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FAQ Directory: Health Information Products

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8.15.2019 Policy Update regarding must-pass elements and the status modifier “Under Corrective Action” NCQA posted an update for PHP 2019, CVO/HIP/WHP/DM 2016 and PHQ 2013 that stated, “If an organization does not meet the must-pass threshold for any must-pass element, a status modifier of ‘Under Corrective Action’ will be displayed after the applicable accreditation status (e.g., Accredited/Certified—Under Corrective Action) until NCQA confirms that the organization has completed the Corrective Action Plan (CAP).” Is NCQA changing the policy for these products, which has been that if an organization fails to meet the must-pass threshold, it is denied Accreditation or Certification?

No. This policy update was made in error and will be corrected in November 2019 for the products listed. An organization will be denied Accreditation or Certification if it fails to meet the must-pass threshold for specified requirements in those products.

HIP 2013