FAQ Directory: Patient-Centered Medical Home (PCMH)

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7.02.2024 July 2024 PCMH Summary of Updates What changes were made to the PCMH Standards and Guidelines for Version 10?

KM 09: DiversityAdded “Middle Eastern or North African” to the race/ethnicity combined category.

Also, added this note, “The OMB updated the combined Race and Ethnicity categories in 2024 to include the Middle Eastern or North African population; this is reflected in the publications. If this option is not yet available, work with your vendor to ensure compliance with the OMB.” 

CC 16: Post-Hospital/ED Visit Follow-UpAdded a note, "All discharged patients should be contacted, although not every patient may require a follow-up in the primary care practice." 
AR-QI 1: Clinical Quality Measures and AR-QI 2: Resource Stewardship MeasuresAdded this note, “Practices should review measure data before submission, to ensure data are captured accurately and that numbers reflect practice performance and patient population.”
AR-QI 1: CQMsRemoved three retired measures. CMS 127: Pneumococcal vaccination status for older adults; CMS 147: Influenza immunization; CMS 161: Adult major depressive disorder: Suicide risk assessment.

Adult practices may submit a custom immunization measure and pediatrics practices must select CMS 117: Childhood immunization status: Combination 10.

Adult practices do not need to submit a request for a custom immunization measure.

AR-QI 1C: Chronic/Acute Clinical Quality MeasurePediatric practices do not need to submit a request via My NCQA to request a custom measure if they were granted a custom chronic/acute measure in 2024.
 
AR-QI 1: CQMsTwo new eCQM measures added. CMS 314v1: HIV Viral Suppression (chronic/acute) and CMS 1188v1: Sexually Transmitted Infection Testing for People with HIV (other preventive).
Appendix 6: MAC PolicyChanged contact email to rpsig@ncqa.org and removed the mailing address.

PCMH 2017