FAQ Directory: Patient-Centered Medical Home (PCMH)

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5.24.2018 CM 01C Does our practice meet the requirements if we use 65 years of age and older as the criterion for patients with poorly controlled or complex conditions?

No. Using only this age group does not meet the requirements. Identification of poorly controlled or complex patients can include older patients (e.g., >65 years) who also meet other high-risk criteria such as co-morbid conditions, frequent hospitalizations, mental health problems or frailty.

PCMH 2017