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Path to Payment

Eligible professionals (EP) could have received up to $63,750 through the Promoting Interoperability Program.   The timeline for receiving incentive EP payments is illustrated below:

Year CY 2011 CY2012 CY 2013 CY 2014 CY 2015 CY 2016
CY 2011 $21,250 $0 $0 $0 $0 $0
CY 2012 $8,500 $21,250 $0 $0 $0 $0
CY 2013 $8,500 $8,500 $21,250 $0 $0 $0
CY 2014 $8,500 $8,500 $8,500 $21,250 $0 $0
CY 2015 $8,500 $8,500 $8,500 $8,500 $21,250 $0
CY 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250
CY 2017 $0 $8,500 $8,500 $8,500 $8,500 $8,500
CY 2018 $0 $0 $8,500 $8,500 $8,500 $8,500
CY 2019 $0 $0 $0 $8,500 $8,500 $8,500
CY 2020 $0 $0 $0 $0 $8,500 $8,500
CY 2021 $0 $0 $0 $0 $0 $8,500
Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750

Note: Pediatricians receive 2/3 of the incentive payments above. For any given year that a pediatrician attests to 30% or more Medicaid encounters, the pediatrician shall receive the full incentive above.

Eligible Hospitals' payments varied depending on each hospital's data. For more information on how the hospital aggregate incentive amount is calculated, please review the CMS Medicaid Hospital Incentive Payment Calculations Tip Sheet (pdf).

HFS disbursed EH incentive payments according to the following payment schedule:

Percentage of the overall EHR amount to be paid, by payment schedule and year

Payment Schedule Year 1 Year 2 Year 3 Year 4 Year 5
A 25% 25% 20% 15% 15%
B 40% 30% 20% 10% 0%
E 50% 40% 10% 0% 0%

Schedule A above was the default payment schedule for EHs.    Please see the Promoting Interoperability Program Illinois Toolkit for more information about how to qualify for the expedited schedule.