March 9, 2018 Statewide Health Information Network for New York (SHIN-NY) Compliance/Waiver Deadline

Lauren Pollow in Legislative


In 2016, New York State adopted a regulation mandating that nursing homes and home care agencies using “certified electronic health record technology under the federal Health Information Technology for Economic Clinical Health Act (HITECH)” must connect to the Statewide Heath Information Network for New York (SHIN-NY) by March 9, 2018. As many of you are aware, the SHIN-NY is a network of networks within the State seeking to facilitate safe, efficient, high quality patient care by sharing health information with health care providers where and when it is needed. If you are a nursing home using an EMR that is certified by the Office of the National Coordinator (ONC) as per the federal HITECH requirements, you must connect to your Regional Health Information Organization (RHIO)/Qualified Entity (QE) by March 9, 2018 or apply for a waiver! 

How do I know if our EMR is Certified?

What if my EMR is not certified?

  • If your EMR is not considered a certified product, no action is required at this time.

What if I don’t have an EMR?

  • No action is required at this time.

What if my EMR is certified, but I can’t connect right now?

  • If your EMR is considered a certified product as per the above link, you must request a waiver if you are not already connected to your RHIO/QE.
  • Reasons to ask for a waiver are for technological limitations, economic issues, or practical limitations (more information below). 

How do I request a waiver?

  • If you are unable to connect to a RHIO/QE and can demonstrate “economic hardship, technological limitations, or practical limitations that are not reasonably within control, or other exceptional circumstances” you may submit a waiver request to the Department of Health by no later than March 9, 2018.
  • This waiver request must be a formal written letter submitted by e-mail to:
  • Waiver guidance can be found here: Appendix A Waivers.
  • Any response received from the SHIN-NY program with respect to your waiver request should be kept for reference, they may not respond to you by March 9, 2018. 

Additional Information

  • All regulations on SHIN-NY can be found here: Technology Regs/SHIN-NY.
  • This regulation applies to Skilled Nursing providers not Assisted Living Programs.
  • Please let us know if you have any questions. 


Lauren Pollow
Director, Government Affairs
518-462-4800 x25