The 2011 Health Plan Standards and Guidelines and Survey Tool are effective July 1, 2011.

Standards and Guidelines for the Accreditation of Health Plans

Web-based version includes Medicare Advantage.
*Medicaid is available in the print edition, e-pub and Web-based versions.

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.

2011 Health Plan Standards and Guidelines
Item #10352-100-11
Price: $320   (Available August 2010)

2011 Health Plan Standards and Guidelines e-pub (Available August 2010)

2011 Health Plan Standards and Guidelines Web-based publication   

2010 Health Plan Standards and Guidelines
Item #10352-100-10
Price: $320   

2010 Health Plan Standards and Guidelines e-pub      

2010 Health Plan Standards and Guidelines Web-based publication   

Survey Tool for the Accreditation of Health Plans

Includes Medicare Advantage and Medicaid. 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.

2011 Health Plan Survey Tool  (Effective 7/1/11 -  )

2010 Health Plan Survey Tool  (Effective 7/1/10 - 6/30/11) 

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.

2010 Health Plan and MA Application
Item #10013-150-10
Price: Free

HP Corporate Application
Item #10013-150-04
Price: Free

2011 Health Plan and MA Application   (Pre-order)
Item # 10013-150-11
Price: Free

2011 HP Corporate Application   (Pre-order)
Item # 10012-151-11
Price: Free