The JAHF PCMH Change AGEnts Network will transform Patient Centered Medical Homes to recognize, facilitate, encourage, and ultimately reward providing the right kind of care for older adults and their caregivers based on their values and goals. We also propose to enhance PCMHs’ connection to relevant resources, including family caregivers and community-based organizations that will allow individuals with complex needs to live with the dignity and independence they want to have, with health care needs met reliably and well, and with a sense of well-being and inclusion in personal relationships and in the community— and with sustainable costs for families and society at large.