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.
UM-CR-PN 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 do I get started with Provider Network Accreditation?
8.24.2018 What organizations are eligible for the LTSS Distinction for Health Plans? What organizations are eligible?
An organization is eligible for the NCQA LTSS Distinction for a product/product line if:
- The product/product line has a current NCQA Accreditation status, or
- The product/product line is seeking NCQA Health Plan Accreditation.
Note: NCQA conducts LTSS Distinction Surveys at the legal-entity level. Organizations undergoing Interim Survey are not eligible for LTSS distinction.
Health plans that coordinate LTSS and do not provide medical or behavioral services are not eligible for this distinction but can earn Accreditation of Case Management for LTSS.
HP 2020
8.24.2018 Where can I find information to help me get started with Utilization Management Accreditation?
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UM-CR 2019
8.24.2018 Where can I find information to help me get started with Provider Network Accreditation?
|
UM-CR-PN 2019
8.24.2018 Where can I find the Medicaid Module Standards and Guidelines? How can I obtain the Medicaid Module Standards and Guidelines?
8.24.2018 How do I get started with Utilization Management 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.
UM-CR 2019
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 How does CVO Certification help my organization?
NCQA CVO Certification is designed to ensure organizations can maintain a high-quality network for members and contracted clients. The standards provide a framework for adopting industry best practices to promote accurate and efficient verification of practitioner credentials—ensuring that medical organizations employ qualified professionals and align with state requirements.
CVO
8.24.2018 What is the process for earning Provider Network 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 Provider Network standards. NCQA conducts the survey and determines your accreditation status within 30 days of the final review. |
See a step-by-step process.
UM-CR-PN 2019
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.
CM 2017
8.24.2018 What is the process for meeting Module requirements?
The first step 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 provides results within 30 days of the final review.
See a step-by-step process.
HP 2020
8.24.2018 What is the process for earning LTSS Distinction for Case Management Organizations?
The first step to earning distinction 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 distinction status within 30 days of the final review.
See a step-by-step process.
CM 2017