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A N N O U N C E M E N T : The Electronic Health Records (EHR) Incentive Program has been renamed.
Promoting Interoperability (PI) Program.
CMS is proposing to focus on interoperability, improve flexibility, relieve burden, improving patients' access to health information and place emphasis on measures that require the electronic exchange of health information between providers and patients. To better reflect this new focus, CMS is renaming the EHR Incentive Programs to the Promoting Interoperability (PI) Programs

What is the Promoting Interoperability (PI) Program
The PI program was established by the Health Information Technology for Economic and Clinical Health (HITECH) Act of the American Recovery & Reinvestment Act of 2009. The program aims to transform the nation's health care system and improve the quality, safety and efficiency of patient health care through the use of electronic health records.

Effective July 13, 2010, the U.S. Department of Health Services (HHS), the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator (ONC) released the final rule providing the parameters and requirements for the Medicaid PI program under the HITECH Act. The ARRA authorizes states to provide for incentive payments to Medicaid providers for adopting, implementing, or upgrading certified Electronic Health Records (EHR)technology or for the meaningful use of such technology.

The Department of Social Services (DSS) has developed a system to manage incentive payments for Connecticut's eligible providers. The Medicaid PI Incentive Program was launched with CMS on July 4, 2011. Providers begin by registering with the CMS EHR Incentive Program Registration and Attestation (R&A) System site.

Click here for more information on the CT Medicaid Promoting Interoperability Program

CT Medical Assistance Provider Incentive Repository (MAPIR) System
MAPIR was developed in collaboration with 14 other Medicaid states by Gainwell Technologies. MAPIR is a Web based application that interfaces with the CMS EHR Incentive Program Registration and Attestation System for the exchange of data regarding both Eligible Professionals (EPs) and Eligible Hospitals (EHs). MAPIR is the repository for the Medicaid PI Program attestations and through which DSS determines eligibility and authorizes incentive payments.

EPs and EHs have been able to access MAPIR via the secure provider portal since September 1, 2011.

Providers applying to the PI Program MUST first begin by registering with CMS' EHR Incentive Program Registration and Attestation System (CMS R&A). The CMS R&A can be found here:

After the provider registers with CMS, MAPIR matches the data supplied by CMS R&A to the EP/EH data in the MMIS. Once matched, providers will be notified, via email when they are able to begin the CT Medicaid PI registration in MAPIR.

Please Note: 2016 was the last year a provider could start in the Medicaid PI program. The CMS R&A system has remained open to providers to modify their existing registrations. The program runs through 2021.
Providers are required to upload certain documentation in MAPIR. For more information on required documentation and program requirements visit

If an EP does not have a logon ID to the secure provider portal and plans to apply to the Medicaid PI Program, please contact Gainwell Technologies at

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