Credentialing Accreditation & Certification Programs
NCQA Credentialing programs help improve credentialing practices and protect consumers by helping to ensure a consistent, effective and diligent credentialing process.
Get started today with the 2025 Credentialing 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. Organizations must establish the qualifications of their licensed medical professionals by assessing their background and legitimacy to provide care.
NCQA Credentialing programs focus on improving consumer protection and customer service. They provide a framework for implementing industry best practices that help organizations credential and recredential health care professionals accurately and effectively.
Understanding that not all standards apply to every organization’s credentialing needs, NCQA offers two different tailored program tracks.
- NCQA Credentialing Accreditation evaluates the operations of organizations providing full-scope credentialing services, which includes verifying practitioner credentials and credentialing/recredentialing committee review of practitioners.
- NCQA Credentialing Certification assesses organizations that verify practitioner credentials. Verification is accomplished through the primary source, a recognized source or a contracted agent of the primary source.
-
Save
Save your favorite pages and receive notifications whenever they’re updated.
You will be prompted to log in to your NCQA account.
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.
Share this page with a friend or colleague by Email.
We do not share your information with third parties.
-
Print
Print this page.
Print this page.
Why Credentialing?
-
Delivers accurate, efficient services
Applying industry best practices improves the credentialing process. 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.
-
Expands revenue streams and secures new contracts
Earning an Accreditation from NCQA, the largest accreditor of health plans, increases your potential client base.
We’re ready to help
Contact us today
-
Current Customer? Ask a Question
Using My NCQA
-
Interested in Credentialing Accreditation? Contact Us Today!
We're Here to Help.