CMS Tiering Framework for Primary Care (effective Apr 2023)

The CMS tiering framework includes:

  • Integration with web services under the Healthier SG programme;
  • Integration with web services under the CHAS and Clinical programmes;
  • Contribution to the National Electronic Health Record (NEHR) system to facilitate sharing of summary patient records across healthcare providers for care continuity;
  • Cybersecurity requirements in line with the MOH Healthcare Cybersecurity Essentials (HCSE) guidelines that were issued to healthcare licensees; and
  • Code of Practice on CMS data portability to facilitate GP clinics that intend to switch subscriptions to another CMS vendor while upholding the fidelity of patient records.

For more details on Healthier SG, you may refer to
The CMS tiering will be updated progressively to incorporate additional CMS features as requirements evolve.

Tier Healthier SG Programme CHAS Programme  Clinical Programme  Mandatory Requirements1 
 Tier 1 (HSG compatible)  Core suite of Healthier SG web services All 7 non-optional services in CHAS Bundle  CDLENS + NIR + CMIS 

1) NEHR contribution capability2

2) Compliance to CMS Cybersecurity Requirements3

3) Adherence to Code of Practice for CMS Data Portability4

 Tier 2  NA NA  CDLENS 

1For clarifications on mandatory requirements, please email

2For details on NEHR onboarding, please refer to

3Adapted from the MOH HCSE Guidelines that was issued to healthcare licensees in Aug 2021. For details on the cybersecurity certification process, please refer to

4 Code of Practice for CMS Data Portability was issued in Apr 2023. For details, please refer to For clarifications, please email



Healthier SG Programme1 CHAS Programme Clinical Programme
1. Enrolment

2. Resident Health Plan

3. Simple referrals

4. Enrolment benefits2 (3 additional requirements)

5. Care reporting
1. Community Health Assistance Scheme (CHAS) - Medical

2. Chronic Disease Management Programme (CDMP)

3. Clinical Indicators Data Collection (CIDC)

4. Screen for Life (SFL)

5. Vaccination and Childhood Developmental Screening Subsidies (VCDSS)

6. PHPC Flu Subsidy Scheme (FSS), Swab And Send Home (SASH)

7. PHPC Haze Subsidy Scheme (HSS)

8. CHAS Appeal & Accreditation (optional)

9. CHAS Dental (optional)

10. MWHealth (optional)
1. Communicable Diseases Live & Enhanced Surveillance (CDLENS)

2. National Immunisation Registry (NIR)

3. Critical Medical Information Store (CMIS)

1For details on the requirements under the HSG programme, including new requirements from Jan 2024, click here.

2The 3 additional requirements are 1) Patient Drug Delivery request; 2) HSG Chronic Tiers and access the Subsidy Tier Calculator; 3) MediSave claim for CDMP bills - Removal of minimum Co-payment requirement

For clarifications or enquiries on Healthier SG, CHAS or Clinical programme web-services, you can email



The progress status reported below is for reference only. Please contact the respective CMS Vendors to find out more details before adopting any system.


The HSG-compatible list of CMSes is specific to the 5 scopes for HSG launch in Jan 2024. The list will be next refreshed in Jan 2024, based on the prevailing HSG-compatibility requirements under the CMS Tiering Framework for Primary Care.


(A) List of Tier 1 CMSes, which are HSG-compatible as of Jul 2023 requirements


CMS progress for new requirements for Jan 2024 qualification (as of 27th Nov 2023)



(B) Other CMSes, which are not HSG-compatible as of Jul 2023 requirements


CMS progress for all HSG Jul 2023 requirements + new Jan 2024 requirements (as of 27th Nov 2023)





SmartCMS Programme is an open invitation to Clinic Management System (CMS) providers to enhance their CMS through integration with the public healthcare system. It supports the seamless information flow between clinics and the public healthcare systems, and promotes continual engagement and partnership to benefit the Primary Care sector. SmartCMS Programme offers a variety of smart services for CMS providers to increase their productivity, benefiting the clinics and the patients they serve to ultimately improve the patient's experience. 

Convenient submission of clinical data

Seamless exchange of information with public healthcare systems



  • How can I join the SmartCMS Programme?

    Synapxe invites all CMS Vendors to join us and be a SmartCMS programme participant. SmartCMS programme enhances your solution through an increasing number of web services offered, aiming to increase clinics’ productivity by streamlining claims submissions and clinical information data flow with public healthcare systems. 

    A total of four briefing sessions will be conducted annually, please refer to the schedule for year 2023 and registration details below.  

    Event Q1 2023  Q2 2023  Q3 2023  Q4 2023 
     Registration deadline for briefing session  03 Feb 2023  19 May 2023  25 Aug 2023  17 Nov 2023
     Briefing session*  17 Feb 2023  01 Jun 2023  11 Sep 2023  04 Dec 2023
     Confirmation of intent & acceptance of service agreement  24 Feb 2023  09 Jun 2023  18 Sep 2023  08 Dec 2023
     Earliest anticipated testing period  Q2 2023  Q3 2023  Q4 2023  Q1 2024
     Target Go-Live  Q1/2 2023  Q3/4 2023  Q4 2023 / Q1 2024  Q2 2024


    *For new providers to the programme, please submit the completed Non-Disclosure Agreement (NDA) form in the Resources to by the stipulated registration deadline. Upon receiving the required documents, we will email the details on the time and venue of the briefing session to you.
  • What are the benefits to my company after successful on-boarding to the SmartCMS Programme?
    The following are the potential benefits for companies enrolled to SmartCMS programme:

    • Enable your CMS (Clinic Management System) application to better serve your clients, by providing them an integrated means to perform their claim / report submission under selected government schemes, such as CHAS, CDMP claim submission or CIDC report submission, by using our SmartCMS’ web services.
    • Synapxe will recognise your product as “SmartCMS enabled” upon successful on-boarding and meeting all criteria set for the programme.
  • Does my company need to pay any subscription fee to utilise the Smart / Smart-ER services under the SmartCMS Programme?
    There is no intent to impose subscription fee for SmartCMS participating vendors at this juncture.
  • Will my company be reimbursed or funded for work undertaken relating to SmartCMS Programme?
    No funding or any form of reimbursement will be provided to the CMS providers / companies for work undertaken for SmartCMS programme.
  • What does my company need to do before attending the briefing session?
    Interested parties attending the briefing session are required to sign the Non-Disclosure Agreement (NDA) and e-mail the signed copy to when indicating your company’s attendance for the session. Please also bring the original signed copy on actual day to complete the submission.
  • Is there any way for my company to find out more about this programme before I can decide whether to come for the briefing session?
    You may send us your queries via Should you need to speak to us, please leave your contact in your query. Our staff will contact you the soonest possible.


Non-Disclosure Agreement

Service Agreement

Company Profile (Inc. Clinic List)




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