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Information Page Guidance for Corrective Action (CAP) Surveys with a 6-Month Look-Back Period
ncqa.org/covid/guidance-for-corrective-action-cap-surveys-with-a-6-month-look-back-period/In a CAP Survey, organizations must undergo file review to demonstrate evidence that the required CAP was implemented and adopted into normal business processes. Following…
Information Page Consumers
ncqa.org/consumers/NCQA gives consumers the information they need to find high-quality health care. We do this by measuring the quality of practices, providers, health plans and…
Information Page Current Customers - Credentialing
ncqa.org/programs/health-plans/credentialing/current-customers/Current Credentialing Accreditation Customers Many organizations seek NCQA Credentialing Accreditation for the benefits it offers. See the list of NCQA-Accredited credentialing organizations.
Information Page 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…
Information Page 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…
Information Page 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…
Information Page 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.
Information Page 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.
Information Page School-Based Medical Home Recognition: Program Retirement
ncqa.org/about-ncqa/sponsorship/digital-quality-summit/sponsorship/school-based-medical-home-recognition-program-retirement/NCQA has retired the School-Based Medical Home Recognition Program effective October 25, 2019. Organizations that have already earned accreditation will maintain their status through their expiration date.…
Information Page 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…
Information Page 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…
Information Page 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…