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Current Customers - UM - Other
ncqa.org/programs/health-plans/utilization-management/current-customers/Current Utilization Management Customers NCQA publishes a list of organizations accredited for utilization management on our website. See a list of all NCQA-Accredited utilization management…
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Current Customers - WHP - Other
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/current-customers/Current Wellness and Health Promotion Customers NCQA publishes a list of accredited and certified organizations on our website. See a list of all NCQA-Accredited/Certified Wellness…
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Current Customers - MBHO
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/current-customers/Current Managed Behavioral Healthcare Organization Accreditation Customers NCQA publishes a list of accredited organizations on our website. See a list of all NCQA-Accredited managed behavioral…
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Current Customers - CM
ncqa.org/programs/health-plans/case-management-cm/current-customers/Current Case Management Customers NCQA publishes a list of accredited organizations on our website. See a list of all NCQA-Accredited case management organizations.
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Current Customers
ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/current-customers/Current Accreditation of Case Management for LTSS Customers NCQA publishes a list of accredited organizations on our website. See a list of all NCQA-Accredited case management organizations.
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Employers
ncqa.org/employers/As employers struggle with the high cost of providing health care to their employees, the underlying issue of ensuring that employees receive high-quality, appropriate care…
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NCQA’s Health Plan Ratings 2020
ncqa.org/hedis/reports-and-research/ratings-2020/Cancellation Notice Due to COVID-19, NCQA will not release 2020 Health Plan Ratings for any product line. Accredited commercial and Medicaid plans must still submit…
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HEDIS® and CAHPS® Reporting Requirements
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/reporting-requirements/HEDIS and CAHPS reporting will still be required for Health Plan Accreditation, but the timeline has changed for newly Accredited plans to help put a…
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Benefits & Support - CM
ncqa.org/programs/health-plans/case-management-cm/benefits-support/Case Management Accreditation Benefits & Support NCQA Case Management Accreditation benefits impact operational performance and marketplace competitiveness. Organizations seeking accreditation receive resources and support to…
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Benefits & Support -MBHO
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/benefits-support/Managed Behavioral Healthcare Organization Accreditation Benefits & Support NCQA Managed Behavioral Healthcare Organization Accreditation benefits operational performance and positions organizations well in a competitive marketplace.…
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Process: Physician and Hospital Quality Certification
ncqa.org/programs/health-plans/physician-and-hospital-quality-phq/process/Physician and Hospital Quality Certification Process Below are process and timeline guidelines for organizations seeking Physician and Hospital Quality Certification. Although the typical evaluation time…
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Benefits & Support -UMCR - Other
ncqa.org/programs/health-plans/utilization-management/benefits-support/Utilization Management Accreditation Benefits & Support NCQA Utilization Management Accreditation benefits impact operational performance and marketplace competitiveness. Organizations seeking accreditation receive resources and support to…