State Agencies | Online Services

Frequently Asked Questions

Meaningful Use Measures for Public Health: General Questions

1. How do I get started with Meaningful Use (MU) and the Quality Payment Program?
Eligible hospitals (EH), critical access hospitals (CAHs), eligible professionals (EPs), and eligible clinicians (ECs) interested in sending data to ODH to meet Meaningful Use (all stages) must register to submit data at before the 60th day of their reporting period. This can be done at one time for Immunization Registry Reporting, Syndromic Surveillance Reporting, Specialized Registry Reporting – Cancer Case Reporting, and  Electronic Reportable Laboratory Results Reporting.  After registration, ODH may invite you to begin the onboarding process immediately. You will be invited separately for each measure. It is also possible, depending on resources, that you will be placed in a queue for onboarding at a later time. In either situation, the Meaningful Use or Quality Payment Program measure is met, and you will receive an email indicating your current status. You may also log into to see your current status at any time.

2. What did the federal rule modifications released in October 2015 change for public health reporting?
The EHR Incentive Program—Stage 3 and Modifications to MU in 2015 through 2017 Final Rule brought several changes for public health reporting including aligning the stages to the same registration to submit data process, introducing the active engagement requirement, and moving Cancer Case Reporting to the Specialized Registry Reporting measure.

3. My facility previously participated in Meaningful Use but I am now part of the Quality Payment Program/MACRA/MIPS. Do I need to re-register to retain my active engagement status?
No. Re-registration is not required. The process of determining eligibility for Meaningful Use and the Quality Payment Program is the same regardless of program.

4. ODH released a new Meaningful Use (MU) policy effective on 4/25/2016. What are the differences between the old and new policy?
ODH’s MU policy was primarily updated to align with the Modifications to MU in 2015 through 2017 Final Rule including terminology changes such as active engagement and registration to submit data. In addition, it is no longer acceptable to submit a test file without registering to submit data to meet the Immunization Registry Reporting measure, and the syndromic surveillance exclusion for EPs in Stage 1 has been removed.

5. ODH made changes to its Meaningful Use (MU) website in March of 2017. Did any policies change?
ODH’s MU policies have not changed. The website was updated to include the addition of the MACRA/MIPS/Quality Payment Program language per federal rule changes. There have been no changes to which measures ODH is accepting for data submission.

6.Does my facility need to be sending production data to ODH for public health measures by the end of the reporting period to meet Meaningful Use or the Quality Payment Program?
No. There are three options to meet the active engagement requirement to meet the public health measures available through ODH: (1) Completed Registration to Submit Data, (2) Testing and Validation, and (3) Production. The active engagement requirement and steps outlined below apply to each measure separately. For example, an EH, CAH, EP, or EC may meet the active engagement requirement through option 3 (Production) for one measure and option 2 (Testing and Validation) for another.

7. If my facility is not sending production data by the end of the first year of Stage 2 Meaningful Use because we are awaiting an invitation from ODH or we are in the testing and validation stage, do I need to re-register to submit data for the second year of Stage 2 Meaningful Use?
No. ODH does not require facilities to re-register to submit data for any subsequent reporting period.

8. When will ODH invite my facility to begin testing and validation?
This depends on several factors including the volume of data to be sent by your facility, whether you can send data in one of ODH’s preferred transport methods, how familiar ODH is in working with your EHR, and availability of ODH resources.

9. How do I determine my current active engagement status for attestation purposes?
Go to to view your current status. Log in using the username and password created when you registered to submit data and follow the prompts to find your current status. In addition, ODH will send you an email when you are officially invited to begin the onboarding process. You will also get an email when you are moved to the testing and validation phase and when ODH determines that you have met the active engagement requirement. ODH recommends that providers retain these communications as they may be helpful in the event of an audit.

10. My medical facility is located in another state but we serve Ohio residents. Are we required to send data for Meaningful Use or the Quality Payment Program to Ohio?
No. In general, providers should send data to the jurisdiction where their facility is located. In some cases, ODH would be interested in accepting data from an out-of-state facility that serves Ohio residents, but this is not required for Meaningful Use or the Quality Payment Program. However, providers should follow all applicable rules for Ohio public health reporting as outlined in Chapters 3701-3 and 3701-4 of the Ohio Administrative Code ()

11. Do each of my EPs or ECs need to enroll, register, test and onboard separately?
No. ODH enrolls locations, not providers. A representative from a location or a group of locations can create an account at to request enrollment and formally register to submit data at ODH.

12. Is the reporting period for Meaningful Use and the Quality Payment Program 90 days or 365 days?
Please refer to the Centers for Medicare and Medicaid Services website for details on reporting period as the answer to this question can change based on updates to federal rules. As of March 2017, the reporting period length for both 2016 and 2017 is set at 90 days.

13. Is Cancer Case Reporting the only available option for Specialized Registry Reporting?
Cancer Case Reporting is currently the only option available through ODH for the Specialized Registry Reporting measure. Please review CMS FAQ 13653 for additional information on what options may be available through other organizations.

14.ODH’s new MU policy became effective on 4/25/2016 which is after the 2016 registration to submit data deadline. Does this mean that ODH was not ready to accept data for 2016?
No. ODH’s previous policy (effective 1/1/2014) remained in effect until 4/24/2016. The previous policy clearly stated that ODH was accepting immunization data from EPs and EHs, reportable laboratory results from EHs, syndromic surveillance data from hospitals, and cancer data from EPs.
However, ODH’s previous syndromic surveillance MU policy/declaration of readiness for EPs was not clear when interpreted with the EHR Incentive Program—Stage 3 and Modifications to MU in 2015 through 2017 Final Rule released in October 2015. Therefore, EPs may elect to take an exclusion for the syndromic surveillance measure in 2016. EPs that registered to submit data before 2/29/2016 to meet the active engagement status for syndromic surveillance may choose to attest to the measure or take an exclusion. Either route is acceptable for the syndromic surveillance measure only.

15. Where can I find additional information on Meaningful Use/EHR incentive programs/Quality Payment Program?
The website for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs is a good place to start for general information. If you are attesting through Medicaid, the Ohio Department of Medicaid website has Ohio-specific information. Information on the Quality Payment Program can be found on the Centers for Medicare and Medicaid Services Quality Payment Program website.

Last Updated: 3/22/17