Texas Health and Human Services Commission


Pediatric Dentists Approved to Participate in Texas Medicaid Electronic Health Record Incentive Program

Pediatric dentists who want to participate in the Texas Medicaid Electronic Health Record Program can qualify with a lower Medicaid patient volume threshold than most other eligible professionals (EP), though their incentive payment will be lower, too. The program provides incentive payments to health care providers when they adopt, implement or upgrade (AIU) certified electronic health record technology (CEHRT) and use the technology in a way that meets the program’s standard of meaningful use (MU).

Most professionals eligible for the incentive program must demonstrate a minimum Medicaid patient volume of 30 percent. There are exceptions for pediatricians and those professionals who practice in federally-qualified health centers or rural health clinics. Texas has obtained approval from the U.S. Centers for Medicare and Medicaid Services (CMS) to include pediatric dentists in the definition of pediatricians for the purposes of the incentive program. That means pediatric dentists can participate in the program with a minimum 20 percent Medicaid patient volume, and receive two-thirds of the full incentive payment. Pediatricians, and pediatric dentists, who have Medicaid patient volume of 30 percent or higher will receive the entire incentive payment.

A pediatric dentist must either be board certified in pediatric dentistry or have completed a residency in pediatric dentistry.

Additional Resources – Texas Medicaid EHR Incentive Program

* Learn about program rules and steps by using the self-paced e-learning module at: www.texasehrincentives.com.
* 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: support@tmhp-mi.com or call 1-855-831-6112.