Submit our short pre-qualification form to see if you are eligible for funding through the EHR Incentive Program. Name* Phone*Email State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWhich of the following does your practice accept Alabama Medicaid HMO Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Alaska Medicaid Medical Assistance Program (AK) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Program CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Arizona healthcare Cost Containment System (AHCCCS) CMO/Managed Medicaid Medicare Which of the following does your practice accept Arkansas Medicaid HMO Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Medi-Cal Denti-Cal CMO/Managed Medicaid Medicare Which of the following does your practice accept Colorado Medicaid Medical Assistance Program (CO) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid HUSKY Health Plans Connecticut Medical Assistance Program (CT) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Diamond State Health Plan CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (D.C.) HMO Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid(FL) FL Mcna Denta Quest HMO Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Georgia Better Healthcare CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Hawaii QUEST CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Healthy Connections CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Medical Assistance Program (IL) HFS Medical Benefits CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Hoosier Healthwise CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid MediPASS CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (KS) HMO Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid KenPAC Kentucky Partnership Program CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid CommunityCARE CMO/Managed Medicaid Medicare Which of the following does your practice accept Maine Medicaid MaineCare PrimeCare CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid HealthChoice Medical Assistance (MA) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid MassHealth CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (MI) HMO Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Medical Assistance Program (MN) Prepaid Medical Assistance Program Plus CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (MS) Medicaid Managed Access to Care and Services (HealthMACS) MississippiCAN CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (MO) Mo HealthNet CMO/Managed Medicaid Medicare Which of the following does your practice accept Montana Medicaid Passport to Health CMO/Managed Medicaid Medicare Which of the following does your practice accept Nebraska Medicaid Nebraska Medical Assistance Program Nebraska Health Connection (NHC) CMO/Managed Medicaid Medicare Which of the following does your practice accept Nevada Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept New Hampshire Medicaid NH Health and Human Services CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid New Jersey Care 2000 CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid SALUD! CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Partnership for Long Term Care CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Carolina ACCESS Health Check CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (ND) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid OhioCare Buckeye Molina Care Source CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid SoonerCare Plus SoonerCare Choice CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Oregon Health Plan (OHP) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (PA) Medical Assistance Program HealthChoices CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (RI) Rhode Island Medical Assistance Program RIteCare CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (SC) Physician's Enhanced Program (PEP) Select Health SC Healthy Connections CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (SD) LIF Program CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid TennCare CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid State of Texas Access Reform (STAR) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (UT) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (VT) Green Mountain Care CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Medallion/Medallion II CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Healthy Options Medicaid Personal Care (MPC) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Assured Access System (PAAS) Mountain Health Trust CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Medicaid HMO Program CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid (WY) CMO/Managed Medicaid Medicare Which of the following does your practice accept Medicaid Reforma Medicare
