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

Alabama Department of Public HealthPDF - Alabama Department of Public Health Declaration of Readiness
Alaska Department of Health and Social Services

​Will be participating in the national Biosense project for syndormic surveillance

Arizona Department of Health Services
Arkansas Department of Health
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 Environment

​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

will accept MUST (meaningful use state testing) portal testing certificates for MU Stage 1 and 2; not ready to continuously accept electronic immunization data submissions

guide for the ELR system will be published July 2015

ready to accept data from cancer cases in 2016

an exclusion will still apply for MU Stage 1 and 2 for ELR and syndromic surveillance data and for Stage 2 reportable cancer cases


DC Department of Health
Delaware Health and Social Services
Florida Department of Health

​Only accepting EP data from urgent care centers

Georgia Department of Public Health

​EPs for syndromic surveillance can receive an exemption 

Idaho Department of Health and Welfare
Illinois Department of Public Health

​will not accept syndromic surveillance data from dentists, podiatrists, optometrists, and chiropractors 

Indiana State Department of Health
Iowa Department of Public Health

​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 Environment
Kentucky Department of Public Health
Maine Department of Health and Human Services

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

Maryland Department of Health and Mental HygieneReadiness Document
Massachusetts Department of Health

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

Michigan Department of Community HealthPublic Health Availability Statement
not accepting data from the following provider types: dentists, dental surgeons, podiatrists, optometrists/ophthalmologists, chiropractors and certified nurse mid-wives 
Minnesota Department of Health
Mississippi State Department of Health
Missouri Department of Health and Senior Services

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

Montana Department of Public Health and Human Services

​MU exemptions for SS eligible professionals

Nebraska Department of Health and Human Services
New Hampshire Department of Health and Human Services
New Jersey Department of Health
New Mexico Department of Health

The cancer registry resides at the University of New Mexico


​IZ-EH Immunizations for Eligible Hospitals

IZ-EP Immunizations for Eligible Providers

SS-EH Syndromic Surveillance for Eligible Hospitals

SS-EP Syndromic Surveillance for Eligible Providers

RLR Reportable Laboratory Results

CAN Cancer Registry

SPRE Specialized Registry

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.