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Get Started – Health Information Product Certification

NCQA Health Information Product Certification program highlights organizations that provide pharmacy benefit information, health information lines, support for healthy living or physician and hospital directories services to health plans and MBHOs.

NCQA Health Information Product Certification program highlights organizations that provide pharmacy benefit information, health information lines, support for healthy living or physician and hospital directories services to health plans and MBHOs.

HOW DOES MY ORGANIZATION BENEFIT?

Organizations awarded the NCQA Health Information Product Certification:

  • Distinguish their organization’s service. Standards align operations with potential client quality requirements.
  • Improve contract opportunities. NCQA-Accredited health plans receive automatic credit (i.e., 100% compliance) toward their own Accreditation Survey when they work with Certified HIP vendors. This results in less administrative responsibilities.

A VARIETY OF OPTIONS

NCQA’s Health Information Product Certification program evaluates specific functions based on the health information product provided. Organizations may choose to be evaluated in one or more “Certification Options.”

An organization may seek Certification in any or all the following evaluation options:

  • Pharmacy Benefit Information. Provides eligible individuals with the information they need to understand and use their pharmacy benefits.
  • Health Information Line. Operates a health information line to assist eligible individuals with wellness and prevention.
  • Support for Healthy Living. Provides access to wellness and prevention services.
  • Physician and Hospital Directories. Provides information to help eligible individuals choose physicians and hospitals.

Learn more today. Fill out the form to the right to receive more information about this program or to speak to an NCQA program expert.