PCMH PRIME Standards and Guidelines *For Massachusetts Practices ONLY* (epub)

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Note: Intended only for Massachusetts practices applying to PCMH PRIME concurrently or as an add-on to NCQA 2011 or 2014 Recognition prior to 9/30/2017.

For Massachusetts practices that demonstrate the ability to address behavioral health in primary care. Behavioral health issues can often first identified in a primary care setting, and there is growing consensus that behavioral health should be integrated into primary care. Behavioral health conditions (mental illnesses and substance use disorders) can be exacerbated by under-/delayed diagnosis and treatment. This is a serious public health problem nationally and across Massachusetts. The Massachusetts Health Policy Commission (HPC), in collaboration with NCQA, developed the PCMH PRIME Certification Program, which identifies criteria that are key to integrating behavioral health care into primary care and certifies practices that meet a majority of these criteria.

The program is open to practices in Massachusetts currently recognized as: 

  • NCQA PCMH 2011, Level 2 or 3. 
  • NCQA PCMH 2014, Level 1, 2 or 3.
Standards and Guidelines are not yet available for practices applying to PCMH PRIME concurrently or as an add-on to PCMH 2017. NCQA and the HPC aim to make 2017 PCMH PRIME Standards and Guidelines available later this year. 

More information on PCMH PRIME Certification can be found here.