Medicare Promoting Interoperability Program Hardship Exception Application
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QPP@cms.hhs.gov
866.288.8292
CMS eligible hospitals and Critical Access Hospitals (CAHs) may be exempted from the Medicare Promoting Interoperability payment adjustment if they can show that compliance with the requirement for being a meaningful EHR user would result in a significant hardship. Eligible hospitals and CAHs may submit a hardship exception application each year for a maximum of 5 years.
Reasons for a hardship exception include:
- Using decertified EHR technology
- Insufficient internet connectivity
- Extreme and uncontrollable circumstances
CMS eligible hospitals and Critical Access Hospitals that can cite one of the reasons listed above may apply for a hardship exception.
If approved, the hardship exception is valid for one payment adjustment year. Eligible hospitals and CAHs would need to submit a new application for subsequent years, and no entity can be granted an exception for more than 5 years.
Links to additional guidance and the online hardship exception application is available on the program website.
CAH applications must be submitted by November 30, 2024.
Applications from other eligible hospitals must be submitted by August 31, 2024.
Related Content
Resources (1)
- Medicare Promoting Interoperability Program Hardship Exception Fact Sheet, view details
Organizations (1)
- Centers for Medicare and Medicaid Services, view details
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