For AR-KM 3 (2026 Annual Reporting) the threshold will remain at more than 80% with the intent that practices will begin implementing updated workflows to be able to reach more than 90% by Annual Reporting in 2027.
We have made a notation of this expectation in the 2026 PCMH Annual Reporting publication to ensure practices understand the expectation for future Annual Reporting years.
For PCMH, a transition of care is defined as: A patient’s movement from one care setting (e.g., hospital, ambulatory primary care practice, ambulatory specialty care practice, long-term care, home health, rehabilitation facility) to another. That said, medication review and reconciliation should occur at transitions of care, or at least annually. If a patient has experienced multiple transitions of care within the reporting period (e.g. hospital discharge, post cardiology visit, hospital discharge, post gastroenterology visit) they should be counted in the denominator for each transition of care.