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.

7.28.2014

1.15.2014

Combining Medicaid and CHIP populations in New York for HEDIS/CAHPS reporting

11.18.2013

 

10.24.2013

Delegation and Product Line Match

The following policy applies to surveys on or after July 1, 2014:

NCQA will not grant organizations automatic credit for delegation of functions for a product line that a delegate had at the time of its survey but for which it chose not to seek NCQA Accreditation. Such product lines were not in the scope of the delegate’s NCQA review and are therefore ineligible for automatic credit. See more...

 

7.29.2013

12.19.2012

8.30.2012

7.27.2012

  • Changes to 2012 Standards
    The attached document updates the list of requirements that have been eliminated for 2013 standards and will be scored "NA" for 2012 Accreditation and Certification Surveys beginning on or after July 1, 2012, for the products specified. UM 13, Element C, factors 1 and 2 were added to the list for HP and NHP. NCQA will continue to evaluate and score the requirements where it has an agreement with a state or federal agency to conduct such reviews (e.g., Medicare Advantage Deeming Surveys).

8.25.2011

7.25.2011

NCQA Policy Support

Policy Updates Archives
Still looking for answers? NCQA archives updates through 2008.

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