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Accreditation of Case Management for Long-Term Services and Supports Requirements

NCQA Accreditation of Case Management for Long-term Services and Supports (LTSS) evaluates organizations that coordinate LTSS against comprehensive standards.  Your organization must meet the eligibility criteria to obtain the accreditation.

The standards are a roadmap for improvement—organizations can use the standards to perform a gap analysis and align their improvement activities in the areas that are most important to individuals, payers and states. 

Focus Areas to Ensure High Quality

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 and MCO 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.

To see all program requirements, get the Standards & Guidelines document.

Is My Organization Eligible?

Organizations in operation for at least 6 months and coordinate LTSS are eligible for accreditation; for example:

  • Area Agencies on Aging.
  • Aging and Disability Resource Centers.
  • Centers for Independent Living.
  • Other home and community-based organizations.
  • Health plans that coordinate LTSS that do not provide medical/behavioral health benefits.
  • Case management organizations.
  • Other organizations that coordinate LTSS.

NCQA-Accredited MBHOs or health plans that offer comprehensive medical benefits and manage LTSS are not eligible for this accreditation but can earn LTSS Distinction.

Accreditation Of Case Management For LTSS Resources

Find information about NCQA’s Accreditation of Case Management for LTSS here:

  • 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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