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.

Filter Results
  • Save
    Save your favorite pages and receive notifications whenever they’re updated. You will be prompted to log in to your NCQA account.
  • Email
    Share this page with a friend or colleague by Email. We do not share your information with third parties.
  • Print
    Print this page.

8.24.2018 What information will help me get started with CVO Certification?

• Certification Process and Timeline: identifies key steps, timing and resources to successfully seek Certification.
•
Standards and Guidelines: provides the comprehensive descriptions of the standards, including the intent and the scope of review.
•
Interactive Survey Tool: includes the complete standards and guidelines and allows your organization to determine its readiness for a survey by responding to each standard. The tool calculates your survey score.

 

This applies to the following Programs and Years:

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

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

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

8.24.2018 What is the process for earning Managed Behavioral Healthcare 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 CR 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:
MBHO 2017, 2018, 2019

8.24.2018 How do I get started with CVO Certification?

If you are not currently 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:
CVO 2016

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 do I get started with Provider Network 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:
UM-CR-PN 2018, 2019

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.

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

8.24.2018 What is CVO Certification?

NCQA CVO Certification evaluates the operations of organizations that verify practitioner credentials. Verification is accomplished through the primary source, through a recognized source or through a contracted agent of the primary source.

This applies to the following Programs and Years:
CVO 2016

8.24.2018 What other organizations have earned Wellness and Health Promotion Accreditation/Certification?

More than 40 organizations have earned Credentials Verification Organizations Certification. A directory of Certified organizations can be found at the NCQA Report Card.

This applies to the following Programs and Years:
WHP 2014, Cert|2014 WHP|2016 WHP|Cert 2016

8.24.2018 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 2017

8.24.2018 What is the price for Wellness and Health Promotion Accreditation/Certification?

Pricing is based on multiple factors. Full pricing information can be obtained by submitting a request through My NCQA.

This applies to the following Programs and Years:
WHP 2014, Cert, 2016, Cert|2013 WHP|Cert 2014|2016 WHP