The PPC®-PCMH™ program reflects the input of the American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP) and American Osteopathic Association (AOA) and others in a revision of Physician Practice Connections® to assess whether physician practices are functioning as medical homes. Building on the joint principles developed by the primary care specialty societies, the PPC®-PCMH™ standards emphasize the use of systematic, patient-centered, coordinated care management processes.

Patient-Centered Medical Home

Care Coordination in a Statewide System of Care

Comprehensive Care Planning for CYSHCN

Financing Care Coordination

Got Transition – Center for Health Care Transition Improvement (Six Core Elements of Health Care Transition 2.0)

National Center for Medical Home Implementation


Medical Home Family Feedback Tool [English / Spanish]

Practice Index

Pediatric Emergency Plan

Pediatric Action Plan

Pediatric Care Plan [English / Spanish]

Standards for Systems of Care for Children and Youth with Special Health Care Needs Version 2.0


5 Numbers to Remember About Early Childhood Development

“MOM 2 MOM”” – Rutgers UBHC’s 24-hour Helpline for Parents With Special Needs Children

About Half Of The States Are Implementing Patient-Centered Medical Homes For Their Medicaid Populations 

New Jersey Institute for Disabilities

Children & Family Community Care- VNA NJ

Essex Pregnancy & Parenting Connections (EPPC)

Improving the Medical Home Through the Use of Health Information Technology

My Health Passport – English / Spanish

NJ Early Intervention System (DHSS)

Special Child Health Services – VNA NJ

State Innovations to Transform and Link Small Practices

Statewide Parent Advocacy Network (SPAN) / Family Voices

Resources for HP’s – Transition

Transition Checklist for Teens

The National Alliance to Advance Adolescent Health receives federal funding to improve transition from pediatric to adult healthcare

Important Documents

Choosing a Parent Partner