DM Accreditation and Certification

Disease Management

DiseaseManagementAcc_full_RGB_lowres.jpgNCQA 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.

Questions?

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

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 2010 Standards and Guidelines for the Accreditation and Certification of Disease Management. The DM performance measures also include preventive health 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.  

Click here to learn more about the measures behind NCQA's Disease Management Accreditation.



Advertising Guidelines and Seals

DM Report Card

View the Disease Management Accreditation and Certification Report Card.

NCQA Policy Support

  • FAQs

    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.

  • Policy Updates & Supporting Documents

    Policy updates and supporting documents include important notifications regarding NCQA's Accreditation and Certification programs, as well as HEDIS measures.

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