Under the redesigned PCMH program, health centers will demonstrate annually that they continue to align with recognition requirements. The 2023 annual reporting requirements for PCMH recognition are outlined below (Click here to go to NCQA.org for detailed info on Annual Renewal.)
This guide will help you navigate the NCQA Patient-Centered Medical Home (PCMH) Annual Reporting process. It explains the process and how it compares to earning initial Recognition, and what you can show NCQA to demonstrate that your practice is still functioning as a PCMH.
This guide contains several tools that will help you stay on track to complete the Annual Reporting process:
Explore the document below for full details on the 2023 annual reporting requirements. NCQA annual reporting requirements will change year over year – updates will be available within six months before they are scheduled to take effect. Note that practices should submit the version of the annual reporting requirements that is of the same year as their renewal/anniversary date (e.g. If a practice is due in February 2023, they should report according to the 2023 requirements.).
NCQA is moving to Standardized Measures for QI Annual Reporting in 2024. Clinics have the option of reporting customized QI measures in 2023.
This document represents a crosswalk chart of the quality measures that NCQA will include in its PCMH recognition program. It provides a crosswalk among the measures that are used to support HEDIS reporting, as well as to support payment incentive programs such as MACRA. In addition, the chart identifies the measures that NCQA offers certification to vendors seeking validation that their quality measures reporting capabilities meet the CMS reporting specifications. This list will be updated periodically.