NCQA ACO Accreditation includes three levels, representing varying degrees of capability for coordinating care and reporting and improving quality.
Level 1: This level indicates organizations that are in the formation/transformation stage but have not yet reached full ACO capability. They have the basic infrastructure and possess some of the capabilities outlined in the standards. The length of this status is two years, reflecting the expectation that organizations will be reevaluated to see if they have increased capabilities.
Level 2: This level indicates organizations with the best chance of achieving the triple aim. At this level, entities demonstrate a broad range of ACO capabilities. The length of this status is three years.
Level 3: This level indicates organizations that have achieved Level 2 and demonstrate strong performance or significant improvement in measures across the triple aim. The length of this status is three years.