Key Differences Between the Medicare and Medicaid EHR Incentive Programs There are several important differences between the Medicare EHR Incentive Program and the Medicaid EHR Incentive Program. Program Administration: The Medicare EHR Incentive Program is administered by the federal government. The Medicaid EHR Incentive Program is administered by states and is voluntary for states to implement. Contact your state Medicaid agency for more information. Maximum Incentive Amounts: The Medicare EHR Incentive Program's maximum incentive is $44