Audit and Supporting Documentation

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 requires states to conduct audits of payments to providers and hospitals participating in the incentive program. HHSC has contracted with the CPA firm of Davila, Buschhorn & Associates, P.C. to conduct audits of incentive payments on behalf of the State. Representatives of Davila, Buschhorn & Associates, P.C. will be contacting providers who have been selected for audit. If you receive a notice of audit, please respond within ten days with all requested information. The information you provide will be used for the sole purpose of the Texas Medicaid EHR Incentive Program audits.

How Long to Keep Documentation?

According to the Meaningful Use Final Rule, providers should keep documentation supporting their attestation in the EHR Incentive Program for six years for each year of attestation.

What Documentation to Upload to the Portal?

All providers must upload documentation demonstrating Adopt, Implement, or Upgrade to a certified EHR system. During the attestation process, some providers may be required to upload additional information related to Medicaid volume or other eligibility and meaningful use requirements.

FQHC and RHC Providers

Providers who practice predominantly at a federally qualified health center (FQHC) or rural health clinic (RHC) and are attesting to clinic volume are required to upload documentation verifying clinic volume.

Additional Resources – Texas Medicaid EHR Incentive Program

  •  Learn about program rules and steps by using the self-paced e-learning module at:
  •  Visit the Texas Medicaid Health IT website for updates on the EHR Incentive Program and other health IT initiatives.
  •  For more information about MU documentation or other program questions, contact: or call 1-855-831-6112.