What Accreditation Levels Can a Plan Achieve?

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

Full Accreditation: NCQA awards its highest accreditation status of Full Accreditation to organizations that meet or exceed NCQA standards and have excellent programs for quality improvement and consumer protection.

One-Year Accreditation: NCQA awards a status of One-Year Accreditation status to organizations with well-established programs for quality improvement and consumer protection and which meet most NCQA standards. Organizations are given recommendations for improvement and are resruveyed in one year to determine qualification for Full Accreditation.

Provisional Accreditation: NCQA awards Provisional Accreditation to organizations that meet some, but not all, of NCQA's basic requirements for consumer protection and quality improvement.

Denied Accreditation: NCQA denies Accreditation to organizations that did not meet NCQA requirements during the Accreditation survey.