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NHP Accreditation

New Health Plans

NCQA’s Accreditation of New Health Plans (NHP) Program is based on a core set of standards from the Standards and Guidelines for the Accreditation of Managed Care Organizations and is available to health plans that are less than three years old. NHP accreditation evaluates how well a plan manages its clinical and administrative systems in order to continuously improve health care for its members.

NCQA NHP Accreditation consists of both onsite and offsite evaluations conducted by teams of physicians and managed care experts. The Review Oversight Committee (ROC) analyzes the team's findings and assigns an accreditation level based on plan performance against standards for improving health care access and services and practitioner credentialing.


NHP Report Card

View the New Health Plan Accreditation Report Card.

NCQA Policy Support

  • 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.

  • Policy Updates & Supporting Documents

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

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