DO I HAVE TO USE DIRECT FOR SENDING TRANSITIONS OF CARE DOCUMENTS FOR MEANINGFUL USE STAGE 2?

Not Necessarily. You may send using any of the transport mechanisms certified for your EHR technology or via an eHealth Exchange participant. While all certified EHR technology must include Direct functionality, there are other options your vendor may have also certified that you can use to exchange with other providers, either point-to-point or through an HIE. It’s best to talk with your vendor about the Transitions of Care options available to you.