HRSA posted a new Program Assistance Letter (PAL) focused on its Accreditation and Patient-Centered Medical Home (PCMH) Recognition Initiative. HRSA offers HRSA-funded health centers support for these processes. The most significant update is that this PAL now extends support for PCMH recognition to look-alikes. This support includes certain fees associated with PCMH recognition, initial, renewal, and add-on surveys. The new PAL replaces PAL 2015-02 (published in 2015). Other changes in this PAL align with changes from HRSA partners since that date. For example, the PAL includes current schedules for renewals of accreditation and PCMH recognition.