[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-281710-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-281710-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","ehr-vendor-letter-certified-electronic-health-record-technology-cehrt","EHR Vendor Letter - Certified Electronic Health Record Technology (CEHRT)","","EHR Vendor Letter text template for verifying Certified Electronic Health Record Technology (CEHRT). The Department requires confirmation of secure access to the CMS Certified EHR system using information attested in the MAPIR application, including the CMS Certified EHR system name and version and the CMS EHR Certification ID from the ONC website. It specifies acceptable supporting documents, excludes ONC screen prints or handwritten IDs, and instructs including all provider NPIs tied to the Certified EHR system. Secure email or secure DocuShare submission is not required.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/letters/","Letters",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/ehr-vendor-letter-certified-electronic-health-record-technology-cehrt/281710/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/ehr-vendor-letter-certified-electronic-health-record-technology-cehrt/281710.png","ImageObject",442,249,{"name":42,"@type":43},"Alex Sinclair","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-26","2026-09-16",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What documentation must be provided for CEHRT verification in the MAPIR application?","Question",{"text":63,"@type":64},"Provide the CMS Certified EHR system name and version number, plus the CMS EHR Certification ID listed in the MAPIR application. Include one acceptable supporting document such as a signed contract/user agreement, signed lease, purchase receipt or paid invoice, or a signed vendor letter containing the CMS EHR system Certification ID.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Are screen prints from the ONC website or handwritten certification IDs accepted?",{"text":68,"@type":64},"No. The Department cannot accept an ONC website screen print showing the CMS Certification ID or any handwritten CMS Certification ID numbers on the documentation.",{"name":70,"@type":61,"acceptedAnswer":71},"Do providers need to send the certified EHR documentation through secure channels?",{"text":72,"@type":64},"No. Certified EHR documentation is not considered private health information, so it does not need to be sent through secure email or the secure DocuShare site.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},281710,1790034966,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,114,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},17,"Forms",40,"forms",{"id":115,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":116,"slug":117},18,30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":115,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","EHR Vendor Letter  \nCertified Electronic Health Record Technology (CEHRT):  \nThe Department must verify that you have secured access to the CMS Certified EHR system attested toon your Medical Assistance Provider Incentive Repository (MAPIR) application.  \nPlease provide the following documents showing the CMS Certified EHR system name and version number, along with the CMS EHR Certification ID number that was listed in your MAPIR application (this is the number that is found on the ONC website at [http://oncchpl.force.com/ehrcert](http://oncchpl.force.com/ehrcert) ):  \nPLEASE PROVIDE ONE OF THE FOLLOWING:  \n􀁸 Signed contract or user agreement between you and the vendor  \n􀁸 Signed lease between you and the vendor  \n􀁸 Receipt of purchase or paid invoice AND (in addition to one of the above documents)  \n􀁸 A signed vendor letter with the CMS EHR system Certification ID number  \nNOTE: We cannot accept a screen print of the ONC website that shows the CMS Certification ID number OR handwritten CMS Certification ID numbers on any above documentation.  \nA signed vendor letter will not independently be sufficient for documentation. To prevent the Department from requesting documentation more than once, please include all provider NPIs that are associated with the Certified EHR system.  \nCertified EHR documentation is not considered private health information and therefore does not need to be sent through secure email or the secure DocuShare site.  \nPlease review the two documents below:  \n(1) Template of Signed Vendor Letter:  \nTemplate of Signed vendor Letter:  \n(EHR Vendor Letterhead)  \nEHR Vendor Letter for EHR Incentive Program  \nAs of date of this letter,(Vendor name) verifies: that the provider: (1) was or is a customer of (Vendor name), and (2) received the Certified electronic health record technology as product from (Vendor name) .  \n\n| Date: |  |\n| --- | --- |\n| EHR Provider Name |  |\n| EHR Vendor Name |  |\n| CMS Certified Product Name |  |\n| CMS Certified Product Version Number |  |\n| CMS EHR System Certification ID Number |  |\n| ONC-ATCB Certification ID Number (if available) |  |\n| EHR Vendor Signature |  |\n\n(2) Example of a Signed Vendor Letter  \nExample of a signed vendor letter:  \nABC EHR Company, Inc.  \nEHR Vendor Letter for EHR Incentive Program  \nAs of date of this letter, ABC EHR Company, Inc. verifies: that Dr. John Doe: (1) was or is a customer of ABC EHR Company, Inc., and (2) received the Certified electronic health record technology as product from the ABC EHR Company, Inc.  \n\n| Date: | 1/1/12 |\n| --- | --- |\n| EHR Provider Name | Dr. John Doe |\n| EHR Vendor Name | ABC EHR Company, Inc. |\n| CMS Certified Product Name | ABC EHR Excellence System |\n| CMS Certified Product Version Number | 10.1 |\n| CMS EHR System Certification ID Number | A014E010RFW1EAC |\n| ONC-ATCB Certification ID Number (if available) | CC-1212-131313-5 |\n| EHR Vendor Signature | Signature of vendor authorized employee |","cbCaif2JJNFNIldi","https://ap.wps.com/l/cbCaif2JJNFNIldi","pdf",333426,"English","# EHR Vendor Letter\n## CEHRT and CMS Certified EHR verification requirements\n## Required supporting documents and exclusions\n## Provider NPI inclusion guidance\n## Signed vendor letter template\n## Example completed vendor letter","[{\"question\":\"What documentation must be provided for CEHRT verification in the MAPIR application?\",\"answer\":\"Provide the CMS Certified EHR system name and version number, plus the CMS EHR Certification ID listed in the MAPIR application. Include one acceptable supporting document such as a signed contract/user agreement, signed lease, purchase receipt or paid invoice, or a signed vendor letter containing the CMS EHR system Certification ID.\"},{\"question\":\"Are screen prints from the ONC website or handwritten certification IDs accepted?\",\"answer\":\"No. The Department cannot accept an ONC website screen print showing the CMS Certification ID or any handwritten CMS Certification ID numbers on the documentation.\"},{\"question\":\"Do providers need to send the certified EHR documentation through secure channels?\",\"answer\":\"No. Certified EHR documentation is not considered private health information, so it does not need to be sent through secure email or the secure DocuShare site.\"}]","EHR Vendor Letter - Certified Electronic Health Record Technology (CEHRT) | PDF",1789567648]