The typical evaluation time frame is 12 months from application submission to decision, depending on an organization’s readiness. Some organizations may already be working within NCQA guidelines.
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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 long does it take to earn LTSS Distinction for Case Management Organizations?
8.24.2018 What is the price for the Medicaid Module Survey?
8.24.2018 How does the LTSS Distinction for Health Plans help my organization?
Earning NCQA Accreditation of Case Management for LTSS can help organizations:
- Become more efficient. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.
- Integrate care better. Standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.
- Provide person-centered care. Standards focus on person-centered services, which can lead to better care planning and monitoring.
- Support contracting needs. Standards align with the state needs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.
This applies to the following Programs and Years:
HP 2017, 2018, 2019, 20208.24.2018 What is Physician and Hospital Quality Certification?
NCQA’s Physician and Hospital Quality Certification program evaluates how well organizations measure and report the quality and cost of physicians and hospitals. NCQA looks at measurement processes and methodology, transparency, collaboration and the balance between quality/cost when using the information to make decisions.
This applies to the following Programs and Years:
8.24.2018 What organizations are eligible for Provider Network Accreditation?
To be eligible for Provider Network Accreditation, an organization must:
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Note: A “practitioner network” is the practitioner network of clients and organizations.
This applies to the following Programs and Years:
UM-CR-PN 2018, 20198.24.2018 What is the price for the LTSS Distinction for Health Plans?
8.24.2018 How long does it take to earn Provider Network Accreditation?
8.24.2018 What is the price for Provider Network Accreditation?
8.24.2018 What other organizations have earned Provider Network Accreditation?
Several organizations have earned NCQA Provider Network Accreditation. See the NCQA Report Card for a directory of accredited organizations.
This applies to the following Programs and Years:
UM-CR-PN 2018, 20198.24.2018 What other organizations have earned Utilization Management Accreditation?
More than 50 organizations have earned NCQA Utilization Management Accreditation. See the NCQA Report Card for a directory of accredited organizations.
This applies to the following Programs and Years:
8.24.2018 Where can I find the Physician and Hospital Quality Standards and Guidelines?
Find the standards and guidelines document, the survey tool and the application in the NCQA eStore.
This applies to the following Programs and Years:
8.24.2018 What other health plans have earned LTSS Distinction?
Organizations that have earned NCQA LTSS Distinction can be found in the NCQA Report Card.
