Here are some of the most frequently asked questions about NCQA’s various programs. If you don’t see what you are looking for in one of the entries below, you can ask a question through My NCQA.
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Sixty days are covered. The first prescription lasts 30 days, starting January 1. If you move the next prescription's start date to the day after the previous fill has ended, it becomes January 31. The end date is March 1. In essence, the start date and the end date of the second prescription both move.
Yes, if the organization's documented process includes how it notifies practitioners that the information is available on the Internet; and if the organization informs practitioners where the information is located. If all practitioners do not have access to the portal, the organizations process must include how it notifies these practitioners of patient engagement.
If an incentive is tied to completion of an HA as well as another activity, the incentive should be classified as Unknown for WHP 2012 reporting. Please note that example 4 in Table HAC-A was erroneously left in the specification for 2012; this example should be removed from the table.
For PHQ 1 Element A, NCQA counts different indicators as separate measures if they reflect separate care processes; however, NCQA does not count different age stratification rates as separate measures For example, HbA1c testing and LDL-C screening count as two measures even though they are both part of Comprehensive Diabetes Care, but for Chlamydia Screening in Women, the two age stratifications and the total rate can only count as one measure.
An organization may reapply for accreditation one year after the date when it receives the Denied status, or it may request an Expedited Survey if it has corrected the issues that led to the denial of accreditation. Upon receipt of the organization's written request, NCQA may grant an Expedited Survey in six or nine months of the Denied status if the organization demonstrates that the issues can be corrected within the six-to-nine month time frame and the corrective actions undertaken would raise the organization's accreditation status. (Refer to Policies and Procedures – Section 2: The Accreditation Process, for more information)
Yes. NCQA is lowering the enrollment threshold for DM 2012 and allowing optional reporting for organizations that do not meet this requirement. Because the threshold will change next year, DM organizations that do not meet the threshold may report in 2011 and earn the Accredited With Performance Reporting status.
Regardless of the number of measures within a PIM, each PIM counts as one standardized measure for PHQ 1, Element A. This is consistent with the current language in the PHQ standards and guidelines (i.e., activities may be used as a measure). To receive credit for using PIMs and for the survey team to verify that the Board requires a PIM as part of certification maintenance, the organization must list in the Survey Tool's Element A Measure Worksheet: (1) the PIMs on which it bases the action; (2) list the source of the measures as Specialty Medical Boards; and (3) provide a direct link to the Board where the PIM and its measures can be found.
