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  1. Current Customers - UM - Other

    Last modified 09.16.2021
    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…

  2. Current Customers - WHP - Other

    Last modified 09.16.2021
    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…

  3. Employers

    Last modified 03.17.2021
    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…

  4. NCQA’s Health Plan Ratings 2020

    Last modified 02.10.2021
    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…

  5. Process: Physician and Hospital Quality Certification

    Last modified 01.19.2021
    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…

  6. Benefits & Support -UMCR - Other

    Last modified 01.19.2021
    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…

  7. Standards - UMCR - Other

    Last modified 01.19.2021
    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.

  8. Benefits & Support - WHP - Other

    Last modified 01.19.2021
    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…

  9. Disease Management

    Last modified 01.14.2021
    ncqa.org/programs/health-plans/disease-management-dm/

    Disease Management Accreditation/Certification

  10. Current Customers

    Last modified 08.11.2020
    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.

  11. Vendors

    Last modified 07.21.2020
    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.

  12. Virtual Onsite Renewal Survey

    Last modified 04.21.2020
    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…