The HPC Patient-Centered Medical Home (PCMH) Certification Program
HPC’s PCMH Public Comment Period (February 27, 2015 – April 10, 2015)
On February 27, 2015, the Health Policy Commission released a request for public comment for its proposed Patient-Centered Medical Home (PCMH) Certification Program framework, and accepted public comment through April 10, 2015.
HPC sought 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, along with recommendations for modifications, if needed, that would achieve the goals described above.
During the public comment period, HPC received valuable stakeholder insight and feedback, and is now in the process of synthesizing the written comments for internal review. All submitted public comment documents will be released on the HPC website in late April 2015.
HPC’s PCMH FAQ Document
The HPC, in conjunction with NCQA, announced two dates for market participants 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. Using these sessions as a foundation, HPC has developed a PCMH FAQ document to help clarify common programmatic and requirement-specific questions. The FAQ document will be released on the HPC website in late April 2015.
Going forward, HPC will be reviewing public comment and looks forward to continued engagement with stakeholders as it finalizes the design and requirements for the PCMH certification program. Please check the HPC website regularly for updates. Please email HPC-PCMH@state.ma.us with questions.
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 HPC-PCMH@state.ma.us.
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