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Case Management Accreditation


NCQA’s Case Management Accreditation is a comprehensive, evidence-based accreditation program dedicated to quality improvement that can be used for case management programs in provider, payer or community-based organizations. Lessons learned from our experience evaluating case management and care coordination in patient-centered primary care settings and population health care organizations are included. NCQA’s Case Management Accreditation is the only program that focuses on ensuring the organization has a process to ensure safe transitions.

NCQA’s Case Management Accreditation:

  • Directly addresses how case management services are delivered, not just the organization’s internal administrative processes.
  • Gets right to the core of care coordination and quality of care.
  • Is designed for a wide variety of organizations. It is appropriate for health plans, providers, population health management organizations, and community-based case management organizations.
  • For organizations that are already accredited, certified or recognized by NCQA, the Case Management Accreditation program completes a commitment to the highest degree of quality improvement. 


    In-Depth CM Accreditation Information

    New Online Application Process

    A new application and scheduling process begins May 15 for Accrediation programs. Learn more.

    NCQA Policy Support

    Policy Updates

    Corrections, clarifications and policy changes to our stated Standards and Guidelines 

    New FAQs are posted on the 15th of every month and provide answers to our most commonly asked questions. 

    Policy Clarification Support (PCS)
    If you cannot find an answer to your question in our FAQs or Policy Updates, submit your inquiry here

    NCQA Survey Systems

    Prepare for your survey (ISS)
    Login to ISS to prepare for and submit your Survey Tool for survey. 

    Review a submitted survey (IRT)
    Login to ISS to prepare for and submit your Survey Tool for survey. 

    More information on IRT
    Learn more about NCQA’s Interactive Review Tool, including training information.