The HPC Patient-Centered Medical Home (PCMH) Certification Program

On February 27, 2015, the Health Policy Commission released proposed framework for its Patient-Centered Medical Home Certification Program. The HPC will accept public comment through Friday, April 10, 2015. Members of the public can submit comment to

  Request for Public Comment: Proposed Patient-Centered Medical Home Certification Standards  pdf format of Proposed PCMH Certification Standards

Click here to download the NCQA’s PCMH 2014 Standards and Guidelines and here to download the NCQA’s PCMH 2011 Standards and Guidelines.

UPDATE: After additional discussion with external stakeholders, the HPC has decided to extend the public comment period through Friday, April 10. The HPC continues to seek comments from the public related to its proposed PCMH certification program, particularly centered around the following:

  • Discussion on the value of proposed HPC modifications to achieve the goals of cost containment, improved quality, and improved patient experience and engagement

  • Assessment of the clinical, operational, and financial feasibility in implementing each of the proposed HPC PCMH standards (which ones are  more/less feasible?), along with your organization’s recommendations for modifications, if needed, that would achieve the goals described above.

The HPC, in conjunction with NCQA, announces two dates for market participants currently reviewing the proposed framework for the HPC PCMH certification program to encourage interested stakeholders to ask questions about the proposed program design and new Massachusetts-specific PCMH requirements.

Q&A Session 1: Wednesday, March 18 (3-4 PM)

Q&A Session 2: Monday, March 23 (2-3 PM)

Please email if you plan to participate in person at the HPC's offices (50 Milk Street, 8th Floor, Boston, MA 02109). If you are joining via webinar, please register here for Session 1 and here for Session 2.

Pursuant to G.L. c. 6D, §14, the HPC is required to “develop and implement standards of certification for patient-centered medical homes.”  The purpose of this certification process is to complement existing local and national care transformation and payment reform efforts, validate value-based care, and promote investments in efficient, coordinated, and high-quality primary care.

The HPC has determined that a partnership with the National Committee for Quality Assurance (NCQA) is the best option for the HPC to operationalize its PCMH certification program. On January 20, 2015, the HPC Board authorized proceeding with executing a contract with the NCQA following the issuance of a notice of intent to accept a best value offer. A potential NCQA-HPC collaboration will enable the HPC to build on NCQA’s PCMH standards, while providing flexibility for making modifications and additions specific to Massachusetts. These modifications and additions, paired together, will make up the requirements of the HPC’s PCMH Certification Program.

In addition to certification standards, the HPC PCMH program will include technical assistance, payer engagement (including development of PCMH model payment methods), consumer education/marketing, and anticipates a data support component for quality improvement activities.

Inquiries about the HPC PCMH certification program may be sent to