FAQ Directory: Utilization Management, Credentialing and Provider Network

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8.24.2018 What is Utilization Management Accreditation?

NCQA Utilization Management Accreditation is a comprehensive program that evaluates the operations of organizations providing full-scope utilization management services, which include using evidence-based criteria, relevant clinical information and qualified health professionals to make utilization management decisions.

This applies to the following Programs and Years:
UM-CR 2017, 2016, 2013|UM-CR-PN 2018, 2019