Health Plan Accreditation Publications

The 2014 Health Plan Standards and Guidelines and Survey Tool are effective July 1, 2014.

Standards and Guidelines for the Health Plans (including Exchange product lines)

Web-based version includes Medicare Advantage.

This publication features in-depth explanations and examples of how to meet the standards, accreditation scoring guidelines and points, accreditation outcomes and reporting categories. Eligibility requirements, application information and policies and procedures are also included.

Note: Purchase of the Standards and Guidelines is not necessary when purchasing the Survey Tool.

For web-based products, NCQA does not make any commitments with respect to the use or performance of the Software and Services with browsers other than browsers currently supported by Microsoft. Please review the
 license agreement for web-based products prior to purchase.

2014 Health Plan Standards and Guidelines (Print edition)
Item #:10352-100-14
Price: $320

2014 Health Plan Standards and Guidelines Web-based publication 

2014 Health Plan Standards and Guidelines e-pub 

2013 Health Plan Standards and Guidelines (Print version)
Item #:10352-100-13
Price: $320 

2013 Health Plan Standards and Guidelines Web-based publication

2013 Health Plan Standards and Guidelines e-pub 

Survey Tool for the Accreditation of Health Plans (including Exchange product lines)

The Survey Tool includes all information needed to prepare and submit materials for an NCQA survey. Organizations applying for accreditation must complete the Survey Tool and submit it to NCQA to begin the survey process.

2014 HP Survey Tool (Effective 7/1/14 - )

2013 HP Survey Tool (Effective 7/1/13 - 6/30/14) 

Application for Health Plan Accreditation

This application provides all materials required to apply for an NCQA survey and includes pricing information, policies and procedures and the survey agreement.

2014 Health Plan and MA Application 
(Available November 2013)
(Effective 7/1/14 - )
Item # 10013-150-14
Price: Free

2014 HP Corporate Application 
(Available November 2013)
(Effective 7/1/14 - )
Item #: 10012-151-14
Price: Free

2013 Health Plan and MA Application
(Effective 7/1/13 - 6/30/14)
Item # 10013-150-13
Price: Free

2013 HP Corporate Application
(Effective 7/1/13 - 6/30/14)
Item #: 10012-151-13
Price: Free

Accreditation User Group (AUG) Memberships

The AUG is a communication, learning and development platform for members to discuss updates to NCQA Accreditation and Certification products and their application to organizations. Members also have the opportunity to contribute to the enhancement of future products. Membership benefits include newsletters, discount vouchers and up-to-date technical information, as well as the inside track on standards development.

2014 AUG Package
The 2014 AUG membership year follows NCQA’s standards year, which runs July 1, 2013–June 30, 2014. For more information, click here

2014 AUG Package 
Item #10703-150-14
Price: $950

Publication Resources

Online Ordering
Quick, easy and secure. Once your order is received, you will receive a confirmation email with detailed information about your order.

Policies and Discounts
This includes the publications order form, return/exchange policy, shipping, discount and other publication-related information.

Policy Updates
Policy updates include important notifications regarding NCQA's Accreditation and Certification programs, as well as HEDIS measures.

Resource Library
NCQA offers a variety of information and resources, including reports, published research, white papers and newsletters.

Customer Support
Questions? Need Help? Customer Support is available Monday - Friday, 8:30 - 5:00 ET at (888) 275-7585.