The 2012 Health Plan Standards and Guidelines and Survey Tool are effective July 1, 2012.

Standards and Guidelines for the Health Plans

Web-based version includes Medicare Advantage.

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 when purchasing the Survey Tool.

2012 Health Plan Standards and Guidelines
Item #:10352-100-12
Price: $300

2012 Health Plan Standards and Guidelines e-pub 

2012 Health Plan Standards and Guidelines Web-based publication 

2011 Health Plan Standards and Guidelines
Item #:10352-100-11
Price: $320

2011 Health Plan Standards and Guidelines e-pub 

2011 Health Plan Standards and Guidelines Web-based publication 

Survey Tool for the Accreditation of Health Plans

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.

2012 HP Survey Tool  (Effective 7/1/12 - )

2011 HP Survey Tool  (Effective 7/1/11 - 6/30/12)
 

Application for Health Plan Accreditation

This application provides all materials required to apply for an NCQA survey and includes pricing information, policies and procedures and the survey agreement.

2012 Health Plan and MA Application
(Effective 7/1/12 - )
Item # 10013-150-12
Price: Free

2012 HP Corporate Application
(Effective 7/1/12 - )
Item #: 10012-151-12
Price: Free

2011 Health Plan and MA Application
(Effective 7/1/11 -  6/30/12)
Item # 10013-150-11
Price: Free

2011 HP Corporate Application
(Effective 7/1/11 -  6/30/12)
Item #: 10012-151-11
Price: Free