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Managed Behavioral Healthcare Organization (MBHO) Accreditation

NCQA Managed Behavioral Healthcare Organization (MBHO) Accreditation demonstrates to health plans, employers, regulators and consumers that an organization follows evidence-based practices for providing high-quality care, access and consumer protections.


MBHO accreditation emphasizes:

  • Care coordination to reduce fragmented care, especially for people with special needs.
  • Complex case management, a challenge for managed care initiatives where complex cases are common.
  • Data exchange between health plans and behavioral healthcare organizations, to support clinical quality and patient experience measurement and improvement by the MBHO.

Behavioral healthcare organizations earn NCQA Accreditation by proving their proficiency across five standards:

Quality Management and Improvement  The organization has processes designed to monitor, evaluate and improve the quality and safety of care provided to its members, including those with complex needs.

Care Coordination The organization coordinates medical care and behavioral healthcare for its members

Utilization Management The organization notifies members and practitioners about coverage decisions within required time frames. 

Credentialing and Recredentialing The organization verifies the credentials of the practitioners in its network.

Members’ Rights and Responsibilities The organization has a written members’ rights and responsibilities policy.

New Online Application Process

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

Market Your Quality

MBHO Report Card

How does your Managed Behavioral Healthcare Organization rate?

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

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.