Note: The 2007 MCO Standards and Guidelines and Survey Tools are effective July 1, 2007-June 30, 2008. Policy updates, changes and clarifications are available.  

Standards for the Accreditation of MCOs
 If you want to review only the standards for accreditation that MCOs must follow, the MCO Standards will meet your needs. The Standards for the Accreditation of MCOs explains the intent of each standard. Details regarding eligibility requirements, application procedures and other policies and procedures are included.

Please note: Purchase of the Survey Tool is required for organizations preparing for an accreditation survey.

2007 MCO Standards
Item #10351-100-07
Price: $100

2007 MCO Standards e-pub

Standards and Guidelines for the Accreditation of MCOs
If you are preparing for an NCQA Accreditation survey, the MCO Standards and Guidelines is an essential resource. This publication features in-depth explanations and examples of how to meet the standards, accreditation 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. 

2008 HP Standards and Guidelines

2007 MCO Standards and Guidelines
Item # 10352-100-07
Price: $260

2007 MCO Standards and Guidelines e-pub

2007 MCO Standards and Guidelines Web-based

Survey Tool for the Accreditation of Managed Care Organizations
The Survey Tool includes all information needed to prepare and submit materials for an NCQA survey. Organizations applying for accreditation 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.

Note: Please contact NCQA Customer Support prior to purchasing the Survey Tool, if your organization is planning a multiple entity or MCO/PPO multiple product survey to see if you qualify for a discount.

2008 HP Survey Tool (Effective 7/1/08 -      )

2007 MCO Survey Tool (Effective 7/1/07 - 6/30/08)

Application for Accreditation for Health Plans

This application provides all materials required to apply for an NCQA Accreditation survey and includes pricing information, policies and procedures and the survey agreement. NCQA also offers a Corporate Survey option to national or regional organizations that provide centralized functions for local plans or local operating units. 

2008 Health Plan and MA Application
Item #10013-150-08
Price: Free