 The Patient Centered Medical Home PCMH and the Chronic Care Model CCM are complementary clinical intervention frameworks that are commonly invoked to support better type 2 diabetes T2DM outcomes in primary care. Self-management Support SMS is a core component of both the PCMH and CCM, and focuses on the central role of patients in managing their illness by engaging with and adopting healthy behaviors that promote optimal clinical outcomes. Despite its recognized importance, SMS programs for diabetes continue to demonstrate limited effectiveness in the real-world of primary care. 