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  1. Information Page Medicaid Module

    Last modified 09.07.2022
    ncqa.org/programs/health-plans/health-plan-accreditation-hpa/medicaid-module/

    Health Plan Medicaid Module Improve your opportunity for a streamlined state compliance review by applying for NCQA’s Health Plan Medicaid Module.

  2. Information Page Process - Medicaid

    Last modified 09.07.2022
    ncqa.org/programs/health-plans/health-plan-accreditation-hpa/medicaid-module/process/

    Health Plan Medicaid Module This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical evaluation time frame is…

  3. Information Page Benefits & Support

    Last modified 06.03.2022
    ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/benefits-support/

    Accreditation of Case Management for Long-Term Services and Supports Benefits & Support NCQA Accreditation of Case Management for Long-term Services and Supports benefits impact operational performance and marketplace competitiveness.…

  4. Information Page Employers

    Last modified 04.28.2022
    ncqa.org/health-equity/employers/

    Employers Use NCQA programs to identify health plan and provider partners that excel in delivering equitable health care with measured outcomes, supporting equitable treatment for…

  5. Information Page State & Federal Government

    Last modified 04.28.2022
    ncqa.org/health-equity/state-federal-government/

    State & Federal Government From research to accountability programs, NCQA helps state and federal governments identify high-performing organizations and improve health equity in the community.

  6. Information Page Health Plans

    Last modified 04.28.2022
    ncqa.org/health-equity/health-plans/

    Health Plans Solutions that help health plans advance health equity, provide high-quality care for all members, determine how health inequities influence HEDIS® measures and support…

  7. Information Page Standards

    Last modified 03.25.2022
    ncqa.org/programs/health-plans/population-health-program-accreditation/benefits-support/standards/

    Population Health Program Accreditation Standards NCQA Population Health Program Accreditation evaluates organizations’ programs against industry best practices for population health management. Eligible programs must be…

  8. Information Page Health Information Product Certification

    Last modified 03.18.2022
    ncqa.org/programs/health-plans/health-information-products-hip/

    Health Information Product Certification NCQA Health Information Product Certification program highlights organizations that provide pharmacy benefit information, health information lines, support for healthy living or…

  9. Information Page Long-term Services and Supports Process

    Last modified 03.18.2022
    ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/process/

    The Accreditation of Case Management for Long-Term Services and Supports Process This process helps organizations plan and execute activities to ensure they are ready for…

  10. Information Page Standards

    Last modified 03.18.2022
    ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/benefits-support/standards/

    Accreditation of Case Management for Long-Term Services and Supports Requirements NCQA Accreditation of Case Management for Long-term Services and Supports (LTSS) evaluates organizations that coordinate LTSS against comprehensive standards.  Your organization must meet…

  11. Information Page Benefits & Support - CVO - Other

    Last modified 03.18.2022
    ncqa.org/programs/health-plans/credentials-verification-organization-cvo/benefits-support/

    Credentials Verification Organization Benefits & Support Credentials Verification Organization (CVO) Certification supports operational performance and marketplace competitiveness. Organizations seeking certification receive resources and support to…

  12. Information Page Standards - PN - Other

    Last modified 03.18.2022
    ncqa.org/programs/health-plans/provider-network/standards/

    Provider Network Accreditation Requirements NCQA Provider Network Accreditation evaluates organizations performing provider network services that include monitoring practitioner availability, managing member access to services, tracking…