(1) A qualified or provisionally qualified patient-centered medical home (PCMH) shall report annually to the commissioner on its performance related to certain standards and health care quality measures, as prescribed by the commissioner. A PCMH health care provider that provides care to adults only, or both children and adults, shall choose at least three of the four quality measures listed in (2)(a) through (d) to report to the commissioner. A PCMH health care provider that provides care only to children shall choose only the child immunization performance measure in (2)(c).

(2) The following are the quality measures to be reported as specified in (1):

(a) control of blood pressure among adults with diagnosed hypertension;

(b) screening for tobacco use and tobacco cessation counseling for adults;

(c) age appropriate immunization for children; and

(d) control of A1C levels in adults with diagnosed diabetes.

(3) If a PCMH health care provider has no patient data regarding a particular quality measure, the provider may indicate, "not applicable."

(4) A PCMH health care provider may not change the reporting measures the provider chooses until the end of the 2016 reporting year or until otherwise instructed by the commissioner.

(5) Annually, the data on standards and quality measures are due to the commissioner on March 31 for the previous calendar year. For the initial report, data must be submitted to the commissioner for the reporting period January 1, 2014 through December 31, 2014, by March 31, 2015.

(6) The commissioner shall provide detailed instructions on the agency web site for reporting by qualified and provisionally qualified PCMHs on the quality measures described in (2). Data reporting requirements must be aligned with the federal Physician Quality Reporting System (PQRS), except for childhood immunizations, and the instructions provided on the commissioner's web site.

(7) The report referenced in ARM 6.6.4906 is separate from the report required for the quality measures in (2).

(8) The commissioner may report to the public only aggregate information about quality measures.

(9) Payers who choose to participate in the Montana PCMH program, and who use quality measure reporting in their payment model shall include, but are not limited to, the four measures specified in (2). Those payers must also use the data reporting requirements prescribed by the commissioner.