OBJECTIVES: The patient centered medical home (PCMH) model aims to deliver high quality primary care by creating a structure of health care coordination between the patient/family, primary physician, specialist physicians, and the community. For children with special needs, specifically depression, this model may address certain deficiencies in their care due to the complexity of their treatment needs. We aim to explore whether the PCMH delivers greater access to care for depressed children.  METHODS: We analyzed the 2011-2012 National Survey of Children’s Health to examine our objective. The NSCH is a nationally representative telephone survey conducted by the U.S. Centers for Disease Control and Prevention. It collects a wide variety of information on children’s health and well-being by interviewing the parents or caregivers of non-institutionalized children. 95,677 interviews were completed across all 50 states and Washington D.C. We examined items from the survey that measure health care access and quality. Bivariate tests (t-test/chi-square) were performed followed by multivariate logistic regression. RESULTS: Bivariate tests showed that compared to non-depressed children in a medical home, depressed patients in a medical home were more likely to receive medical care (p=0.005), receive dental care (p=0.02), have their vision tested (p=.0013), have at least one unmet health care need (p=0.008), receive care from a specialist (p<0.0001), have problems paying their medical bills (p<0.0001), and experience frustration obtaining health services (p<0.0001). After controlling for demographic variables, depressed patients were still more likely to receive medical care (OR=2.27; 95%CI 1.30-3.81), receive care from a specialist (OR=1.46; 95%CI 1.07-1.99), have problems paying medical bills (OR=1.80; 95%CI 1.16-2.80), and experience frustration obtaining health services (OR=2.19; 95%CI 1.49-3.21). CONCLUSIONS: These findings suggest that the PCMH has a positive effect on primary and specialty care access for depressed children, but more work needs to be done to reduce the burden of seeking needed care.