Grace period changes start on Jan 1  The National Committee for Quality Assurance (NCQA) has announced an important change to the  submission process for annual reporting  under the  Patient-Centered Medical Home (PCMH)  recognition program. Beginning  Jan. 1 , NCQA will charge fees for late annual reporting submissions:  $50 per site  will be charged if a site submits after its reporting date  without prior communication or extension approval.   Sites may  proactively request an extension  for a  $35 per-site fee , allowing up to  90 additional days  past the reporting date. Extensions are limited to  a maximum of five sites per organization.   Previously, NCQA allowed an approximately  60-day “flex period”  beyond the reporting date at no charge. This courtesy will no longer apply as of 2026. ...