FAQ Directory: Long-Term Services and Supports Distinction for Health Plans

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10.15.2019 Survey requirements for PHM 6, Elements A and B What does NCQA review in PHM 6, Elements A and B, for First Surveys and Renewal Surveys?

For Element A

  • For First Surveys, NCQA reviews the organization’s plan for annual comprehensive analysis of its PHM strategy impact or the organization’s most recent annual comprehensive analysis of its PHM strategy impact.
  • For Renewal Surveys, NCQA reviews the organization’s most recent annual comprehensive analysis of its PHM strategy impact.

For Element B

  • Element B is NA for First Surveys.
  • For Renewal Surveys, NCQA reviews the organization’s most recent annual comprehensive analysis of its PHM strategy impact.

NCQA will clarify these requirements in the November Policy Update. 

This applies to the following Programs and Years:
HP 2019, 2020