NCQA’s Organizational Certification program requirements assess key aspects of credentialing and utilization management operations. They focus on consumer protection and improvement in service to customers. Organizations may seek certification in either (or both) of the evaluation options listed below:
Credentialing and Recredentialing (CR)Utilization Management (UM)
Questions? Please contact NCQA Customer Support.
View the Utilization Management/Credentialing Certification Report Card.
New FAQs are posted on the 15th of every month and provide answers to our most commonly asked questions.
If you cannot find an answer to your question in our FAQs or Policy Updates, submit your inquiry here.
Policy updates and supporting documents include important notifications regarding NCQA's Accreditation and Certification programs, as well as HEDIS measures.