Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
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FAQ Directory: Health Plan Accreditation
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8.24.2018 What is the price for Health Plan Accreditation?
8.24.2018 How long does it take to earn Health Plan Accreditation?
8.24.2018 Are there additional resources for health plans seeking LTSS Distinction?
- LTSS Best Practices Academy: Interactive forum for professionals to discuss strategies for coordinating quality long-term services and supports (LTSS) programs.
- LTSS Roadmap: A compilation of resources to guide organizations through meeting Case Management and Health Plan Standards for LTSS.
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8.24.2018 What is the process for earning Health Plan Accreditation?
The first step to earning accreditation is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and submit your online application.
Align your organization’s processes with the standards. NCQA conducts the survey and determines your accreditation status within 30 days of the final review.
See a step-by-step process.
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8.24.2018 How does the Medicaid Module help my organization?
Meeting NCQA Medicaid Module standards can help organizations:
- Streamline compliance activities. Compliance activities are reduced when the state uses NCQA Health Plan Accreditation and Medicaid Module standards as part of the Medicaid quality review.
- Become more efficient. Reallocate key quality review resources to other Medicaid priorities.
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8.24.2018 What is the process for earning LTSS Distinction for Health Plans?
The first step to earning distinction is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and submit your online application.
Align your organization’s processes with the standards. NCQA conducts the survey and determines your distinction status within 30 days of the final review.
See a step-by-step process.
HP 2020
8.24.2018 What organizations are eligible for the Medicaid Module?
An organization is eligible for the NCQA Health Plan Medicaid Module if:
- Its Medicaid product line has a current NCQA Accreditation status as a First or Renewal Survey, or
- It is seeking accreditation for its Medicaid product line under NCQA HP Accreditation as an Interim, First or Renewal Survey.
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8.24.2018 Where can I find information to help me get started with Health Plan Accreditation?
- Accreditation Process and Timeline:Key steps, timing and resources for a successful accreditation.
- Standards and Guidelines: The complete standards and guidelines, including the intent and scope of review.
- Interactive Survey Tool: Contains the complete standards and guidelines; you can also determine your organization’s survey readiness—the tool calculates your potential survey score.
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8.24.2018 What is the price for the Medicaid Module Survey?
8.24.2018 How does the LTSS Distinction for Health Plans help my organization?
Earning NCQA Accreditation of Case Management for LTSS can help organizations:
- Become more efficient. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.
- Integrate care better. Standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.
- Provide person-centered care. Standards focus on person-centered services, which can lead to better care planning and monitoring.
- Support contracting needs. Standards align with the state needs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.
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