Accreditation

Accountable Care Organizations (ACO)
ACO Accreditation helps providers show they’re ready to be accountable for the health care of a defined population.

Case Management (CM)
CM Accreditation highlights the quality of organizations that manage patients with complex needs.

Disease Management (DM)
Our most comprehensive evaluation of organizations that provide disease management services.

Health Plan (HP)
The industry’s most rigorous and meaningful evaluation now helps plans get ready to compete in Exchanges.

Managed Behavioral Healthcare Organizations (MBHO)
MBHO accreditation recognizes organizations that measure and improve the quality and safety of their behavioral healthcare services across a continuum of care.

New Health Plans (NHP)
NHP accreditation acquaints emerging organizations with measurement, transparency and accountability. This program was consolidated with HP accreditation in 2012.

Wellness & Health Promotion (WHP)
WHP accreditation distinguishes effective workplace assistance programs that help members change unhealthy behaviors and adopt healthy ones.  

Certification

Credentials Verification Organizations (CVO)
CVO certification evaluates the systems and continuous improvement of CVOs as they support their managed care clients.

Disease Management (DM)
DM certification is a streamlined evaluation that uses a subset of NCQA DM Accreditation standards.

Health Information Products (HIP)
HIP certification evaluates organizations that insurers select to perform duties delegated in connection with NCQA HP Accreditation.

Physician and Hospital Quality (PHQ)
PHQ certification evaluates how well health plans measure and report the quality and cost of physicians and hospitals.

Utilization Management and Credentialing (UM/CR)
NCQA’s Physician Organization Certification and Organization Certification products combined in a single set of standards.