FAQ Directory

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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8.24.2018 What does Physician and Hospital Quality Certification cost?

Price varies by organization and is based on number of physicians and number of programs. Contact NCQA for pricing information.

This applies to the following Programs and Years:

8.24.2018 Are there any other documents or information that will help me get started with Accreditation/Certification?

This applies to the following Programs and Years:
WHP 2014, Cert|2014 WHP|2016 WHP|Cert 2016

8.24.2018 Where can I find the Medicaid Module Standards and Guidelines? How can I obtain the Medicaid Module Standards and Guidelines?

Submit your request for the 2018 Medicaid Module at My NCQA.

This applies to the following Programs and Years:
HP 2018, 2019, 2020

8.24.2018 How do we start?

If you do not currently have Physician and Hospital Quality Certification and are interested in learning more, contact NCQA. If you have a current certification and want to talk to someone about current status or about renewing, submit a question through My NCQA.

This applies to the following Programs and Years:

8.24.2018 How long does it take to earn Physician and Hospital Quality Certification?

Once the survey is submitted, an organization receives its certification decision within 60–90 days.

This applies to the following Programs and Years:

8.24.2018 What is the process for earning CVO Certification?

The first step in earning Certification begins with an overview discussion with an NCQA program expert. Next, you will purchase the program resources, review, conduct a gap analysis and then submit your online application. Next you will align your processes with the standards. Finally, NCQA conducts the survey, creates a report and your Certification status is determined within 30 days of the final review. See a step-by-step process.

This applies to the following Programs and Years:

8.24.2018 How do I get started with CVO Certification?

If you are not currently certified and are interested in learning more, contact NCQA. If you are currently Certified and want to talk to someone about your current status, renewing or adding Certifications, submit a question through My NCQA.

This applies to the following Programs and Years:
CVO 2016

8.24.2018 Are there additional resources for health plans seeking LTSS Distinction?

  • LTSS Best Practices Academy: Interactive forum for professionals to discuss strategies for coordinating quality long-term services and supports (LTSS) programs.
  • LTSS Roadmap: A compilation of resources to guide organizations through meeting Case Management and Health Plan Standards for LTSS.

This applies to the following Programs and Years:
HP 2017, 2018, 2019, 2020

8.24.2018 What information will help me get started with CVO Certification?

Certification Process and Timeline: identifies key steps, timing and resources to successfully seek Certification.
Standards and Guidelines: provides the comprehensive descriptions of the standards, including the intent and the scope of review.
Interactive Survey Tool: includes the complete standards and guidelines and allows your organization to determine its readiness for a survey by responding to each standard. The tool calculates your survey score.

 

This applies to the following Programs and Years:

8.24.2018 What is the process for earning Health Plan Accreditation?

The first step to earning accreditation is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and submit your online application.

Align your organization’s processes with the standards. NCQA conducts the survey and determines your accreditation status within 30 days of the final review.

See a step-by-step process.

This applies to the following Programs and Years:
HP 2017, 2018, 2019, 2020

8.24.2018 How do I get started with LTSS Distinction for Case Management Organizations?

If you are not currently accredited and want to learn more, contact NCQA. If you are currently accredited and want to talk to someone about your status or about renewing or adding accreditations, submit a question through My NCQA.

This applies to the following Programs and Years:
CM 2017

8.24.2018 How do I get started with the Medicaid Module?

If you are not currently accredited and want to learn more, contact NCQA. If you are currently accredited and want to talk to someone about your status or about renewing or adding accreditations, submit a question through My NCQA.

This applies to the following Programs and Years:
HP 2018, 2019, 2020