FAQ Directory: Accreditation of Case Management for LTSS (LTSS-only Plans)

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10.15.2025 Semiannual reporting and evaluation requirements if delegates are NCQA-Accredited/Certified Are NCQA-Accredited/Certified delegates required to provide semiannual reporting to organizations, and are organizations required to evaluate semiannual reports from NCQA-Accredited/Certified delegates?

No. Effective immediately for delegation oversight standards, organizations receive automatic credit for the delegation agreement semiannual reporting requirement in Element A, and for the delegation oversight semiannual report evaluation in Element C, when an NCQA-Accredited/Certified delegate performs an NCQA-required activity.  

For example, in Health Plan Accreditation, NET 6, Element A, factor 3 and NET 6, Element C, factor 3 receive automatic credit for an NCQA-Accredited/Certified delegate. 

This applies to all products. 

Note: This updated FAQ replaces the original version published on September 15, 2025. 

This applies to the following Programs and Years:
CM-LTSS 2024|HEA 2024|HP 2025, 2026|CRPN 2025|MBHO 2025|UM-CR-PN 2025|UM 2026