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Medicare Promoting Interoperability Program Hardship Exception Application

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Centers for Medicare and Medicaid Services
Sep 1, 2022


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
  • Lack of control over the availability of certified electronic health record technology (CEHRT)

CMS eligible hospitals and Critical Access Hospitals that can cite one of the reasons listed above may apply for a hardship exception.

Geographic coverage
Amount of funding

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.

Application process

Links to additional guidance and the online hardship exception application is available on the program website.

Tagged as
Critical Access Hospitals · Health information technology · Hospitals · Medicaid · Medicare · Reimbursement and payment models · Technology for health and human services

Organizations (1)

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.