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NCQA Comments on RFI for PACE and P3C
ncqa.org/comment-letter/ncqa-comments-on-rfi-for-pace-and-p3c/NCQA provides feedback on RFI for new and existing models of integrated care.
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NCQA Responds to CMS RFI on ACA Burdens
ncqa.org/comment-letter/ncqa-responds-to-cms-rfi-on-aca-burdens/NCQA urges CMS to allow deeming for accredited Exchange plans, and to reduce clinical quality measure reporting burden by moving to well-designed & tested electronic clinical quality measures.
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NCQA Comments on CMMI's New Direction
ncqa.org/comment-letter/ncqa-comments-on-cmmis-new-direction/NCQA provides feedback on the CMS Request for Information regarding the Innovation Center's New Direction.
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NCQA Comments on Proposed 2019 ACA Exchange/Marketplace Rules
ncqa.org/comment-letter/ncqa-comments-on-proposed-2019-aca-exchange-marketplace-rules/NCQA urges CMS to rely on Exchange-specific accreditation and address disparities via stratification.
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NCQA Congratulates HHS Secretary Azar on his Confirmation
ncqa.org/comment-letter/ncqa-congratulates-hhs-secretary-azar-on-his-confirmation/NCQA looks forward to working with Azar on our shared goal of high-quality, efficient, affordable health care.
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NCQA Comments on Senate Finance Committee Opioid Inquiry
ncqa.org/comment-letter/ncqa-comments-on-senate-finance-committee-opioid-inquiry/NCQA recommends adding HEDIS opioid measures to the Medicare Advantage Star Ratings to encourage action to address the epidemic.
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NCQA Comments on 2019 Medicare Advantage Call Letter
ncqa.org/comment-letter/1447/NCQA supports proposed opioid limits and wider use of supplemental benefits.
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NCQA Comments on VA MISSION Act
ncqa.org/comment-letter/ncqa-comments-on-va-mission-act/NCQA urges the VA to use our programs and expertise to help meeting MISSION Act implementation challenges.
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NCQA Proposed Medicare Advantage Rule Comments
ncqa.org/comment-letter/ncqa-proposed-medicare-advantage-rule-comments/NCQA supports proposals to expand telehealth, unify D-SNP appeals and share Parts A & B data with Part D-only drug plans.
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Are NCQA-Accredited/Certified delegates required to provide semiannual reporting to organizations, and are organizations required to evaluate semiannual reports from NCQA-Accredited/Certified delegate
ncqa.org/programs/health-plans/long-term-services-and-supports/case-management-accreditation-for-ltss-only-health-plans/faqs/all/?faq=000025497No. Effective immediately for delegation oversight standards, organizations receive automatic credit for the delegation agreement semiannual reporting requirement in Element A, and for the delegation…
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How does NCQA define “threshold languages” for CM-LTSS Accreditation and LTSS Distinction in Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/case-management-accreditation-for-ltss-only-health-plans/faqs/all/?faq=000025159NCQA defines threshold languages as “all languages other than English spoken by 5% of the population or by 1,000 eligible individuals, whichever is less.” Applicable…
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Has NCQA been in communication with CAQH about including the new NCQA requirements for race, ethnicity and language on its application?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000025073Yes. NCQA has worked with CAQH to add a notice to its practitioner- and customer-facing provider credentialing applications, recognizing that discriminatory uses of race, ethnicity…