The typical evaluation time frame is 12 months from application submission to decision, depending on an organization’s readiness. Some organizations may already be working within NCQA guidelines.
MBHO 2019
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 How long does it take to earn Managed Behavioral Healthcare Accreditation?
8.24.2018 What other case management organizations have earned LTSS Distinction?
Organizations that have earned NCQA LTSS Distinction can be found in the NCQA Report Card.
CM 2017
8.24.2018 What is the price for Managed Behavioral Healthcare Accreditation?
8.24.2018 What are the CVO Certification requirements?
CVO Certification assesses an organization’s performance in the following requirement areas:
- Internal Quality Improvement Process
- Protecting Credentialing Information
- Verifying credentials.
NCQA’s CVO Certification program offers the following 11 certification options:
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CVO 2016
8.24.2018 Where can I find information to help me get started with MBHO Accreditation?
- Accreditation Process and Timeline: Key steps, timing and resources for a successful accreditation.
- Standards and Guidelines: The complete standards and guidelines, including the intent and scope of review.
- Interactive Survey Tool: Contains the complete standards and guidelines; you can also determine your organization’s survey readiness—the tool calculates your potential survey score.
MBHO 2019
8.24.2018 What organizations are eligible for the Medicaid Module?
An organization is eligible for the NCQA Health Plan Medicaid Module if:
- Its Medicaid product line has a current NCQA Accreditation status as a First or Renewal Survey, or
- It is seeking accreditation for its Medicaid product line under NCQA HP Accreditation as an Interim, First or Renewal Survey.
HP 2020
8.24.2018 How does the LTSS Distinction for Health Plans help my organization?
Earning NCQA Accreditation of Case Management for LTSS can help organizations:
- Become more efficient. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.
- Integrate care better. Standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.
- Provide person-centered care. Standards focus on person-centered services, which can lead to better care planning and monitoring.
- Support contracting needs. Standards align with the state needs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.
HP 2020
8.24.2018 What other health plans have earned LTSS Distinction?
Organizations that have earned NCQA LTSS Distinction can be found in the NCQA Report Card.
HP 2020
8.24.2018 What is the price for the LTSS Distinction for Health Plans?
8.24.2018 How long does it take to meet the Medicaid Module requirements?
8.24.2018 How long does it take to earn LTSS Distinction for Case Management Organizations?
8.24.2018 What organizations are eligible for Provider Network Accreditation?
To be eligible for Provider Network Accreditation, an organization must:
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Note: A “practitioner network” is the practitioner network of clients and organizations.
UM-CR-PN 2019