Required Documentation to Attest to Meaningful Use

As an eligible professional (EP) moving forward in the Texas Medicaid Electronic Health Record (EHR) Incentive Program from Adopt / Implement / Upgrade (AIU) to Meaningful Use (MU) Stage 1 and beyond, it is important to maintain auditable records to support your attestation. To receive MU incentives, EPs must show that they are meaningfully using the certified EHR technology by reporting on MU and clinical quality measures.

The following are the required documents that must be uploaded into the Texas Medicaid EHR Incentive Program portal at the time of your MU attestation:

Numerator / Denominator Measures (Core and Menu)

For the numerator/denominator measures, please upload into the portal an EHR‐generated summary MU report, if available, that shows the numerator and denominator for each measure reported. If some measures are not included in the summary report, please generate separate reports or other auditable documentation for those measures. For example, screenshots showing an MU dashboard with reported measures/values would also be acceptable. Please ensure that the report date matches your EHR reporting period and that the report data values are for the attesting provider only.

Measures that are reported with the numerator and denominator include:

  •  Computerized Physician Order Entry (CPOE)
  •  Maintain problem list
  •  E‐prescribing
  •  Active medication list
  •  Medication allergy list
  •  Record demographics
  •  Record vital signs
  •  Record smoking status
  •  Provide electronic copy of health information
  •  Provide clinical summaries
  •  Incorporate clinical lab test results
  •  Patient reminders
  •  Patient electronic access
  •  Patient‐specific education resources
  •  Medication reconciliation
  •  Transition of care summary

Yes / No Measures (Core and Menu)

For the yes/no measures, Texas Medicaid requires documentation for the following measures:

  •  Drug/drug and drug/allergy interaction checks enabled: Provide documentation such as a screenshot or configuration page showing this functionality has been turned on at the time of attestation.
  •  Implement Clinical Decision Support (CDS) rule: Provide a screenshot or other documentation showing a CDS rule has been configured. For example, you might upload a screenshot from your EHR configuration panel showing a CDS rule has been implemented.
  •  Conduct security risk analysis: Provide a copy or documentation of your security risk analysis.
  •  Generate patient lists: Provide a screenshot of the list or upload the actual list. NOTE: Personal Health Information (PHI) must first be removed in all cases.
  •  Public health registry tests: For Immunization, electronic lab reporting (ELR) and syndromic surveillance, provide documentation (email, letter, etc.) from the public health agency acknowledging the test or ongoing submission. For Immunization, also provide your IMMTRAC ID number.
  •  Drug formulary checks: Documentation is not required at the time of attestation; however, EPs should maintain an auditable record demonstrating that this measure was achieved.

Clinical Quality Measures (CQMs)

You may upload documentation for your reported CQMs; however, it is not required during attestation.

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.