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.
| 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. | 9-12 months |
| Download Accelerated Renewal Table | If 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 2014 at Level 1 or 2, can earn recognition 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 (found in the "Resources" folder in the Standards and Guidelines download) can help you identify which criteria you can just attest to. | 9-12 months |
| Create a Q-PASS Account | 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. 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 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.
| 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 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 month |
| 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 |