Which Providers are Eligible?
HITEC-LA offers subsidized services for health care providers meeting federal ‘priority primary care provider’ criteria, which include:
- Individual and small group practices (10 or fewer professionals with prescriptive privileges) – primarily focused on primary care;
- Public and critical access hospitals;
- Community health centers and rural health clinics; and
- Other settings that predominantly serve uninsured, underinsured, and medically underserved populations.
To find out eligibility for HITEC-LA services and meaningful use incentive payments, please refer to the following chart:
Provider Type/License | Eligible for Subsidized HITEC-LA Services | Eligible for Medi-Cal Incentives1 | Eligible for Medicare Incentives |
Medical Doctor (MD) | YES2 | YES3 | YES3 |
Doctor of Osteopathy (DO) | YES2 | YES3 | YES3 |
Psychiatrists (MD) | NO4 | YES3 | YES3 |
Dentist (DDS/DMD) | NO4 | YES | YES |
Nurse Practitioner (NP) | YES2 | YES3 | NO |
Certified Nurse Midwife (CNM) | YES2 | YES3 | NO |
Chiropractor (DC) | NO4 | NO | YES |
Physician Assistant (PA) | YES2 | YES5 | NO |
Psychologists | NO4 | NO | NO |
Optometrists (OD) | NO4 | YES | YES |
Podiatrists (DPM) | NO4 | NO | YES |
Residents | NO | YES3 | YES3 |
To determine eligibility for incentive payments under the Medicare and Medicaid incentive programs, please click here to access the Eligibility Decision Tool.
1 Must meet Medi-Cal patient volume criteria:
- Minimum 30% Medicaid patient volume;
- Minimum 20% Medicaid patient volume and is a pediatrician; or
- Practice predominantly in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RCH) and have a minimum 30% patient volume of needy individuals.
2 Non-hospital based, certified in internal medicine, family practice, pediatrics, adolescent medicine, or OB/GYN practicing in one of the following settings:
- Physician practices of 10 providers or less;
- Community health centers, primary care clinics, and rural health clinics;
- Ambulatory care clinics associated with public hospitals, critical access hospitals, or rural hospitals; or
- Other medically underserved settings.
3 Non-Hospital based: if more than 90% of the provider’s services are performed in a hospital in-patient or emergency room setting, that provider is hospital-based and not eligible for the EHR incentive program
4 May be eligible for REC services on a fee-for-service basis
5 Physician assistants are only eligible if practicing in FQHC or RCH that is “physician assistant-led”