NAMD Fall 2025 Conference
Join NCQA at the NAMD Fall 2025 Conference in National Harbor, Maryland from November 19-21, where we’ll be engaging with Medicaid leaders and the broader state health policy community on key health care issues.
We’re looking forward to meaningful conversations about improving care quality, strengthening accountability and advancing policies that drive better outcomes for all Americans.
The Gold Standard in Health Plan Evaluation
NCQA Health Plan Accreditation (HPA) builds on 35 years of expertise to offer a rigorous, evidence-based framework for evaluating and improving health plan quality. It’s the only program that bases results on clinical performance and member experience (HEDIS® and CAHPS®), making it the industry gold standard.
HPA helps states streamline oversight while advancing access, accountability and value in both public and private health care.
Learn More: Health Plan Accreditation
Driving Quality and Accountability in Behavioral Health
At NCQA, we believe behavioral health is a fundamental part of whole-person care. Addressing mental health and substance use is essential to building a comprehensive, high-quality health care system that fully integrates behavioral and physical health.
As a national leader in health care quality, NCQA supports states in advancing behavioral health care by offering programs and tools that promote accountability, integration and quality. From developing performance measures to accrediting providers, practices, health plans and health systems, NCQA is helping drive improvements in behavioral health services across the continuum of care.
Learn More: Managed Behavioral Healthcare Organization (MBHO) Accreditation
Learn More: Certified Community Behavioral Health Center (CCBHC) Accreditation
Improving Standards for Effective Utilization Management Processes
NCQA’s Accreditation programs include rigorous Utilization Management standards that promote timely, clinically appropriate care. These standards are regularly updated to reflect changes in health care and regulations, supporting more efficient UM processes and enabling states to more effectively oversee plan operations and ensure compliance with Medicaid and state regulations.
Learn More: Utilization Management Accreditation
Building Confidence and Trust in Virtual Primary Care
As care delivery evolves into more hybrid and virtual modalities, maintaining high standards of quality and patient safety remains essential. NCQA Virtual Care Accreditation builds off our Patient-Centered Medical Home recognition to meet the unique challenges of virtual and hybrid primary and urgent care, aligning with state and federal telehealth standards. The program offers a roadmap for delivering quality care virtually and is designed to help organizations demonstrate their trustworthiness as care delivery providers to patients, partners and regulators.
Learn More: Virtual Care Accreditation
Enhancing Care Coordination in LTSS & Evaluating Plan Performance for Duals
NCQA’s Long-Term Services and Supports (LTSS) programs help organizations deliver efficient, effective care that meets state requirements and keeps individuals in their preferred settings. Our standards are current with CMS regulations, support organizations delivering person-centered care and are uniquely designed to increase care coordination for the duals population.
Learn More: Long-Term Services and Supports Programs
Order Now: Dual Eligible Special Needs Plans (D-SNP) Data Sets
Unlocking the Power of Digital Quality
For 35 years, NCQA has been at the forefront of the health care quality movement. Now, in the digital age, we are advancing quality measurement to be even more accessible and actionable. We’re continuously advancing trusted digital measure content, developing data quality rules and strengthening the ecosystem that supports digital quality. Our goal is to provide resources and solutions that meet states wherever they are in their digital journey and help them take the next step forward.
Learn More: Bulk FHIR Quality Coalition
Learn More: Data Aggregator Validation
Learn More: Helping States Move to a Digital Quality System
