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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 is the price for Managed Behavioral Healthcare Accreditation?
8.24.2018 What organizations are eligible for the LTSS Distinction?
An organization is eligible for the NCQA LTSS Distinction if:
- It has a current NCQA Accreditation status, or
- Is seeking NCQA Case Management Accreditation.
Note: NCQA conducts LTSS Distinction Surveys at the legal-entity level.
This applies to the following Programs and Years:
CM 20178.24.2018 What organizations are eligible for Managed Behavioral Healthcare Accreditation?
- Has been in operation for at least six months, and
- Enrolls or receives enrollment of an identifiable eligible population that is eligible to access the network, and
- Provides comprehensive behavioral health care services through an organized delivery system across a continuum of care, and
- Performs functions addressed in the standards (quality improvement, care coordination, utilization management, credentialing, member rights and responsibilities), either directly or through a service agreement, and
- Has a process for monitoring, evaluating and improving the quality and safety of care.
This applies to the following Programs and Years:
MBHO 2017, 2018, 20198.24.2018 What is the price for Wellness and Health Promotion Accreditation/Certification?
8.24.2018 How does Accreditation/Certification help my organization?
| NCQA Wellness and Health Promotion Accreditation/Certification focuses on services most desired by employers and health plans as well as expected by consumers. It provides a framework for organizations to implement industry best practices and apply evidence-based methods proven to support health and improve outcomes.
The standards help health and wellness organizations identify gaps for improvement and align their services with those desired by potential contracting organizations. |
This applies to the following Programs and Years:
WHP 2014, Cert, 2016, Cert|2013 WHP|Cert 2014|2016 WHP8.24.2018 What other health plans have earned LTSS Distinction?
Organizations that have earned NCQA LTSS Distinction can be found in the NCQA Report Card.
This applies to the following Programs and Years:
HP 2017, 2018, 2019, 20208.24.2018 How long will it take to earn Accreditation/Certification?
The typical evaluation timeframe, from application submission to decision, is 12 months. This depends on the organization’s readiness, as some organizations may already be working within NCQA guidelines.
This applies to the following Programs and Years:
WHP 2014, Cert, 2016, Cert|2013 WHP|Cert 2014|2016 WHP8.24.2018 What is Long-term Services and Supports Distinction for Case Management Organizations?
NCQA LTSS Distinction for Case Management Organizations is a complementary program designed to support organizations that provide comprehensive clinical case management services and coordinate social services for LTSS populations. The program standards provide a framework for organizations to deliver efficient, effective person-centered care that meets people’s needs, helps keep people in their preferred setting and aligns with state requirements.
This applies to the following Programs and Years:
CM 20178.24.2018 Where can I find the Accreditation/Certification Standards and Guidelines?
The Standards and Guidelines document can be found in the NCQA eStore.
This applies to the following Programs and Years:
WHP 2014, Cert|2014 WHP|2016 WHP|Cert 20168.24.2018 What is the price for Provider Network Accreditation?
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.
