The American Recovery and Reinvestment Act of 2009 provides significant federal funding for Medicaid electronic health record (EHR) provider incentives, with a focus on small, high-volume Medicaid providers. State Medicaid agencies are well positioned to help these practices, which typically have fewer resources to provide high-quality patient care, prepare to take advantage of this funding.

This technical assistance brief describes how Medicaid-led teams in four states are supporting practice improvements among Medicaid-serving providers by helping them to adopt and implement electronic registries. These tools are critical to helping practices efficiently manage their patient population, identify gaps in care, and measure and track improvements in quality. Through CHCS’ Reducing Disparities at the Practice Site initiative, each state team: (1) chose and funded a registry; (2) engaged practices; (3) populated the registry; and (4) used the registry for ongoing quality improvement. The teams’ experiences are useful to other states looking to help providers prepare for the EHR incentive program.