Standards and Guidelines for the Accreditation of New Health Plans This publication outlines standards and features explanations and examples of how to meet the standards, scoring guidelines and points, accreditation outcomes and reporting categories. Eligibility requirements, application information and policies and procedures are also included.
Note: Purchase of the Standards and Guidelines is not necessary if purchasing the survey tool.
2012 NHP Standards and Guidelines e-pub
2012 NHP Standards and Guidelines Web-based 2011 NHP Standards and Guidelines e-pub
2011 NHP Standards and Guidelines Web-based
Survey Tool for the Accreditation of NHPs The Survey Tool includes all information needed to prepare and submit materials for an NCQA survey. Organizations applying for accreditation/certification must complete the Survey Tool and submit it to NCQA to begin the survey process.
For web-based products, NCQA does not make any commitments with respect to the use or performance of the Software and Services with browsers other than Netscape 6.0 or higher, or MS Internet Explorer 5.5 or higher. Please review the license agreement for web-based tools prior to purchase.
2012 NHP Survey Tool (Effective 7/1/12 - ) 2011 NHP Survey Tool (Effective 7/1/11 - 6/30/12)
Application for the Accreditation of NHPs This application provides all materials required to apply for an NCQA NHP Accreditation Survey and includes pricing information, policies and procedures and the survey agreement.
2012 NHP Application (Effective 7/1/12 - ) Item # 10096-150-12 Price: Free
2011 NHP Application (Effective 7/1/11 - 6/30/12) Item # 10096-150-11 Price: Free
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Policy updates include important notifications regarding NCQA's Accreditation and Certification programs, as well as HEDIS measures.
NCQA offers a variety of information and resources, including reports, published research, white papers and newsletters.
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