Required Test 2a - Health IT Modules Certified to (e) (1) and, (g)(9) or (g)(10)

Program Name: Merit-based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure

Measure Objective: Provider To Patient Exchange

2026 Promoting Interoperability Measure: Provide Patients Electronic Access to Their Health Information:For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).

Notes:

1: A patient seen during the reporting period with the numerator already populated and recorded will not increment and re-record the numerator.

2: A patient seen during the reporting period who receives access at the first encounter and does not receive access at the second, or subsequent, encounters will populate and record the numerator at the first encounter and will decrement the numerator for the first subsequent visit, in which the required data is not provided within the required time period.

3: A patient seen during the reporting period who does not receive access at the first encounter and does receive access at the second, or subsequent, encounters will not populate and record the numerator for the first or any subsequent visits.

4: If a Health IT Module automatically and simultaneously makes patient data available to both View, Download, and Transmit health information and available to an API, it is at the discretion of the ATL not to test the scenarios where it is assumed that this is not automatic for each method.

5: Test data supply: ONC and Vendor-supplied. ONC provides the Test Data Scenarios and parameters; the Vendor supplies the patient visit, clinical information, and Ambulatory and Inpatient summaries (or Inpatient Summary of Care).

6: The Promoting Interoperability Measure requires that a patient have access to both view online, download, and transmit to a third party AND have the data available via an API in an EP/EC's CEHRT. Please see the Certification Companion Guide for more information on the requirement for testing and attestation requirements. Required Test 2a tests both methods for Promoting Interoperability only.

7: The name of this measure changed from Patient Electronic Access to Health Information to Provide Patients Electronic Access to Their Health Information. No other changes were made to the measure.

Scenarios:

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Seen During EHR Reporting Period	Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS)	Patient Health Information is Available to Access via API within 4 business days (MIPS)	Records Total
Edna Welch 8/22/1964 Sex: F	First encounter	Yes	Yes	1	1
Julia Long 12/10/1966 Sex: F	First encounter	Yes	Yes	1	1
Vickie Carroll 9/24/1981 Sex: F	First encounter	No	No	0	1
Pedro Abbott 4/11/1981 Sex: M	First encounter	Yes	No	0	1
Debbie Gibson 7/2/1995 Sex: F	First encounter	Yes	Yes	1	1
			Cumulative Total	3	5

No actions are required for this scenario

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Seen During EHR Reporting Period	Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS)	Patient Health Information is Available to Access via API within 4 business days (MIPS)	Records Total
Tim Mathis 7/12/1976 Sex: M	First encounter	Yes	Yes	1	1
Maureen Dean 11/2/1990 Sex: F	First encounter	Yes	Yes	1	1
Jack Morris 11/20/1992 Sex: M	First encounter	Yes	Yes	1	1
			Cumulative Total	6	8

	Denominator Criteria	Numerator Criteria		Numerator Criteria
Patient	Patient Seen During EHR Reporting Period	Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS)	Patient Health Information is Available to Access via API within 4 business days (MIPS)	Records Total
Debbie Gibson 7/2/1995 Sex: F	Second encounter	Yes	Yes	0	0
			Cumulative Total	6	8