Enabling electronic case reporting (eCR) is the OfficeEMR feature that supports automatic submission of case reports to your public health agencies, helping your practice meet compliance requirements and improve timeliness of public health data sharing.
The AIMS eCR Implementers Guide identifies the first step in the eCR on-boarding process:
➡️ Your practice or provider organization must contact your state or local Public Health Agency (PHA) to notify them of your intent to participate.
Each PHA manages its own on-boarding and approval process. This outreach is the first step toward activation of case reporting within your EMR. We recommend keeping a copy of all communications with your PHA in your MIPS audit file to support your Case Reporting attestation.
eCR Requirements for MIPS 2025
Engagement Window: CMS requires practices to begin engagement with their PHA within 60 days of the start of your selected performance period.
Reporting Window: The eCR measure requires participation for at least 180 continuous days within 2025.
Timely Response: Once the PHA begins working with you, they may request additional information or steps to complete onboarding. You are required to respond within 30 days to remain in good standing for MIPS reporting.
Small Practice Exception: If your practice qualifies as a small practice (15 or fewer clinicians) and you are not submitting Promoting Interoperability data, the eCR/Case Reporting requirement does not apply.
Next Steps After PHA Confirmation
Once your PHA confirms your intent to participate, they will provide instructions for the next steps. These may include testing requirements or specific on-boarding tasks.
If directed, please open a support case with our team.
Clearly indicate that the case relates to eCR and whether the request is time-sensitive so we can prioritize appropriately.
Our team will coordinate with you to complete the requested tasks and support your successful on-boarding.
Important Note
⚠️ Do not stop your manual case reporting processes until your PHA has explicitly instructed you to do so. Automated electronic reporting should only replace manual workflows once approved by your PHA.
