School-Based Medical Home Recognition Process

Evolving into a school-based medical home starts with learning the concepts, competencies and criteria that make up the program. This begins the transformation process.

Along the way, NCQA conducts online check-ins to gauge progress and discuss the next steps in the evaluation.


  1. Review the Standards & Guidelines Document

    Download the standards and guidelines document.

    Review the criteria, perform a gap analysis and apply the criteria based on your needs. 

    Review our online and in-person trainings which can help you better understand the recognition process and requirements.

  2. Start Applying Concepts to Your SBHC

    Begin learning the concept areas and required criteria found in the Standards & Guidelines Document.

    NCQA evaluates organizations based on these criteria.

  3. Enroll Through Q-PASS System

    When you are familiar with the concepts and have started to transform, create a QPASS (Quality Performance Assessment Support System) account at qpass.ncqa.org.

    Complete an initial questionnaire and pay the enrollment fee.

    Learn more about the steps to enroll and what will be required at enrollment.



  1. Kick Off Call With NCQA Representative

    Once enrolled, NCQA assigns a representative who will guide you through the recognition process. 

    The representative will schedule an introductory initial call to discuss the process and develop a review schedule of up to three check-ins over the course of transformation.

  2. Apply School-Based Medical Home Criteria To Your SBHC

    Implement changes in your practice that align with school-based medical home criteria.

    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.

  3. Virtual Reviews

    You will have up to 3 virtual reviews via screen-sharing technology.

    Virtual reviews give immediate and personalized feedback on what is going well and what needs to improve. Learn what to expect during your virtual reviews.



  1. Submit for Recognition

    After virtual reviews are complete and you have met enough criteria to earn PCMH Recognition, submit for Recognition through Q-PASS.

  2. Earn Recognition

    NCQA reviews the submission one last time and notifies practices of their recognition status.

    Once notified of recognition, practices go into Q-PASS and print their Recognition Certificate.

  3. Annual Reporting

    Your practice performs ongoing quality improvement and submits evidence of this to NCQA during Annual Reporting.

    This sustains recognition. Part of Annual Reporting includes attesting to certain policies and procedures.

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