ONC Certification Criteria for Health IT by Regulatory Update Deadline
The ONC Health IT Certification Program Test Method has been constructed in an outcome-focused format with additional companion guide documents to aid stakeholder development of Health IT Modules. The Test Method provides the structure for evaluating conformance of the Health IT Module to the certification criteria defined at 42 CFR 170.315. As ONC updates the certification criteria in new and upcoming final rules, this webpage will be maintained to highlight the criteria that have been updated and reference relevant deadlines, as applicable. However, for a full review of the requirements related to a criterion, please refer to each criterion’s respective Certification Companion Guide and Test Procedure.
Below you will find the criteria that have been updated in recent ONC Final Rules, with reference to the type of regulatory updates required for each criterion. For a full list of active criteria within the Certification Program, please visit the Certification Program Test Method. Note that ONC has issued enforcement discretion notices that affect Certification Program requirements. Please visit this page for more information on enforcement discretion.
Updated Criteria with Developer Actions Required for Existing Certifications
New Criteria
| Regulation Text Citation | Certification Criterion | ONC Final Rule Reference |
|---|---|---|
| § 170.315(b)(4) | Real-time prescription benefit | HTI-4 Final Rule |
| § 170.315(g)(31) | Provider prior authorization API – coverage requirements discovery | HTI-4 Final Rule |
| § 170.315(g)(32) | Provider prior authorization API – documentation templates and rules | HTI-4 Final Rule |
| § 170.315(g)(33) | Provider prior authorization API – prior authorization support | HTI-4 Final Rule |
| § 170.315(j)(20) | Workflow triggers for decision support interventions-clients | HTI-4 Final Rule |
| § 170.315(j)(21) | Subscriptions-client | HTI-4 Final Rule |
Updated Criteria with Past Deadlines for Required Developer Actions
Removed Criterion
| Regulation Text Citation | Certification Criterion | ONC Final Rule Reference | Expiration Date |
|---|---|---|---|
| § 170.315(a)(9) | Clinical decision support (CDS) | HTI-1 Final Rule | January 1, 2025 |