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Medicare Promoting Interoperability Program Hardship Exception Application

Centers for Medicare and Medicaid Services
Sep 30, 2024


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

Fact sheet


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.

CAH applications must be submitted by November 30, 2024.

Applications from other eligible hospitals must be submitted by September 30, 2024.

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

Resources (1)

  • Medicare Promoting Interoperability Program Hardship Exception Fact Sheet, view details

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.