Credentialing Accreditation
NCQA Credentialing Accreditation helps improve credentialing and protects consumers by ensuring a consistent, effective and diligent credentialing process.
Get started today with the 2025 Standards & Guidelines
EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 – JUNE 30, 2026
Order TodayA QUALITY IMPROVEMENT FRAMEWORK
Credentialing is an essential safety component of the health care system. Health care organizations must establish the qualifications of their licensed medical professionals by assessing their background and legitimacy to provide care.
NCQA Credentialing Accreditation focuses on consumer protection and customer service improvement. It provides a framework for organizations to implement industry best practices that help them efficiently credential and recredential health care professionals.
The standards help credentialing agencies identify gaps for improvement and align services with those desired by potential contracting organizations.
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Why Credentialing?
Deliver efficient services
Applying industry best practices improves credentialing processes. The standards provide a framework for implementing best practices:
Elevate your organization’s reputation
Demonstrate the quality of your organization’s programs to employers, regulatory agencies, health plans and MBHOs.
Align with state requirements
Adopting industry best practices improves the likelihood that your organization’s operations align with state requirements.
Expand revenue streams and secure new contracts
Earning an Accreditation from NCQA, the largest accreditor of health plans, increases your potential client base.
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