Annual Reporting for PCMH 2022

Under the redesigned PCMH program, health centers will demonstrate annually that they continue to align with recognition requirements. The 2022 annual reporting requirements for PCMH recognition are outlined below (Click here to go to for detailed info on Annual Renewal).

Notable Changes

NEW IN 2022! NO MORE QI WORKSHEET!!  Measures data for AR-QI 1-3 must be input from the NEW ‘Measures Reporting’ tile of the Organization Dashboard on Q-Pass.  The practice may choose to report in two ways:

  • If the practice is utilizing a standardized measure outlined in Appendix 5, it may choose the measure from the drop-down menu in Q-PASS and the measure parameters (e.g., numerator description) will populate.
  • If the practice is utilizing a measure not listed in the standardized measure table, enter text in fields manually.

Click here to view an Abbreviated Overview of 2022 PCMH Annual Reporting (AR) Requirements and Comparison to 2021 (created by CHS)

NCQA Patient-Centered Medical Home Recognition Annual Reporting Preparation Guide For Reporting Year 2021

(Please note:  The 2021 Preparation Guide is available as a resource while we wait for 2022 update~ est. September 2022)

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:

  • Annual Reporting Requirements Checklist
  • Major Milestones and tasks for Annual Reporting Checklist
  • Practice GAP Assessment and Improvement Checklist
NCQA AnnualReportingPreparation-2020

NCQA Annual Reporting Requirements 2022

Explore the document below for full details on the 2022 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 2022, they should report according to the 2022 requirements.).

Appendix 5.  Standardized Measures

Quality Measures Crosswalk
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.