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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…
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Standards
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…
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Health Information Product Certification
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…
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Benefits & Support - CVO - Other
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…
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Standards - PN - Other
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…
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FAQs - Provider Network
ncqa.org/programs/health-plans/provider-network/faqs/Provider Network Accreditation FAQs Below are some of the most frequently asked questions about NCQA Provider Network Accreditation. If you don’t see what you’re looking…
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FAQs - UM - Other
ncqa.org/programs/health-plans/utilization-management/faqs/Utilization Management Accreditation FAQs If you don’t see what you’re looking for in the FAQs below, you can search NCQA’s database of additional common questions or…
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FAQs - WHP - Other
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/Wellness and Health Promotion FAQs Below are some of the most frequently asked questions about Wellness and Health Promotion Accreditation/Certification. If you don’t see what…
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Benefits and Support
ncqa.org/programs/health-plans/population-health-program-accreditation/benefits-support/Population Health Program Accreditation Benefits & Support NCQA Population Health Program Accreditation improves efficiency and aligns operations with population health management best practices. Organizations seeking…
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FAQs
ncqa.org/programs/health-plans/population-health-program-accreditation/faqs/Population Health Program Accreditation FAQs Below are some of the most frequently asked questions about NCQA Population Health Program Accreditation. If you don’t see what…
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NCQA’s Health Insurance Plan Ratings 2019-2020
ncqa.org/hedis/reports-and-research/ratings-2019/NCQA’s Health Insurance Plan Ratings 2019–2020 list private (commercial), Medicare and Medicaid health insurance plans based on their combined HEDIS®, CAHPS® and NCQA Accreditation standards scores.…
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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.