Skip Ribbon Commands
Skip to main content


Meaningful Use Stage 2 Public Health Readiness

Meaningful Use is a set of standards defined by the Centers for Medicare and Medicaid Services (CMS) that governs the use of electronic health records and allows eligible providers and hospitals to earn inventive payments by meeting specific criteria. Requirements for meaningful use involve public health reporting criteria. As meaningful use takes a three staged approach, in stage 2 of meaningful use, the following public health objectives apply:

  • Successful ongoing submission of electronic immunization data to an immunization registry or immunization information system (mandatory for eligible hospitals and professionals)
  • Successful ongoing submission of electronic syndromic surveillance data to a public health agency (mandatory for eligible hospitals/optional for eligible professionals)
  • Successful ongoing submission of electronic reportable laboratory results to a public health agency (mandatory for eligible hospitals)
  • Successful ongoing submission of cancer cases to a cancer registry (optional for eligible professionals)
  • Successful ongoing submission of specific case information to a specialized registry other than a cancer registry (optional for eligible professionals)

State Public Health Agencies (PHAs) are strongly encouraged to support stage 2 public health objectives. Through meaningful use, public health will be able to respond faster and more effectively to public health events. To help in these efforts, PHAs are publicizing what stage 2 objectives they will support and are creating websites to help share that information. APHL has comprised a list of state specific PHAs stage 2 PH reporting information from those sites. These websites along with their links help eligible professionals and hospitals and other interested entities navigate and find information on state specific public health readiness to receive electronic data.

For state PHA’s, if you have any feedback or any of the information is incomplete or inaccurate, please email Vanessa Holley, Senior Specialist, Informatics, at

MUPHA Readiness Sites

Public Health AgencyIZ-EHIZ-EPSS-EHSS-EPRLRCANSPREReadiness DocNotes
Alabama Department of Public HealthYesYesYesYesYesYes-PDF - Alabama Department of Public Health Declaration of Readiness
Alaska Department of Health and Social ServicesYesYesYesNoYesYes-
Arizona Department of Health ServicesYesYesYesNoYesYes-
Arkansas Department of HealthYesYesYesYesYesYesNo
California Department of Public Health-------

Refer to LHJ MU Capacity Matrix to determine the MU requirement eligible professionals and hospitals want to fulfill

Colorado Department of Public Health and EnvironmentYesYesNoNoYesYes-

​CDPHE will not be supporting SS. However, Denver Public Health and Tri-County Health Department are supporting SS for facilities in their jurisdictions

Connecticut Department of Public Health-------Exception Letter

​DoH does not have the capacity to receive data electronically. The standards and infrastructure are still being developed. Immunization reporting is expected to be ready in the second quarter of 2014

DC Department of HealthYesYesYesNoYesYes-
Delaware Health and Social ServicesYesYesYesNoYes--
Florida Department of HealthYesYesYesYesYesYesNo

​Only accepting EP data from urgent care centers

Georgia Department of Public HealthYesYesYesYesYesYes-
Idaho Department of Health and WelfareYesYesYesNoYesYes-
Illinois Department of Public HealthYesYesYesYesYesYesNo
Indiana State Department of HealthYesYesYesNoYesYes-
Iowa Department of Public HealthYesYesNoNoYesYes-

​The cancer registry is working with IDPH to move forward with this objective. A timeframe has not yet been determined

Kansas Department of Health and EnvironmentYesYesYesNoYesYesYes
Kentucky Department of Public HealthYesYesYesYesYesYesNo
Maine Department of Health and Human ServicesYesYesYesYesYesYes-

Requesting information regarding interest in the following specialized registries: Healthy Weight, Chronic Disease

Maryland Department of Health and Mental HygieneYesYesYesNoYesYesNoReadiness Document
Massachusetts Department of HealthYesYesYesNoYesYesYes

Will be implementing electronic infectious disease case report data into a specialized registry

Michigan Department of Community HealthYesYesYesYesYesYesYesPublic Health Availability Statement
Minnesota Department of HealthYesYesNoNoYesYesNo
Mississippi State Department of HealthYesYesYesNoYesYesNo
Missouri Department of Health and Senior ServicesYesYesYesYesYes--

​SS not accepted for all eligible professionals. The cancer registry is under development.

Montana Department of Public Health and Human ServicesYesYesYesYesYesYes-

​MU exemptions for SS eligible professionals

Nebraska Department of Health and Human ServicesYesYesYesNoYes--
Nevada Department of Health and Human ServicesYesYesYesNo
New Hampshire Department of Health and Human ServicesNoNoYesNoYesYesNo


New Jersey Department of HealthYesYesYesNoYesYesNo
New Mexico Department of HealthYesYesYesYesYesNoNo

The cancer registry resides at the University of New Mexico

New York Department of HealthYesYesYesNoYesYesNo
New York City Department of Health and Mental HygieneYesYesYesYesNoNoYes

EHs in NYC report electronic lab results to New York State Department of Health. EPs in NYC report cancer cases to New York State Department of Health.


North Carolina Department of Health and Human ServicesNoNoYesNoYesYes-
North Dakota Department of HealthYesYesYesYesYes--
Ohio Department of HealthYesYesYesYesYesYesYes

​Currently forming a policy for specialized disease registries

Oklahoma State Department of HealthYesYesNoNoYesYesNo
Oregon Health AuthorityYesYesYesNoYesYesYes
Pennsylvania Department of HealthYesYesYesYesYesYesNo
Rhode Island Department of HealthYesYesYesNoYesNoNo
South Carolina Department of Health and Environmental ControlYesYesYesNoYesYes-

​Accepting SS Stage 2 Test data submissions. Additional information will be provided when live messages are able to be accepted

Tennessee Department of HealthYesYesNoNoYesYesNo
Texas Department of State Health ServicesYesYesNoNoYesYesNo

​Plans for a statewide syndromic surveillance system are currently being developed. Some LHDs may do SS

Utah Department of HealthYesYesYesYesYes--
Vermont Department of HealthYesYesYesNoYesNoNo
Virginia Department of HealthYesYesYesYesYesYes-
Washington State Department of HealthYesYesYesYesYesYesYes

​SS for eligible professionals is a case by case basis. Supports requests for contolled substance dispensing data from authorized users.

West Virginia Department of Health and Human ServicesYesYesYesNoYesYes-
Wisconsin Department of Health Services-------

​Please refer to Wisconsin's Public Health Meaningful Use page for more information on readiness.

This is not an official version of the data. Jurisdictional websites and points of contact for each jurisdiction are the only source of the official or verified data. APHL is not liable for discrepancies, errors or omissions, if any, found in the data included on this site. This information is neither associated with the Centers for Medicare and Medicaid Services' (CMS) repository related to determining whether a public health agency has the capacity to receive information nor is it related to the CMS FAQ that provides guidance for providers on how to contact their state or local public health agency for public health related meaningful use (MU) objectives.

This page was last modified on 6/24/2014 1:12 PM