Certification Statuses

OC Certification Statuses

An Organization can earn the following NCQA Certification status levels based on their performance against NCQA's Standards and Guidelines:

Certification:  NCQA awards certification to an organization that demonstrates substantial performance within each standard category.

Denial of Certification:  A denied status occurs when the organization significantly fails to comply with the requirements within a chosen evaluation option of the OC program. Denial of Certification may also occur if NCQA determines that a particular identified deficiency poses a potential risk to the health and safety of members.
 


 


UM/CR Report Card

View the Utilization Management/Credentialing Certification Report Card.

NCQA Policy Support

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