Health Plan Accreditation (HPA)

Health plans must support care that keeps members at optimum levels of health while also controlling costs and meeting government and purchaser requirements. NCQA Health Plan Accreditation helps plans meet these goals.

RELATED PROGRAMS

NCQA offers several related programs for organizations eligible for the Health Plan Accreditation. Each program helps organizations improve their operations and initiatives in targeted areas and demonstrate their commitment to quality.

LONG-TERM SERVICES AND SUPPORTS DISTINCTION

NCQA offers a Long-Term Services and Supports (LTSS) Distinction for organizations that provide managed health services and coordinate social services for LTSS.

The standards provide a framework for organizations to deliver effective person-centered care that meets people’s needs and aligns with state requirements.

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MULTICULTURAL HEALTH CARE DISTINCTION

NCQA Distinction in Multicultural Health Care evaluates how well organizations identify needs and provide care to groups with different racial, ethnic and cultural backgrounds, including how those organizations provide culturally and linguistically sensitive services and work to reduce health care disparities.

The NCQA standards are a roadmap for how and organization can deliver the high-quality, care.

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HEALTH PLAN MEDICAID MODULE

The Health Plan Medicaid Module helps plans improve their opportunity to receive a streamlined state annual compliance review.

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

CAHPS® is a registered trademark of the Agency for Healthcare Quality and Research (AHRQ).