Recognition Redesign: Information for Practices Recognized Using 2014 or 2011 Standards
Recognition Redesign Quick Links
NCQA has redesigned PCMH Recognition. The redesigned program includes ongoing, sustained recognition status with Annual Reporting instead of a 3-year recognition cycle. NCQA based the redesign on feedback from practices, policy makers, payers and other stakeholders. The program is more manageable, while continuing to concentrate on performance and quality improvement. It also reduces paperwork and increases practice interaction with NCQA. Learn more about the redesigned process.
Transitioning to the Redesigned Process
If your NCQA-Recognized PCMH practice is approaching renewal, transitioning to the redesigned recognition program will save time.
PCMH 2014 Level 3 Practices: These practices may bypass submission of evidence for criteria under the new process and go directly to the Annual Reporting phase of recognition by enrolling in Q-PASS. Annual Reporting begins 30 days before expiration of your current recognition cycle. This date becomes your anniversary date and your Annual Reporting date.
NCQA assigns your practice a representative after you enroll in Q-PASS. Your representative can answer questions and give you details about next steps. See detailed information about how to enroll.
All Other Currently Recognized Practices: Practices that achieved recognition in PCMH 2011 at Level 1, 2 or 3, or that achieved recognition in PCMH 2014 at Level 1 or 2, can earn recognition at an accelerated pace. These practices can attest to meeting certain criteria without providing the evidence required of practices seeking recognition for the first time. See detailed information about how to enroll.
Crosswalks for Currently Recognized Practices
NCQA has developed crosswalks comparing past NCQA PCMH standards to the new NCQA PCMH criteria released in 2017. Download the PDFs below to see how factors align with 2017 criteria.
Pricing: Because the redesigned recognition process moves from a 3-year recognition to an ongoing, sustained recognition with Annual Reporting, the pricing structure for the NCQA PCMH Recognition program has changed. Learn more about the new pricing structure.
Annual Reporting helps practices strengthen as medical homes by reviewing their progress and encouraging frequent performance improvement. Learn more about Annual Reporting, including information required for reporting.
Electronic Clinical Quality Measures (eCQMs)
Beginning with launch of the PCMH 2017 program, practices will have the option to submit electronic clinical quality measures (eCQMs) to NCQA in support of their recognition process. The list of measures from which to choose can be found here. Measures can be submitted through electronic health records, health information exchanges, qualified clinical data registries (QCDRs) and data intermediaries as long as they can use the electronic specifications as defined by the Centers for Medicare & Medicaid Services for the ambulatory quality reporting programs. This flow diagram outlines the eCQM submission options for 2017. Additional details about the submission process to NCQA will be forthcoming with the publication of the final PCMH 2017 standards.
Frequently Asked Questions
See frequently asked questions about the redesigned PCMH recognition program.