New York State PCMH (NYS PCMH): Process for Getting Recognized

For Practices Currently Recognized as PCMH 2011 Level 1/2/3 or PCMH 2014 Level 1/2.

Your practice will earn NYS PCMH Recognition at an accelerated pace. You will attest to continuing to meet certain PCMH criteria and will submit evidence for other PCMH criteria to verify that your practice meets the core concepts of the medical home.

StepDescription Time Before Recognition
Learn the RequirementsDownload the NYS PCMH Standards and Guidelines Document and begin learning the concept areas and required criteria.9-12 months
Download Accelerated Renewal TableIf you are an NCQA-Recognized PCMH practice seeking renewal, transitioning to the redesigned NYS PCMH model will save you time. Practices that previously achieved recognition in PCMH 2011 at Level 1, 2 or 3, or PCMH 2014 at Level 1 or 2, can earn recog>nition at an accelerated pace. These practices will be able to attest to meeting certain criteria without providing the evidence required of practices seeking recognition for the first time. The Accelerated Renewal table (.PDF) can help you identify which criteria you can just attest to.9-12 months
Find a Transformation Assistance ContractorNew 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 AccountCreate 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-PASSEnroll 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 Transformation 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.12 months
Kick Off Call with NCQA RepresentativeYou 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 practiceImplement 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.
  • For certain requirements, you will need to upload evidence such as policies and procedures.
  • For other requirements, you may demonstrate them in real time during the virtual check-in through screen-sharing technology.
Since your reviews will be virtual, you will be able to show your evaluator real-time screens to your electronic medical records (EMR) or other information during your review, rather than uploading documentation in advance.
12 months
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 RecognitionOnce 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 RecognitionNCQA reviews your submission one last time and notifies the practice of its recognition status.0 month
Print Your Recognition CertificateOnce notified of recognition, go into Q-PASS and print Recognition Certificate (from the My Evaluation screen).0 months
Annual ReportingYour 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

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