Accreditation of Case Management for LTSS
As the population ages, more states are seeking to increase accountability, improve quality and promote a cost-effective service delivery system. States and MCOs need assurance that their partners can coordinate care effectively across medical, behavioral and social services and help keep people in their preferred setting—often, their home and community.
NCQA Accreditation of Case Management for Long-term Services and Supports helps support organizations that coordinate long-term services and supports (LTSS) by providing a framework for quality improvement.
A QUALITY IMPROVEMENT FRAMEWORK
NCQA’s standards provide a framework for organizations to deliver efficient, effective person-centered care that meets people’s needs, helps keep people in their preferred setting and aligns with state requirements.
The program evaluates organizations in areas such as:
- Conducting comprehensive assessments.
- Managing care transitions.
- Performing person-centered assessments.
- Planning and managing critical incidents.
- Measurement and quality improvement.
How does this Accreditation 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.
WHY ACCREDITATION OF CASE MANAGEMENT FOR LTSS?
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Improve Operational Efficiencies
The standards are based on industry-best practices. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.
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Integrate Care Better
The standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.
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Better Care Planning and Monitoring
Standards focus on person-centered services, which can lead to better care planning and monitoring.
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Support Contracting Needs
Standards align with the needs of states and MCOs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.
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