QPP Year 6: Program Year 2023 NPRM – Understanding Potential Impacts

Major Changes to NCQA PCMH and PCSP Programs

NCQA has recently evaluated their Patient Centered Medical Home and Specialty Practice recognition programs. After the review, they are making some significant changes to both programs, as shared below:

  • Beginning in 2024, PCMH and PCSP practices will be required to use an electronic health record (EHR).
  • Beginning in 2024, standardized measures will be required for PCMH (reporting period 1.1.23 – 12.31.23).
  • Some standardized measures may pose challenges to some, so NCQA will allow organizations to submit a request for custom measure(s).
  • Organizations will also be allowed to submit a request for exceptions to calendar year reporting on a case-by-case basis.

Contact us at Kentucky REC with your questions about practice transformation. Our team of experts is here to help: 859-323-3090.