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Disease Management Resources

Education Seminars

Disease Management Accreditation

NCQA offers a flexible evaluation program, including Accreditation for organizations that offer comprehensive DM programs with services to patients, practitioners or both; and Certification for organizations that provide specific DM functions. These standards build on NCQA's years of Accreditation and Certification experience, detailed market research and input from industry experts and other stakeholders.

NCQA Accreditation or Certification will allow organizations that offer quality DM programs and services to receive the market advantage, high standards of quality and recognition from key contractors the industry demands. The NCQA Accreditation or Certification seal of approval may help your organization relieve delegation oversight from health plans and meet many request-for-proposal (RFP) requirements.

In-Depth DM Accreditation and Certification Information

Disease Management Performance Measures
NCQA has incorporated standardized performance measures that address dimensions of care for people with asthma, diabetes, chronic obstructive pulmonary disease (COPD), heart failure and ischemic vascular disease (IVD) in the Standards and Guidelines for the Accreditation and Certification of Disease Management. The DM performance measures also include measures for tobacco use, influenza vaccination and pneumococcal vaccination, which apply to people in each domain.

NCQA is the first DM accreditation organization to utilize performance measures to assess the impact of programs on care for people with the above diseases.

DM Accreditation and Certification Options

DM Accreditation and Certification Levels

Survey Support

Request an Application


For more information, please e-mail or call (888) 275-7585, M-F, 8:30 a.m. - 5:00 p.m. ET.

New Online Application Process

A new application and scheduling process begins May 15 for Accreditation programs.

Learn more

NCQA Survey Systems

Prepare for your survey (ISS)
Login to ISS to prepare for and submit your Survey Tool for survey. 

Review a submitted survey (IRT)
Login to ISS to prepare for and submit your Survey Tool for survey. 

More information on IRT
Learn more about NCQA’s Interactive Review Tool, including training information.

Disease Management Brochure

NCQA Policy Support

Policy Updates

Corrections, clarifications and policy changes to our stated Standards and Guidelines 

New FAQs are posted on the 15th of every month and provide answers to our most commonly asked questions. 

Policy Clarification Support (PCS)
If you cannot find an answer to your question in our FAQs or Policy Updates, submit your inquiry here

DM Report Card

View the Disease Management Accreditation and Certification Report Card.


View Report Card

HEDIS Users Group (HUG)
HUG membership packages offer you access to the most up-to-date information on HEDIS specifications so you can begin planning for the future.

HEDIS and ICD-10
To accommodate the switch from ICD-9-CM to ICD-10, NCQA created a plan to identify a valid and appropriate set of ICD-10 codes for each HEDIS measure.


Disease Management Resources

Education Seminars