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
  • Email
  • Print

You are viewing a single FAQ from your previous search. Clear Search

1.08.2026 Accreditation Status in Health Plan Ratings How is my Accreditation status used in HPR and how will it be displayed?

We use your Accreditation status as of the last business day in June of the release year  for display purposes and to calculate bonus points. If a plan has an NCQA status modifier (e.g., Under Review by NCQA, Under Corrective Action, Merger Review in Process, Appealed by Organization) as of the last business day in June of the release year, it will be appended to the Accreditation status.

Display options during the Plan Confirmation, Projected Ratings and Final Ratings releases are: Yes; Yes (Interim); Yes (Provisional); Yes – CAP; Yes – APEAL; Yes (Interim) – CAP; Yes (Provisional) – CAP; Yes (Provisional) – APEAL; Yes – Merger Review in Process; Yes – Under Review by NCQA; Yes (Interim) – Under Review by NCQA; Yes (Provisional) – Under Review by NCQA; No; No (In Process); No (Scheduled); No (Suspended); No (Revoked).

Accreditation status display options for the public release of the Ratings on NCQA's Health Plan Report Card website on September 15 are: Accredited; Not Accredited; Accredited – Interim; Accredited – Provisional; Accredited – Under Review by NCQA; Under Corrective Action; Scheduled; In Process; Expired; Denied; Suspended; Revoked; Accredited – Appealed by Organization; Accredited – Merger Review in Process.

This applies to the following Programs and Years: