Managed Behavioral Healthcare Organization
NCQA Managed Behavioral Healthcare Organization Accreditation demonstrates to health plans, employers, regulators and consumers an organization’s commitment to follow evidence-based practices to provide high-quality care.
A QUALITY IMPROVEMENT FRAMEWORK
Managing behavioral health plays a key role in the current emphasis for health care providers to deliver care that incorporates medical, behavioral and social risk factors. As managed behavioral health care grows, so does the need to discern the value of behavioral healthcare providers.
The NCQA MBHO Accreditation standards are a roadmap for improvement. They help organizations implement industry best practices to provide high-quality care, access and consumer protections. Key areas are:
- Care coordination to reduce fragmented care.
- Complex case management, a challenge for initiatives where complex cases are common.
- Data exchange between health plans and behavioral healthcare organizations, to support clinical quality and patient experience measurement and improvement.
WHY MANAGED BEHAVIORAL HEALTHCARE ORGANIZATION?
Improve operational efficiencies
The standards, provide a framework for implementing best practices to improve:
Elevate your organization’s status
Demonstrate the quality of your organization’s program to health plans, employers, regulators and consumers.
Improve contracting opportunities
Earning the Managed Behavioral Healthcare Organization Accreditation from NCQA—the largest accreditor of health plans—can help increase your opportunities for potential contracts.
Satisfy health plan requirements
Larger health plans tend to expect accreditation because it demonstrates the organization’s commitment to meeting industry standards and it streamlines the health plans’ accreditation process through the automatic credit option.
NCQA offers several related programs for organizations eligible for the Managed Behavioral Healthcare Organization Accreditation. Each program helps organizations improve their operations and initiatives in targeted areas and demonstrate their commitment to quality.
Long-Term Services and Supports Distinction
NCQA offers a Long-Term Services and Supports (LTSS) Distinction for organizations that provide managed health services and coordinate social services for LTSS.
The standards provide a framework for organizations to deliver effective person-centered care that meets people’s needs and aligns with state requirements.
Health Equity Accreditation Programs
Health Equity Accreditation Programs focus on the foundation of health equity work: building an internal culture that supports the organization’s external health equity work; collecting data that help the organization create and offer language services and provider networks mindful of individuals’ cultural and linguistic needs; identifying opportunities to reduce health inequities and improve care.
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