Promoting Interoperability

The federal Centers for Medicare and Medicaid Services Promoting Interoperability (PI) Program (formerly the Electronic Health Record (EHR) Incentive Program) provides financial incentives to providers if they use a certified EHR to capture and use patient data meaningfully for care coordination, patient engagement, and quality improvement purposes.

How can NC HealthConnex Help?

While a connection to NC HealthConnex alone does not satisfy any single objective for an eligible professional or hospital attesting to the NC Medicaid EHR Incentive Program (part of the CMS PI Program), use of the HIE and its features supports achievement of various objectives, and assists providers in meeting specific measures for two main objectives.

Objectives and supporting NC HealthConnex functionality for PI program year 2019

Objective NC HealthConnex Functionality
Health Information Exchange
  • Electronic care transitions to outside EHRs via the NC HealthConnex Direct Secure Messaging XDR (EHR-integrated) service*
  • Provider Directory with more than 20,000 searchable providers available through the NC HealthConnex Portal and sent to full NC HealthConnex participants directly for use within their EHRs (updated quarterly)
  • Query-based retrieval of patient records within NC HealthConnex by providers at the point of care
  • Reports on EHR-integrated participants’ delivery notification messages for additional backup documentation/audit logging
Public Health and Clinical Data Registry Reporting
  • Automated reporting to the NC Immunization Registry (NCIR) from the provider EHR, and query from within the EHR patient record of vaccine history and NCIR recommendations
  • Daily automated electronic lab reporting from hospitals to the NC Division of Public Health
  • Automated reporting to the Diabetes Specialized Public Health Registry, developed in partnership with the NC Division of Public Health (access/reporting to additional registries, including the NC Controlled Substances Reporting System, are planned for 2019)
 * Note: Providers who currently use other solutions for electronic care transitions may choose to continue using their current solutions or leverage this feature through NC HealthConnex, available at no cost with a full participation agreement.


In addition to assisting with documentation for the above objectives for incentive payments and audits of payments, NC HealthConnex supports its participating providers in achieving the overarching goals of the Promoting Interoperability and other quality programs by protecting contributed electronic patient health information per applicable federal standards, providing access to a more complete medication and health history from other places of care, and better informing a provider’s choice of patient education materials or clinical support tools through a longitudinal view of a patient’s health record across care settings statewide.

Training assistance

To ease provider burden associated with participating in the PI Program, NC Medicaid and the NC HIEA have partnered with NC Area Health Education Centers (AHEC) to provide practice support and training services. The NC HIEA anticipates expanding the scope and reach of these training services specific to NC HealthConnex in 2019 and beyond.


While certified EHRs used to comply with NC Medicaid EHR Incentive Program requirements can produce all necessary reports and documentation to support achievement of the objectives/measures, NC HealthConnex supports providers with care transitions and public health submission documentation for attestation, and other specific documentation requests in the case of a state or federal audit.

For questions or more information about how NC HealthConnex supports providers with PI requirements, contact us at (919) 754-6912.

More Information

To receive incentive payments, NC Medicaid providers will continue to attest to meeting Meaningful Use objectives via the NC-Medicaid EHR Incentive Payment System (NC-MIPS).

For more information about attestation and objectives and measures, visit

NC Medicaid EHR Incentive Program website

NC Division of Public Health’s Meaningful Use website

Centers for Medicare and Medicaid Services (CMS) Promoting Interoperability website

Questions Regarding Medicaid?

Medicaid Meaningful Use (MU):

Medicare Meaningful Use (MU):

Health Information Technology (HIT):

Providers with Medicaid related questions are referred to NCTracks. Contact information:

GDIT Call Center Toll Free Number:  800-688-6696

GDIT Call Center E-Mail Address: