FAQ Directory: Managed Behavioral Healthcare Organization Accreditation

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5.15.2023 MBHO: Applicable Standards for Mail Service Organizations Considered Delegates What standards are considered a delegation relationship if an organization uses a mail service organization to meet the distribution requirements?

NCQA considers the following standards to be a delegation relationship if an organization uses a mail service organization to meet the distribution requirements:

  • CC 3, Element A: Notification of Termination
  • CC 3, Element B: Continued Access to Practitioners
  • UM 5, Element A: Timeliness of UM Decisions
  • UM 7, Elements B, C: Denial Notices
  • UM 9, Elements B, D: Appropriate Handling of Appeals

MBHO 2023