NHP Accreditation Levels

What Accreditation Levels Can a NHP Achieve?

New Health Plans can earn the following NCQA Accreditation status levels based on their performance against NCQA's Standards and Guidelines:

New Health Plan Accreditation:  NCQA awards this status to plans that demonstrate substantial performance within each standard category.

Denied Accreditation:  NCQA denies Accreditation to organizations that did not meet NCQA requirements during the Accreditation survey.  Denial can also occur when NCQA decides that an identified deficiency poses a potentially significant risk to the quality of care that members receive. 

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