Elevating Your Physician Practice with RMS Healthcare

Patient-Centered Medical Home (PCMH) Recognition requirements continue to evolve in order to meet the needs of both patients and primary care practices. At RMS Healthcare, we are committed to guiding organizations and practices through the intricacies of PCMH implementation and sustainability. As your partner, we keep you informed of updates to the PCMH Standards & Guidelines, as well as new and evolving expectations from the National Committee for Quality Assurance (NCQA).

In July 2025, NCQA announced updates to the PCMH Standards and Guidelines, effective January 1, 2026. The most notable changes are:

• New NYS quality measures
• Increased thresholds for medication reconciliation
• New cadence requirements added for 45 criteria
• Additional evidence upload required for all Annual Reporting criteria
• New documented processes required
• Overall focus on internal communication to improve patient outcomes

What These Changes Mean for You

• Additional evidence uploads to Q-PASS
• Developing new and updating current documented processes and policies
• Increased work with your EMR vendor on reporting for mandated NYS quality measures
• Additional rigor with PCMH related reports to meet new expectations

How RMS Healthcare Can Help

RMS Healthcare is more than just a consulting firm — we become a member of your team and, as we like to say, our goal is to be your “back office” team. In doing so, we strive to cultivate a cohesive and collaborative partnership with our clients to operationalize all aspects of patient care delivery while identifying solutions to optimize practice performance. We work with you to celebrate and understand the uniqueness of your practice, while tailoring our approaches to best meet your needs. With over 15 years of experience in this targeted healthcare consulting area, we have a 100% success rate in guiding practices through all stages of the PCMH Recognition process. We have a well-established partnership with NCQA, as well as experience in partnering with all types of practices and health centers. We help you manage the demands of operating a physician practice, while helping you prioritize key deliverables and patient care. While our goal is PCMH Recognition, we understand that it is much more than that. PCMH Recognition validates that you put your patients at the center of their care, assisting with the management of chronic and acute conditions, all while addressing SDoH, health equity, and the care management needs of your patients.

Whether you are considering NCQA PCMH Recognition for the first time or are a seasoned PCMH Recognized practice, we are here to ensure your successful journey under the 2026 standards.

Contact Shannon Sawyer at RMS Healthcare today and let us know how we can help you position your practice for success in 2026. Contact Shannon Sawyer, Senior Director of Healthcare Operations at 315.635.9802 Ext. 212 or at shannons@rmsresults.com.