The Centers for Medicare and Medicaid Services (CMS) recently published a proposed rule (Proposed Rule) implementing Stage 3 of the Medicare and Medicaid electronic health record (EHR) Incentive Programs (Meaningful Use Programs). Under the Proposed Rule, CMS aims to streamline and simplify the Meaningful Use Programs for providers. CMS proposes that, beginning in 2018, Stage 3 will be the final (and only) stage in the Meaningful Use Programs. Providers are required to attest to a single set of eight objectives, and the reporting period for all providers is a full calendar year, with limited exceptions described below. CMS also proposes changes to give providers flexibility in transitioning to Stage 3.

CMS is seeking public comments regarding the Proposed Rule, which are due by May 29, 2015.

STAGE 3 OVERVIEW -

All providers that receive payments from Medicare or Medicaid must satisfy the applicable requirements of the Meaningful Use Programs or be subject to reduced Medicare or Medicaid reimbursements. Providers are currently able to participate in Stage 1 or Stage 2 of the Meaningful Use Programs. The Proposed Rule eliminates Stages 1 and 2 in 2018, and all providers will be required to participate in Stage 3 in 2018 and all subsequent years of the Meaningful Use Programs. Even providers demonstrating meaningful use for the first time in 2018 (or later) must meet the requirements, objectives, and measures of Stage 3. Providers will have the choice of participating in Stage 3 in 2017 but will not be required to do so until 2018.