The PCMH Recognition Process
To become an NCQA-Recognized Patient-Centered Medical Home (PCMH), a primary care practice learns the NCQA PCMH concepts and required criteria and begins the transformation process. NCQA conducts online check-ins to assess the practice’s progress and discuss the next steps in the evaluation. A practice that meets the criteria earns NCQA Recognition.
Learn the Requirements
Review the PCMH Concepts Overview and download the NCQA Standards and Guidelines document.Expand
Begin learning the concept areas and required criteria.
Review our online and in-person training, which can help you better understand the recognition process and requirements.
Apply Concepts To Your Practice
Implement changes in your practice that align with the PCMH concepts.
When you are familiar with the concepts and have started to transform, create a QPASS account at qpass.ncqa.orgExpand
Complete an initial questionnaire and pay your enrollment fee.
Learn more about the steps to enroll and what is required at enrollment.
Once enrolled, NCQA assigns a representative to guide your practice through the recognition process.Expand
Your Representative will schedule an initial call to introduce themselves, discuss the process and develop a review schedule of up to three check-ins over the course of your transformation work.
If you have more than one site, your representative can provide you guidance on setting up site groups and sharing evidence across sites.
Apply PCMH Criteria to the Practice
Implement changes in your practice that align with PCMH criteria.Expand
Decide which requirements you want to submit and how you want to demonstrate evidence.
Use Q-PASS to upload evidence (such as policies and procedures). You may demonstrate other requirements in real time during the virtual review through screen-sharing technology. Screen-sharing technology eliminates the need to upload documentation in advance.
Practices have up to 3 virtual reviews using screen-sharing technology.Expand
Virtual reviews allow you to share your screen to show you meet NCQA PCMH requirements instead of submitting documentation.
Virtual reviews give immediate and personalized feedback on what is going well and what needs to improve. Learn what to expect during the virtual review.
NCQA reviews the submission one last time and notifies practices of their recognition status.Expand
Once notified of recognition, practices go into Q-PASS and print their Recognition Certificate.
Your practice performs ongoing quality improvement.Expand
Your practice submits evidence of this to NCQA during Annual Reporting to sustain recognition and succeed as a PCMH recognized practice.
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