As of September 30th 2017, the National Committee for Quality Assurance (NCQA) requires any practice wanting Patient-Centered Medical Home Recognition to submit using the 2017 Standards and Guidelines. With the new guidelines came a new format and while most of the actual requirements have remained the same (with the exception of a few additions) the layout is different. NCQA has also changed the way practices submit their application and documentation. What was once the Online Application and the ISS Survey Tool, both have been replaced with QPASS. This tool will provide a one stop shop that includes the application and where practices will demonstrate evidence for their PCMH Recognition among many other resources. This overview will provide a quick synopsis of the changes made by NCQA.
PCMH 2017 Overview
Concepts = Standards
Competencies = Elements
Criteria = Factors
Changes to Points
40 Core Criteria (All 40 ARE REQUIRED)
60 Elective Credits (PRACTICES NEED AT LEAST 25 CREDITS, MUST BE ACROSS ALL CONCEPTS)
QPASS – Replaced both the online application and ISS survey tool.
- Complete Application
- Enroll in PCMH Program
- Make Payment
- Upload documentation
- Virtual Check-ins
- Educational Videos
- Ask Questions
Obtaining and Sustaining Recognition:
New Practices: Commit, Transform, Succeed…….
Practices will then submit any documentation required and schedule their 3 check-ins. Check-ins are virtual reviews with the Evaluator and are designed to help relieve the burden of submitting paper documentation.
Accelerated Renewal – This is only for practices who were recognized under 2011 and 2014 Levels 1 or 2. This track is to help those practices fast track towards being recognized under the new 2017 requirements.
Annual Reporting – Practices who were recognized as a 2014 Level 3 can jump straight into annual reporting. Once any new practices are recognized they will also have to report annually. Practices will have to report on specific quality measures yearly in order to sustain recognition.