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.
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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8.20.2018 How do I get started?
8.20.2018 What is the price for this Accreditation?
8.20.2018 How do I get started with LTSS Accreditation? How-do-I-get-started-with-LTSS-Accreditation?
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-LTSS 20178.20.2018 Where can I find the Case Management Standards and Guidelines?
Find the Standards and Guidelines document in the NCQA eStore.
This applies to the following Programs and Years:
CM 2017, 20148.20.2018 What is the process for earning 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:
CM-LTSS 20178.20.2018 Where can I find information to help me get started with LTSS 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.
This applies to the following Programs and Years:
CM-LTSS 20178.20.2018 Where can I find the LTSS Accreditation Standards and Guidelines?
Find the Standards and Guidelines document in the NCQA eStore.
This applies to the following Programs and Years:
CM-LTSS 20178.17.2018 General Is the PCMH PRIME program mandatory for primary care practices in Massachusetts?
8.17.2018 Eligibility Our practice is not located in Massachusetts, but we have behavioral health integrated at the practice site and would like to achieve certification. Can our practice pursue the PCMH PRIME program?
No. The PCMH PRIME Certification program is limited to practices in Massachusetts. Practices outside of Massachusetts offering integrated behavioral health services are encouraged to apply to NCQA’s Distinction in Behavioral Health Integration, which is available nationally.
This applies to the following Programs and Years:
8.17.2018 Eligibility Who is eligible for PCMH PRIME?
The program is open to practices in Massachusetts currently recognized as:
- NCQA PCMH 2011, Level 2 or 3.
- NCQA PCMH 2014, Level 1, 2 or 3.
- NCQA PCMH 2017
A practice that is working toward NCQA Recognition may apply for the PCMH PRIME program and NCQA PCMH recognition concurrently.
This applies to the following Programs and Years:
8.17.2018 PP 06-PP 11 For criteria PP 06-PP 11, is a there a threshold percentage practices need to meet to receive credit?
8.17.2018 General Our practice is interested in attaining PCMH PRIME Certification. How do we get started?
First, go to the HPC’s website to complete a short application indicating your practice’s intent to pursue PCMH PRIME.
Once your practice has submitted the HPC application and is ready for next steps with NCQA, you should apply through the new NCQA Q-PASS system. The PCMH PRIME application is separate from the PCMH application in Q-PASS. Practices may apply for PCMH PRIME Certification separately or concurrently with the PCMH Recognition process and Annual Reporting.
- For PCMH 2011 (except Level 1) and PCMH 2014 Level 1 or 2 Recognized practices:
- Practices planning to undergo the PCMH 2017 Recognition process in the near future are encouraged to apply for PCMH 2017 Recognition and PCMH PRIME Certification concurrently. Applying to these programs concurrently may make your practice eligible for a discount on the PCMH Recognition survey tool; please contact Government Recognition Initiative and Projects (GRIP) Staff at pcmh-grip@ncqa.org for more information.
- Recognized practices not planning to renew their PCMH Recognition in the near future may apply for PCMH PRIME Certification separately, at any time.
§ For PCMH 2014 Level 3 or PCMH 2017 Recognized practices:
- Practices that are maintaining PCMH Recognition through the Annual Reporting process may apply for PCMH PRIME Certification concurrently or separately from the Annual Reporting process, whichever is most convenient for the practice.
- For Practices without PCMH Recognition:
- Practices must attain PCMH Recognition in order to be eligible for PCMH PRIME Certification. Such practices are encouraged to apply for PCMH 2017 Recognition and PCMH PRIME Certification concurrently. Applying to these programs concurrently may make your practice eligible for a discount on the PCMH Recognition survey tool; please contact GRIP Staff, pcmh-grip@ncqa.org, for more information.
