FAQ Directory: Health Plan Accreditation

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10.15.2025 Notification of Appeal Decisions/Rights—Exceptions In UM 9, Element D and UMA 5, Element E, the exceptions for factor 7 reference appeal notifications before July 1, 2025. Is the date accurate, or is it an error?

The July 1, 2025, date is incorrect. For the 2026 standards and guidelines, factor 7 is scored NA for appeal notifications issued before July 1, 2026.  

This applies to the following Programs and Years:
HP 2026|UM 2026