Welcome to the South Carolina Medicaid State Level Repository (SLR)
"The SLR is NOW ACCEPTING attestations for Program Year 2019. The deadline to submit attestations is April 30th, 2020."
The SLR is designed for eligible professionals (EP), eligible hospitals (EH), and representatives acting on their behalf to attest to meeting the requirements of the S.C. Promoting Interoperability (PI) Program. Although the name has changed, the PI Program continues the requirements, attestation and incentive payment process of the “EHR Incentive Program”. Please note this change in name for future correspondence. The PI Program is administered by S.C.’s Medicaid agency, the South Carolina Department of Health & Human Services (SCDHHS), Division of Health Information Technology (HIT). To attest and receive an incentive payment, you must login to the SLR below.

All EPs, who in the past individually received, or had their employer/ organization receive on their behalf, an incentive payment from a Medicaid EHR Incentive Program in any U.S. state or territory can continue their participation in South Carolina, even if it has been years since their last attestation. EPs and EHs must demonstrate meaningful use of Certified EHR Technology (CEHRT) to qualify for incentive payments. Eligibility and requirements can be found at scdhhs.gov/hit.
Login to the SLR to attest here:
Please enter the EP's personal NPI (do NOT enter the practice/organization's NPI)
Please enter the unique CMS Registration ID associated with the NPI entered above*  
*You have several options available for obtaining the CMS Registration ID: by going to the CMS Registration System; or by calling 1(866) 484-8049; or emailing: EUSSupport@cgi.com; or Click here for a live chat option with a CMS representative. Note: Ensure you are entering the ID associated with the NPI you are attesting for, or you will receive an error when trying to login to the SLR.
  • • Be sure the participation state is listed as South Carolina with CMS or the SLR will not allow you to login; you will receive an error message until this has been corrected.
  • • SCDHHS allows an EP to designate a third party to register and attest on his or her behalf. To do so, individuals working on behalf of an EP must have an Identity and Access Management System (I&A) web user account (User ID/Password) and be associated to the EPs National Provider Identifier (NPI). If you are working on behalf of one or more EPs and do not have an I&A web user account, please visit I&A Security Check to create one.
You are accessing a South Carolina government information system, which includes: (1) this computer, (2) this computer network, (3) all computers connected to this network, and (4) all devices and storage media attached to this network or to a computer on this network. This information system is provided for State-authorized use only. Access or attempted access is *STRICTLY PROHIBITED unless authorized. If you are not authorized disconnect immediately. Authorized users may only perform authorized activities and may not exceed the limits of such authorization. Disclosure of information found in this system for any unauthorized use is STRICTLY PROHIBITED. Unauthorized or improper use of this system may result in disciplinary action, as well as civil and criminal penalties, including but not limited to the civil and criminal penalty sections of Title 26 Sections 7213, 7213A and 7431. (Pub 1075, Sec 9.2, Exhibit 13) and Title 18, US Code, Section 1030. By using this information system, you understand and consent to the following: (1) You have no reasonable expectation of privacy regarding any communication or data transiting or stored on this information system. At any time, and for any lawful purpose, the State may monitor, intercept, and search and seize any communication or data transiting or stored on this information system., (2) Any communication or data transiting or stored on this information system may be disclosed or used for any lawful purpose., (3) All activities on this information system are subject to monitoring, logging, and auditing in accordance with the Minimum Acceptable Risk Standards for Exchanges, IRS-1075, the Health Insurance Portability and Accountability Act, and State Acceptable Use Policies. By continuing to access this system you affirm that you are an authorized user and that you have read, understand and agree to comply with the restrictions stated above.*
Upon successful registration with the CMS Registration and Attestation System, CMS will provide a unique CMS Registration ID to the provider and will transmit registration data to the S.C. Medicaid SLR. Please allow two (2) business days for the SLR to process your registration. The provider, or their authorized representative, must then use their CMS Registration ID along with their personal NPI (if they are an eligible professional) to login to the SLR. The SCDHHS Division of HIT will verify the provider’s eligibility to participate (generally within 24-48 hours) and will email confirmation of eligibility to the provider along with information about how to proceed with attestation. After the initial registration, the provider will not need to return to the CMS Registration and Attestation System unless registration information needs to be corrected or updated.
Users working on behalf of an eligible provider for registration and/or attestation must first have a CMS Identity and Access Management System (I&A) Web user account (User ID/Password). In absence of a CMS I&A account, an individual may not act as a surrogate user on behalf of the provider for registration or attestation. Click here to create an I&A account.
CMS Registration User Guides: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/RegistrationandAttestation.html
Need help with attestation, logging into the SLR, or have questions about the Program? HITSC@scdhhs.gov or 803-898-2996
Need information about the Medicaid Promoting Interoperability Program? https://www.scdhhs.gov/HIT
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