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LTSS Distinction for Health Plans
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/Long-Term Services and Supports Distinction for Health Plans States are looking at their populations and expanding the scope of populations into their managed long-term services…
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Learn How: Novant Health Is Advancing Health Equity Initiatives
ncqa.org/learn-how-novant-health-is-advancing-health-equity-initiatives/Improving health equity requires engagement and partnerships across the entire health care industry as well as with industry stakeholders such as employers, regulators and community-based…
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Provider Network
ncqa.org/programs/health-plans/provider-network/Provider Network Accreditation NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
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Policy Allowances Related to Telehealth
ncqa.org/programs/data-and-information-technology/telehealth/policy-allowances-related-to-telehealth/Traditionally, NCQA has not allowed organizations to include practitioners who provide telehealth services when setting availability and accessibility standards or analyzing performance against standards. In…
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Standards - MBHO
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/benefits-support/standards/Managed Behavioral Healthcare Organization Accreditation Requirements NCQA Managed Behavioral Healthcare Organization Accreditation evaluates organizations providing comprehensive managed behavioral health care services. Your organization must meet the program criteria to pursue the accreditation.
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Standards - WHP - Other
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/standards/Wellness and Health Promotions Requirements NCQA Wellness and Health Promotions Accreditation/Certification evaluates wellness organizations that offer a full or limited range of wellness services. The…
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Requirements
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/process/requirements/Health Plan Accreditation Requirements NCQA Health Plan Accreditation evaluates organizations providing managed health care services. Your organization must meet the program criteria to pursue accreditation.
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Standards - CM
ncqa.org/programs/health-plans/case-management-cm/benefits-support/standards/Case Management Accreditation Requirements NCQA Case Management Accreditation evaluates organizations performing case management services that typically focus on patients who are at high risk of…
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Standards - HPA
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/benefits-and-support/standards/Health Plan Accreditation Requirements NCQA Health Plan Accreditation evaluates organizations providing managed health care services. Your organization must meet the program criteria to pursue accreditation.
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Frequently Asked Questions
ncqa.org/employers/frequently-asked-questions/How do I determine if my health plan has NCQA Accreditation? NCQA Accredits most health plans in the country. To find out if your health…
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FAQs - PHQ
ncqa.org/programs/health-plans/physician-and-hospital-quality-phq/faqs/FAQs: Physician and Hospital Quality Certification Here are some of the most frequently asked questions about the NCQA Physician and Hospital Quality Certification program. If…