{"abstract":"This final rule specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and/or Medicaid electronic health record (EHR) incentive payments. In addition, it specifies payment adjustments under Medicare for covered professional services and hospital services provided by EPs, eligible hospitals, and CAHs failing to demonstrate meaningful use of certified EHR technology (CEHRT) and other program participation requirements. This final rule revises certain Stage 1 criteria, as finalized in the July 28, 2010 final rule, as well as criteria that apply regardless of Stage.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2012/09/04/2012-21050.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":413,"title":42},{"chapter":null,"citation_url":null,"part":495,"title":42}],"citation":"77 FR 53968","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective dates: This final rule is effective on November 5, 2012, with the exception of the definition of \"meaningful EHR user\" in Sec. 495.4 and the provisions in Sec. 495.6(f), Sec. 495.6(g), Sec. 495.8, Sec. 495.102(c), and part 495 subpart D, which are effective September 4, 2012.","disposition_notes":null,"docket_ids":["CMS-0044-F"],"dockets":[],"document_number":"2012-21050","effective_on":"2012-11-05","end_page":54162,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/09/04/2012-21050.xml","html_url":"https://www.federalregister.gov/documents/2012/09/04/2012-21050/medicare-and-medicaid-programs-electronic-health-record-incentive-program-stage-2","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2012-21050?publication_date=2012-09-04","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-09-04/2012-21050/mods.xml","not_received_for_publication":null,"page_length":195,"page_views":{"count":37443,"last_updated":"2026-07-26 16:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-09-04/pdf/2012-21050.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-21050.pdf?1345747330","publication_date":"2012-09-04","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/09/04/2012-21050.txt","regulation_id_number_info":{"0938-AQ84":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AQ84/medicare-and-medicaid-electronic-health-record-incentive-program-stage-2-cms-0044-p-","title":"Medicare and Medicaid Electronic Health Record Incentive Program--Stage 2 (CMS-0044-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AQ84&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AQ84"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AQ84/medicare-and-medicaid-electronic-health-record-incentive-program-stage-2-cms-0044-p-","title":"Medicare and Medicaid Electronic Health Record Incentive Program--Stage 2 (CMS-0044-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2012-0022","supporting_documents_count":0,"docket_id":"CMS-2012-0022","regulation_id_number":"0938-AQ84","title":"Electronic Health Record Incentive Program – Stage 2 \"Meaningful Use\"","checked_regulationsdotgov_at":"2012-09-24T06:00:07Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":53968,"subtype":null,"title":"Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2","toc_doc":"Electronic Health Record Incentive ProgramStage 2","toc_subject":"Medicare and Medicaid Programs:","topics":["Administrative practice and procedure","Health facilities","Health maintenance organizations (HMO)","Health professions","Kidney diseases","Medicaid","Medicare","Penalties","Privacy","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":77}