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Standards - UMCR - Other
ncqa.org/programs/health-plans/utilization-management/benefits-support/standards/Utilization Management Accreditation Requirements NCQA Utilization Management Accreditation evaluates organizations performing full-scope utilization management services. Organizations must meet program criteria to pursue this accreditation.
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Benefits & Support - WHP - Other
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/benefits-support/Wellness and Health Promotion Benefits & Support NCQA Wellness and Health Promotion Accreditation/Certification benefits impact operational performance and marketplace competitiveness.Organizations seeking certification receive resources and…
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Process - LTSS Distinction
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/process/Long-Term Services and Supports Distinction for Health Plans Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation.…
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Standards - LTSS Distinction
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/standards/Long-Term Services and Supports Distinction for Health Plans Requirements NCQA Long-Term Services and Supports (LTSS) Distinction for Health Plans evaluates organizations that provide medical and…
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Disease Management
ncqa.org/programs/health-plans/disease-management-dm/Disease Management Accreditation/Certification
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NCQA HEDIS Measurement Year (MY) 2020 Requirements and COVID-19
ncqa.org/hedis/measures/ncqa-hedis-measurement-year-my-2020-requirements-and-covid-19/Updated: November 24, 2020 NCQA continues to monitor the impact of the coronavirus pandemic on health plan business operations, including its potential effect on medical…
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IRT Release Schedule
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/standards-release-dates/irt-november-2020/Access to the IRT system may be intermittent from 8pm Friday, November 20–8am Monday, November 23, while updates are tested. What’s Changing? For organizations, we…
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Current Customers
ncqa.org/programs/health-plans/population-health-program-accreditation/current-customers/Current Population Health Program Customers Many organizations seek NCQA Population Health Program Accreditation for the benefits it offers.
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IRT Release Schedule
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/standards-release-dates/irt-july-2020/Access to the IRT system may be intermittent from 8pm Friday, July 24–8am Monday, July 27, while updates are tested. What’s Changing? For organizations, we…
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Vendors
ncqa.org/programs/data-and-information-technology/hit-and-data-certification/population-health-management-prevalidation/vendors/We recommend contacting the health IT vendor to review their capabilities and identify where automatic credit may apply.
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IRT Release Schedule
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/standards-release-dates/irt-march-2020/The IRT system will not be available from 5pm Friday, March 27–8am Monday, March 30, while updates are tested. What’s Changing? Based on your input,…
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Virtual Onsite Renewal Survey
ncqa.org/programs/health-plans/virtual-onsite-renewal-survey/As part of the “regular” accreditation/certification survey, NCQA spends one or two days onsite at an organization conducting file review. In a “virtual” onsite, NCQA…