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Disease Management Accreditation

NCQA offers a flexible evaluation program, including Accreditation for organizations that offer comprehensive DM programs with services to patients, practitioners or both; and Certification for organizations that provide specific DM functions. These standards build on NCQA's years of Accreditation and Certification experience, detailed market research and input from industry experts and other stakeholders.

NCQA Accreditation or Certification will allow organizations that offer quality DM programs and services to receive the market advantage, high standards of quality and recognition from key contractors the industry demands. The NCQA Accreditation or Certification seal of approval may help your organization relieve delegation oversight from health plans and meet many request-for-proposal (RFP) requirements.

Questions?

For more information, please e-mail pcmh-grip@ncqa.org or call (888) 275-7585, M-F, 8:30 a.m. - 5:00 p.m. ET.

DM Report Card


View the Disease Management Accreditation and Certification Report Card.

 

View Report Card

New Online Application Process

A new application and scheduling process begins May 15 for Accreditation programs.


Learn more

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.

Disease Management Brochure

NCQA Policy Support

Policy Updates

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

FAQs
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

HEDIS Users Group (HUG)
HUG membership packages offer you access to the most up-to-date information on HEDIS specifications so you can begin planning for the future.

HEDIS and ICD-10
To accommodate the switch from ICD-9-CM to ICD-10, NCQA created a plan to identify a valid and appropriate set of ICD-10 codes for each HEDIS measure.

Interactive Review Tool (IRT)
Learn more about the IRT Web-based Survey Platform.

Disease Management Resources

Education Seminars