Active Engagement Is Not a Feeling: How to Prove Public Health Reporting for PI

Active engagement is not a feeling. It's a status your practice must prove. For 2026 MIPS Promoting Interoperability, CMS requires documented evidence for Immunization Registry Reporting and Electronic Case Reporting. A working interface isn't enough. Your practice needs registration confirmations, active engagement levels (Pre-Production/Validation or Validated Data Production), registry communications, and interface status documentation. Optional TEFCA reporting offers bonus points but requires real proof of participation. Don't rely on vendor claims or memory. Build a proof file now while the reporting period is active. Missing documentation creates compliance risk. Check your evidence today.