CMS and state Medicaid agencies, registration and attestation are two separate but related processes. The program requires Eligible Professionals (EPs) and Eligible Hospitals (EHs) to:

  1. Register for the program at the federal level using the CMS Registration & Attestation System.
  2. Complete annual attestations at the state level via MAPIR, the Medical Assistance Provider Incentive Repository

Registration via CMS System

To participate, an EH or EP must first register with the CMS Registration and Attestation System either directly or through a designee authorized to attest on their behalf. The information entered into the registration (name, address, NPI, etc) will be matched against their profile in the Massachusetts Medicaid Management Information System (MMIS).

If there are no discrepancies, the designee will receive a "Welcome to MAPIR" email with instructions about how to access MAPIR, the state's attestation system.  

Attestation via MAPIR System

To complete the annual attestation process, EPs and EHs in Massachusetts need to log in to MAPIR via the Provider Online Service Center on the MassHealth website, using their Virtual Gateway username and password. The MAPIR system guides participants in entering the attestation information that demonstrates that they meet the program requirements: 

  • The first year of participation, EPs and EHs need to attest that they meet the program's eligibility criteria, and demonstrate they have Adopted, Implemented, or Upgraded to (A/I/U) Certified EHR Technology (CEHRT). As of 2014, participants have the option to immediately attest to Meaningful Use in the first year, skipping A/I/U attestation.

          Adopt: Acquired, purchased or secured access to CEHRT
          Implement: Installed or initiated the use of CEHRT
          Upgrade: Expanded the functionality to CEHRT

  • In participation years 2 through 6, EPs and EHs need to attest that they still meet the program's eligibility criteria, and demonstrate the Meaningful Use of CEHRT. 

A list of federally Certified EHR Technology is maintained by ONC on the ONC CHPL website. In 2014 and beyond, all EPs and EHs must submit documentation demonstrating that their EHR technology is certified according to ONC’s 2014 Edition Certification criteria, regardless of which stage of Meaningful Use they have reached.

Registration and Attestation Tools

EHR Toolkit

Go to the Meaningful Use Toolkit in the Education section for additional registration and attestation information.

Program Assistance

MassHealth has contracted with MeHI to administer the application and attestation process. If you have any difficulties navigating the process, please contact the MeHI Medicaid EHR Incentive Program Operations staff via email or call Monday through Friday from 9:00am to 4:30pm.


Virtual Gateway Assistance

When experiencing problems with a username or password for MAPIR, please contact the Virtual Gateway Customer Service, Monday through Friday from 8:30am to 5:00pm.