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Information Page Benefits & Support - CM
ncqa.org/programs/health-plans/case-management-cm/benefits-support/Case Management Accreditation Benefits & Support NCQA Case Management Accreditation benefits impact operational performance and marketplace competitiveness. Organizations seeking accreditation receive resources and support to…
Information Page Benefits & Support -MBHO
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/benefits-support/Managed Behavioral Healthcare Organization Accreditation Benefits & Support NCQA Managed Behavioral Healthcare Organization Accreditation benefits operational performance and positions organizations well in a competitive marketplace.…
Information Page 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…
Information Page 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…
Information Page 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.
Information Page 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…
Information Page 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.…
Information Page 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…
Information Page Disease Management
ncqa.org/programs/health-plans/disease-management-dm/Disease Management Accreditation/Certification
Information Page Guidance on File Reviews Impacted by COVID-19
ncqa.org/covid/guidance-for-first-initial-surveys-with-a-6-month-look-back-period/If files are impacted by COVID-19: Submit files from applicable look-back period based on the submission date, excluding full months of impacted files from March…
Information Page 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…
Information Page 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…