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 Where can I find information to help me get started with Health Plan Accreditation?

This applies to the following Programs and Years:
HP 2017, 2018, 2019, 2020

8.24.2018 How do we earn Physician and Hospital Quality Certification?

Organizations must go through a survey and submit documentation to NCQA. The survey score determines certification. See a step-by-step process.

This applies to the following Programs and Years:

8.24.2018 Are there additional resources for health plans seeking LTSS Distinction?

  • LTSS Best Practices Academy: Interactive forum for professionals to discuss strategies for coordinating quality long-term services and supports (LTSS) programs.
  • LTSS Roadmap: A compilation of resources to guide organizations through meeting Case Management and Health Plan Standards for LTSS.

This applies to the following Programs and Years:
HP 2017, 2018, 2019, 2020

8.24.2018 How long does it take to earn Physician and Hospital Quality Certification?

Once the survey is submitted, an organization receives its certification decision within 60–90 days.

This applies to the following Programs and Years:

8.24.2018 Where can I find information to help me get started with Utilization Management Accreditation?

This applies to the following Programs and Years:
UM-CR 2017|UM-CR-PN 2018, 2019

8.24.2018 What does Physician and Hospital Quality Certification cost?

Price varies by organization and is based on number of physicians and number of programs. Contact NCQA for pricing information.

This applies to the following Programs and Years:

8.24.2018 What is the process for earning Accreditation/Certification?

The first step to earning accreditation/certification 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:
WHP 2014, Cert, 2016, Cert|2013 WHP|Cert 2014|2016 WHP

8.24.2018 How do I get started with Wellness and Health Promotion Accreditation/Certification?

If you are not currently Accredited or Certified and are interested in learning more, contact NCQA. If you are currently Certified and want to talk to someone about your current status, renewing or adding Certifications, submit a question through My NCQA.

This applies to the following Programs and Years:
WHP 2016, Cert

8.24.2018 What is the process for earning LTSS Distinction for Health Plans?

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.

This applies to the following Programs and Years:
HP 2017, 2018, 2019, 2020

8.24.2018 How do I get started with MBHO 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:
MBHO 2017, 2018, 2019

8.24.2018 How do I get started with LTSS Distinction for Health Plans?

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:
HP 2017, 2018, 2019, 2020

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.

This applies to the following Programs and Years:
CM 2017