PCMH Development Resources

The patient-centered medical home (PCMH) is a model of care that puts patients at the forefront of care. PCMHs build better relationships between patients and their clinical care teams.

  • Reduce Fragmentation and Improve Quality: The PCMH model emphasizes team-based care, communication and coordination, which has been shown to lead to better care.
  • Better Manage Chronic Conditions: The PCMH model has been shown to help better manage patients’ chronic conditions.
  • Align With State/Federal Initiatives: As more emphasis is placed on value-based care, many state and Federal programs are embracing the patient-centered model of care.
  • Improve Patient-Centered Access: PCMHs emphasize the use of health information technology and after-hours access to improve overall access to care when and where patients need it.

Currently 92% of community health centers in our membership have some level of PCMH recognition for at least one of their sites. Most have chosen to get their recognition through the National Committee for Quality Assurance (NCQA).   

This page offers links to resources and information relevant to NCQA PCMH recognition. 

The nation’s health centers provide access to primary care services and a primary care medical home to more than 28 million patients. NCQA supports health centers that want to become Patient-Centered Medical Homes (PCMH). 

CLICK HERE to learn more about HRSA and NCQA PCMH Development Support. 
CLICK HERE to learn more about FREE NCQA Training Opportunities.
CLICK HERE to learn more about HRSA Notice of Intent and Approval. 
CLICK HERE to learn more about Adding HRSA Codes to Q-Pass. 

Visit  MY.NCQA.ORGOR theNCQA STORE to download the latest version of the NQCA PCMH Standards and Guidelines. These are FREE for recognized health centers! 

CLICK HERE to learn more about the NCQA PCMH Recognition Process. 
CLICK HERE to download the NCQA PCMH Self Assessment Tool. 
CLICK HERE to learn more about Annual Reporting  for PCMH Recognition. 
CLICK HERE to visit NCQA’s Frequently Asked Questions (FAQ) 

The documents below offer a suggested path to earning NCQA PCMH Recognition,  including which criteria might be best to demonstrate at earlier and later virtual review sessions.  Practices are not required to follow the suggestions.  A practice that is attesting to criteria or using a prevalidated vendor may be able to move additional criteria to earlier check-ins. 

CLICK HERE to review a Suggested Path to Recognition 
CLICK HERE to review a Suggested Path to Recognition for Pediatric Practices 

CLICK HERE to learn more about Distinction in Behavioral Health Integration.  

As part of the March 2, 2021, VCHA PCMH Office Hours, Emily Hutt from Healthy Community Health Center shared lessons learned from their organization’s successful experience obtaining NCQA Distinction in Behavioral Health Integration. She also shared the Center’s eCW Care Planning Module created to systematize workflow. 

CLICK HEREto watch a recording of our conversation with Emily Hutt, from Healthy Community Health Center (50 mins).
CLICK HEREto view Healthy Community Health Center eClinicalWorks (eCW) Care Planning for Behavioral Health module. 

Please Note: Resources in the section are recordings of previous webinars and office hours events hosted by VCHA. The content of this “Archive” may not reflect the most current version of the NCQA Guidelines.  

VCHA continues to partner with Community Health Solutions (CHS) to provide PCMH development support for Member health centers. 

Email the PCMH Support Team attlaine@chsresults.com 

Office Hours: 1st and 3rd Tuesday of each month @ 12:00 noon  

Join the PCMH Support Team at CHS on bi-monthly virtual ‘office hours’ where they address PCMH questions received from Members.  

Use the following information to join these virtual office hours. 

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