The HEDIS® CAHPS® 5.0H survey measures the experience of health plan members. HEDIS CAHPS results are required for NCQA Health Plan Accreditation. State and federal regulators may require HEDIS CAHPS for their programs, also.
The NCQA Survey Vendor Certification program evaluates, trains and certifies private market research firms to administer the HEDIS CAHPS survey on behalf of health plans. It is a comprehensive oversight process, simultaneous to survey administration, that facilitates high-quality data that can be compared across plans.
The program promotes data collection standardization, in accordance with the specifications and protocols in HEDIS Volume 3: Specifications for Survey Measures.
By obtaining certification, organizations can:
- Learn and align with NCQA protocols for CAHPS 5.0H survey data collection.
- Be distinguished in the marketplace as survey vendors trained and certified by NCQA.
- Become a preferred survey vendor of choice for health plans seeking NCQA Accreditation or seeking to meet federal and/or state requirements.
To become an NCQA-Certified survey vendor, an organization must demonstrate that it has the capabilities, experience and expert personnel to collect and report survey results accurately. NCQA issues an annual request for proposal (RFP) for new organizations to apply for certification.
Complete the following steps to become an NCQA-Certified survey vendor:
- Download and complete the HEDIS CAHPS Survey Vendor Certification RFP. (Note: RFP is released each summer. The 2019 RFP window has closed. The 2020 RFP will be released in summer 2019. You may also review last year’s RFP.)
- Submit the RFP to NCQA (email@example.com).
- If accepted, participate in survey vendor training in October for new survey vendors.
After Obtaining Certification
To maintain certification, NCQA-Certified survey vendors:
- Participate in annual survey vendor training.
- Participate in all NCQA quality oversight activities.
- Successfully submit at least one HEDIS Survey sample to NCQA within 24 months of receiving initial certified survey vendor status.
- Comply with NCQA’s Code of Professional Conduct for NCQA-Certified Organizations and adhere to NCQA’s certification terms.
NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS) is the premier tool for monitoring the quality of health plan care. HEDIS Volume 3: Specifications for Survey Measures includes surveys and protocols for the CAHPS 5.0H Survey. Order HEDIS Volume 3: Specifications for Survey Measures today.