Table of Contents NCQA’s Patient-Centered Medical Home 2014—Overview 1 for PCMH and Beyond 2 NCQA PCMH Evolution 3 PCMH 2014 4 Development 4 The Consumer Perspective 5 Public Comment 5 The Standards 5 The Must-Pass Elements 5 Recognition Levels and Point Requirements 6 Initial Recognition vs. Renewal 6 Optional Recognition for Use of Standardized Patient Experience Survey 6 Resources 7 Policies and Procedures Section 1: Eligibility and the Application Process Definitions 11 Eligibility 11 Fee Schedule Information 12 Recognition Program Partners in Quality 12 Pathway 13 The PCMH 2014 Online Application Process 13 Application Components 13 The PCMH 2014 Multi-Site Application 14 Determine Eligibility 14 Multi-Site Corporate and Site-Specific Survey Tool Submission 15 Practice Readiness Evaluation 15 Complete the Application 15 Prepare and Submit the ISS Survey Tool 16 Section 2: The Recognition Process NCQA Survey Tool Review 18 The Review 18 The Audit 18 PCMH 2014 Standards 19 A Standard’s Structure 19 Scoring Guidelines 20 Decision and Recognition Levels 21 Section 3: Additional Information Add-On Survey 22 Renewing Recognition 22 Reconsideration 22 Applicant Obligations 23 Complaint Review Process 23 Discretionary Survey 24 Suspension of Recognition 24 Revoking Decisions 24 Mergers, Acquisitions and Consolidations 25 Revisions to Policies and Procedures 25 Disclaimer 25
Table of Contents NCQA’s Patient-Centered Medical Home 2014—Overview 1 for PCMH and Beyond 2 NCQA PCMH Evolution 3 PCMH 2014 4 Development 4 The Consumer Perspective 5 Public Comment 5 The Standards 5 The Must-Pass Elements 5 Recognition Levels and Point Requirements 6 Initial Recognition vs. Renewal 6 Optional Recognition for Use of Standardized Patient Experience Survey 6 Resources 7 Policies and Procedures Section 1: Eligibility and the Application Process Definitions 11 Eligibility 11 Fee Schedule Information 12 Recognition Program Partners in Quality 12 Pathway 13 The PCMH 2014 Online Application Process 13 Application Components 13 The PCMH 2014 Multi-Site Application 14 Determine Eligibility 14 Multi-Site Corporate and Site-Specific Survey Tool Submission 15 Practice Readiness Evaluation 15 Complete the Application 15 Prepare and Submit the ISS Survey Tool 16 Section 2: The Recognition Process NCQA Survey Tool Review 18 The Review 18 The Audit 18 PCMH 2014 Standards 19 A Standard’s Structure 19 Scoring Guidelines 20 Decision and Recognition Levels 21 Section 3: Additional Information Add-On Survey 22 Renewing Recognition 22 Reconsideration 22 Applicant Obligations 23 Complaint Review Process 23 Discretionary Survey 24 Suspension of Recognition 24 Revoking Decisions 24 Mergers, Acquisitions and Consolidations 25 Revisions to Policies and Procedures 25 Disclaimer 25
1_PCMH_Recognition_2014_Front_Matter.docx