NCQA’s CVO Certification program evaluates specific certification functions of organizations that provide credentials verification services. CVOs may choose to be evaluated in one or more “Certification Options”.  Each option is specific to one of the certification functions.

Organizations eligible for CVO certification must meet core requirements as well as the requirements for the Certification Options they choose.

Core Standards

Written Policies and Procedures (CVO 1)
Protecting Credentialing Information (CVO 2)
Protecting Credentialing Information (CVO 3)

Certification Options

Verifying and Reporting Licensure (CVO 4)
Verifying and Reporting DEA or CDS Certification (CVO 5)
Verifying and Reporting Education and Training (CVO 6)
Verifying and Reporting Work History (CVO 7)
Verifying and Reporting Malpractice History (CVO 8)
Verifying and Reporting Medial Board Sanctions (CVO 9)
Verifying and Reporting Medicare/Medicaid Sanctions (CVO 10)
Processing Application and Attestation (CVO 11)
Application and Attestation Content (CVO 12)
Ongoing Monitoring of Sanctions (CVO 13)

2007 Standards & Guidelines

Core Standards

1.    Written Policies and Procedures (CVO 1)

• Does the organization have polices and procedures for verification, frequency of reporting and management of credentials data?

2.    Process for Internal Continuous Quality Improvement
(CVO 2)

• Does the organization have a process for continuous quality improvement? 
• Is a client complaint process in place?

3.    Protecting Credentialing Information (CVO 3)

• Does the organization have policies and procedures regarding the confidentiality of credentialing information? 
• Is a system for limiting physical access to credentialing information in place? 
• Are password protection processes in place? 
• Are data recovery and back-up processes in place?

Certification Options

4.    Verification of Licensure (CVO 4)

• Does the organization use NCQA-approved sources to verify practitioner licensure?

5.    Verifying and Reporting DEA or CDS Certification (CVO 5)

• Does the organization use NCQA-approved sources to verify practitioner DEA or CDS certification?

6.    Verifying and Reporting Education and Training (CVO 6)

• Does the organization use NCQA-approved sources to verify practitioner education and training?

7.    Verifying and Reporting Work History (CVO 7)

• Does the organization use NCQA-approved sources to verify practitioner work history?

8.    Verifying and Reporting Malpractice History (CVO 8)

• Does the organization use NCQA-approved sources to verify practitioner malpractice claims history?

9.    Verifying and Reporting Medical Board Sanctions (CVO 9)

• Does the organization use NCQA-approved sources to verify practitioner medical board sanctions?

10.    Verifying and Reporting Medicare/Medicaid Sanctions (CVO 10)

• Does the organization use NCQA-approved sources to verify practitioner Medicare/Medicaid sanctions?

11.    Processing Application and Attestation (CVO 11)

• Does the process applications according to NCQA requirements?

12.    Application and Attestation Content (CVO 12)

• Does the organization’s application meet NCQA requirements?

13.    Ongoing Monitoring of Sanctions (CVO 13)

• Does the organization have policies and procedures for ongoing monitoring of practitioner sanctions between recredentialing cycles?