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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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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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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…
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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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Disease Management
ncqa.org/programs/health-plans/disease-management-dm/Disease Management Accreditation/Certification
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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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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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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…