Patient-Centered Medical Home Certification

Patient-centered Medical Home Certification header graphic

Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), MIPS eligible clinicians that have at least 50% of their sites PCMH-certified by URAC will receive full credit for the improvement activities performance category.

URAC’s Patient-Centered Medical Home (PCMH) Certification process focuses on development over time, an approach to a more sustainable transformation of primary care practices.  This process is also a teaching and learning experience as the organization implements best practices and methods for providing value-based, quality medical services.

Unlike organizations that simply validate what the physician practice already does, URAC’s unique three-tiered approach is designed to guide the practice through real transformation while qualifying the practice as early as possible for favorable payments under the new Medicare payment model. Understanding the value of integrated care, URAC also weaves key behavioral health components into our PCMH standards.

This means real change that will achieve tangible outcomes, and better position organizations for successful clinical integration and ultimately value-based payment.

The URAC-certified patient-centered medical home:

  • Provides enhanced access to primary care
  • Improves delivery of preventive services
  • Helps patients make healthy lifestyle choices
  • Uses the latest health information technology and evidence-based medical approaches
  • Reduces emergency room visits and hospitalizations
  • Improves care coordination
  • Provides high-quality disease management

Officially recognized by the Centers for Medicare and Medicaid Services, our PCMH Certification was initially developed to conform with the guidelines jointly created by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association.

Download our Patient-Centered Medical Home Standards-at-a-Glance, Elements-at-a-Glance, and Measures-at-a-Glance.

Who may apply

Legally organized healthcare practices that provide primary care to patients in office settings, outpatient clinics, or academic-affiliated ambulatory clinics.

Request a Quote

Let's Talk