Renewing PCMH Recognition For 2014 Practices

Information on this page is intended for practice that have already earned recognition under the 2014 Level 1 or 2 NCQA PCMH standards and are seeking to renew recognition with the new process. If you are an NCQA PCMH 2014 Level 3 practice, you can transition directly to Annual Reporting.

Before Enrolling

• Download the PCMH Standards and Guidelines document. This includes an Accelerated Renewal table to help you identify the criteria to which you can attest.
• Begin learning the concept areas and criteria.
• Create an account at qpass.ncqa.org. Q-PASS is the web-based platform that will be used to submit all documentation and data to NCQA and manage the recognition process.
• Update/confirm organization information. Q-PASS lets you manage multiple organizations, practices, clinicians and recognitions through a single portal.

Enroll in PCMH Recognition Through Q-PASS

Enrollment officially starts the recognition process. From this point, your practice has 12 months and 3 check-ins to complete the recognition process. Before you enroll, be sure you are prepared to complete the recognition process within this window.

Steps to Renewing Recognition

Kick-Off Call with NCQA Representative.

You will be assigned an NCQA Representative who will walk you through the recognition process. They will help you set 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.

Apply PCMH Criteria to Your Practice.

Implement changes in your practice that align with the PCMH concepts and criteria. Decide which requirements you want to submit and plan how you want to demonstrate your evidence. For some requirements, you will need to upload evidence such as policies and procedures. You may demonstrate other requirements during the virtual check-in, through screen-sharing technology.

Virtual Reviews.

Participate in up to 3 virtual reviews. Demonstrate that you are embracing measurement and quality improvement through these reviews. Virtual reviews must be scheduled 30 days in advance of the desired review date.

Submit for Recognition.

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

Earn Recognition.

NCQA reviews your submission one last time and notifies you of your practice’s recognition status.

Print Your Recognition Certificate.

Once notified of your recognition status, go into Q-PASS and print the Recognition Certificate (from the My Evaluation screen).

Annual Reporting.

Your practice performs ongoing quality improvement and submits evidence of this during Annual Reporting to sustain recognition and succeed as a PCMH recognized practice.

View the NCQA PCMH 2018 Annual Reporting Requirements here.