FAQ Directory: Patient-Centered Specialty Practice Recognition Program (PCSP)

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6.25.2020 July 2020 PCSP Summary of Changes What changes were made to the PCSP Standards and Guidelines?

PCSP (Version 3) Summary of Changes
TopicUpdate Highlights
Standards and GuidelinesAdded the ‘Shared Credit’ symbol to all relevant criteria.
Standards and Guidelines/ Appendix 4The new appendix outlines the updated Merger, Acquisition and Consolidation Policy for Recognition Programs policy.
TC 03Updated language describing an appropriate external patient-centered collaborative activities and clarified than participation in an HIE will not meet the requirement.
TC 08Specified that if appointments are conducted using telehealth, the practice should have a process for informing patients about the availability.
RM 11Highlighted that this criterion is particularly relevant to self-referred patients.
KM 04Specified that monitoring pain or functional health status may not be appropriate for all specialties, so if the category is not relevant or appropriate, a practice should make a different selection.
KM 05Clarified that the practice must use a standardized screening tool and have a process for following up on results.
KM 06Specified that age and gender are not acceptable as a third aspect of diversity.
KM 15Clarified that patients should be proactively reminded of needed services related to the specialty.
KM 20Specified that excellence in a performance-based recognition programs must be at the site level.
AC 01Clarified that the focus of the criterion is to ensure that patients have access to the practice for urgent needs.
AC 02 and AC 03Stated that the reports include calls or messages received both during and after office hours.
AC 04Specified that clinical advice documentation is inclusive of telehealth appointments.
AC 05Stated that continuity of the medical record is inclusive of telehealth appointments.
PM 01 and PM 11Clarified the guidance in PM 01 by moving the reference to motivational interviewing and treatment goals to PM 11.
CC 09Highlighted that follow-up visits may be conducted through telehealth and that follow-up should be consistently documented.
CC 13Clarified that electronically exchanging information should include data both sent and received.
QI 01FClarified that the report provided should summarize collected feedback.
QI 01 Clarified that measures include activities conducted during telehealth visits.
QI 01D.Specified that major appointments may be conducted in person or via telehealth.
QI 01E.Clarified that the access category may include questions regarding telehealth.
QI 05Updated the vulnerable patient population definition.
Policies and ProceduresAdded a description of telehealth in NCQA recognition programs.
Policies and ProceduresUpdated the reconsideration process.
Policies and ProceduresDoctoral or master's level certified or licensed chemical dependency counselors have been added as eligible clinicians to the program.
Policies and ProceduresThe “Discretionary Audit” is now called the “Discretionary Review”.

PCSP 2019