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FAQ Directory: Health Plan Accreditation

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8.15.2019 Documentation for MEM 2, Element C and MEM 3, Element C Will NCQA review an organization’s policies and procedures for MEM 2, Element C and MEM 3, Element C?

For MEM 2, Element C, NCQA reviews the organization’s data collection methodology. This may be in policies and procedures or described as part of the organization’s reports. NCQA also reviews the organization’s most recent assessment and actions reports completed at least once during the look-back period.
Similarly, for MEM 3, Element C, NCQA reviews the organization’s data collection methodology. This may be in policies and procedures or described as part of the organization’s reports. NCQA also reviews the organization’s annual evaluation report and improvement of identified deficiencies.

HP 2019