Corrections, Clarifications & Policy Changes

These documents include the corrections, clarifications and policy changes to the stated Standards and Guidelines for products listed below. Organizations should review the applicable document(s) and incorporate them into their implementation processes.   

 

11.20.2017

7.31.2017

Changes to UM 4, Appropriate Classification of Denials; the Future of Utilization Management

3.27.2017

3.27.2017

Updated on July 19, 2016, to add CM/DM privacy requirements to the list of eliminated requirements and remove RR 4, Element C from the list of elements moved to the MED category.

Updated on March 27, 2017, to add the remaining DM privacy requirements to the list of eliminated requirements.

11.21.2016

11.16.2015


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