Health Plan Accreditation

 NCQA Health Plan Accreditation is built on two decades of experience. Our commitment to comprehensive research and dedication to quality has helped improve the managed care experience for health plans, patients, care providers and employers. Recognizing hundreds of plans that cover more than 107 million Americans, NCQA is the most widely-recognized accreditation program in the United States. Our experience and prominence have allowed us to build flexible, yet rigorous standards that apply to all types of health plans, including HMOs, PPOs and POS plans. 

Health Plan (HP) Accreditation for Plans Participating In Health Insurance Marketplaces

The Department of Health and Human Services (HHS) nominated NCQA as an accrediting entity for Qualified Health Plan issuers participating in the Health Insurance Marketplaces. NCQA’s Health Plan Accreditation (HPA) contains all the key elements the law requires. Learn More 

Revised standards and point allocations create three accreditation evaluation options (interim, first, renewal) and comprise a “glide path”—flexible opportunities for reaching accreditation, regardless of a plan’s longevity or experience with quality reporting.

Frequently Asked Questions

Frequently Asked Questions (FAQ)
About NCQA Accreditation, Certification and HEDIS

Program Support

Policy Clarification Support
Submit Questions related to NCQA standards (policies and procedures).

Market Your Quality

Request an Application

Applications include pricing.

2014 Health Plan and MA Application

HPA Brochure

Click here to download the brochure.