Get Started – 2020 Health Plan Medicaid Module

Improve your opportunity for a streamlined state compliance review by applying for NCQA’s 2020 Health Plan Medicaid Module.

NCQA Health Plan Medicaid Module is a complementary program designed to support NCQA-Accredited health plans. Plans that meet NCQA Health Plan Accreditation and NCQA Medicaid Module standards position themselves for a streamlined state compliance review. The Medicaid Managed Care Final Rule’s non-duplication provision allows states to accept information obtained from a nationally-recognized accreditor in lieu of a review by the state or its External Quality Review Organization.


Meeting NCQA Medicaid Module standards can help NCQA-Accredited health plans:

  • Maximize alignment with the Medicaid Managed Care Rule.
  • Position their organization for a streamlined state compliance review.


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.

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.