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Policy Updates & Supporting Documents

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

Modifying NCQA Requirements in Response to Hurricanes and other Natural Disasters (September 7, 2017)

Corrections, Clarifications and Policy Changes

Corrections, clarifications and policy changes to the most recent Standards and Guidelines for all of NCQA's products. Learn More 

Benchmarks and Thresholds

National benchmarks and national and regional thresholds for HEDIS® measures and HEDIS/CAHPS® 5.0H survey results. Learn More

HEDIS Measures for Accreditation 2019

The HEDIS Measures for Accreditation 2019 scoring are listed in the memo below.

Health Plan Accreditation 2019

Supplemental Documents

8/30 File Review Methodology

The Guidelines for Medical Record Documentation

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