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Why Certification

Certification products represent a subset of the standards and guidelines for our accreditation products and are appropriate for organizations that provide specific services but not comprehensive programs. 

With our health care certification programs, the review process is rigorous and may consist of both an on- and off-site evaluation. The evaluations are conducted by physicians, if appropriate, and experts in the product being evaluated. A review oversight committee of physicians analyzes the team’s findings and assigns a certification level based on the organization’s performance against NCQA’s standards. 

NCQA’s requirements – developed with the input and support of employers, unions, health plans and consumers – are demanding. NCQA has purposely set the standard high to encourage organizations to continuously enhance their quality.

Please note: A new application and scheduling process begins May 15 for Certification programs. 

Learn more

NCQA Policy Support

Frequently Asked Questions
FAQs about Accreditation, Certification and HEDIS. Updated the 15th of every month.

Policy Updates & Supporting Documents
News about Accreditation, Certification and HEDIS measures.

Policy Clarification Support (PCS)
Can’t find what you need in FAQs or Policy Updates? Submit your question here.

Interactive Review Tool (IRT)

Learn more about the IRT Web-based Survey Platform.

Report Cards

View Report Cards for all NCQA Accreditation, Certification and Recognition programs.