Below is the process and recommended timeline for earning NYS PCMH Recognition for practices not currently recognized by NCQA.
|Step||Description||Time Before Recognition|
|Learn the Requirements||Download the NYS PCMH Standards and Guidelines Document and begin learning the concept areas and required criteria.
|Find a Transformation Assistance Contractor||New York offers Transformation Assistance Contractors throughout the state to support your practice at no cost to your organization. Find a list of contractors here.||9-15 months|
|Create a Q-PASS account at qpass.ncqa.org. Q-PASS is the web-based platform that will be used to submit all documentation and data to NCQA as well as manage your recognition process.||12 months|
|Enroll through Q-PASS||Enroll in NYS PCMH Recognition through Q-PASS. You will need a code to enter upon enrollment. If you were part of New York’s Advanced Primary Care program, request this code from a Technical Assistance Contractor. If you were not part of APC, use code GNYDOC.
This officially starts the recognition process. From this point, your practice has 12 months and 3 check-ins to complete the recognition process. Be certain before enrolling that you are prepared to complete the recognition process within this window.
|Kick Off Call with NCQA Representative||You will be assigned an NCQA Representative who will walk you through the recognition process and work with you to plan dates for your virtual reviews. If you have more than one site, your representative can provide you guidance on setting up site groups and sharing evidence across sites.||11-12 months|
|Apply PCMH criteria to your practice||Implement changes in your practice that align with the New York State Patient-Centered Medical Home (NYS PCMH) concepts and criteria. Decide which requirements you want to submit and plan how you want to demonstrate your evidence.
|Virtual Reviews (Up to 3)||Participate in up to 3 virtual reviews. Demonstrate that you are embracing measurement and quality improvement via virtual reviews. Virtual review must be scheduled 30 days in advance of desired review date.||1-5 months|
|Submit for Recognition||Once your virtual reviews are complete and you have met enough criteria to earn NYS PCMH Recognition, you formally submit for Recognition through Q-PASS.||1 month|
|Earn Recognition||NCQA reviews your submission one last time and notifies the practice of its recognition status.||0 months|
|Print Your Recognition Certificate||Once notified of recognition, go into Q-PASS and print Recognition Certificate (from the My Evaluation screen).||0 months|
|Annual Reporting||Your practice performs ongoing quality improvement and submits evidence of this during Annual Reporting to sustain recognition and succeed as a NYS PCMH recognized practice.||11 months after your recognition date|