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What are the Utilization Management Accreditation requirements?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012369Utilization Management Accreditation assesses an organization’s performance in the following areas: Improving operations through an internal QI processEnsuring appropriate agreements and collaboration with clientsMaintaining member…
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How long does it take to earn Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012374The typical evaluation time frame is 12 months from application submission to decision, depending on an organization’s readiness. Some organizations may already be working within…
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What is the price for Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012373Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
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What organizations are eligible for Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012371Utilization Management Accreditation is for organizations that provide full scope utilization management services. Eligible organizations: Must not be licensed as an HMO, POS, PPO or…
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What is Managed Behavioral Healthcare Organization Accreditation?
ncqa.org/programs/health-plans/behavioral-health-accreditation/faq/all/?faq=000012336NCQA Managed Behavioral Healthcare Organization Accreditation is a comprehensive, evidence-based evaluation that reviews organizations to assure they use processes to deliver high-quality care and access.…
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Where can I find the MBHO Standards and Guidelines?
ncqa.org/programs/health-plans/behavioral-health-accreditation/faq/all/?faq=000012339Find the Standards and Guidelines document in the NCQA eStore.
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How does Utilization Management Accreditation help my organization?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012368NCQA Utilization Management Accreditation is designed to ensure that organizations pursuing accreditation can deliver fair and timely determinations to get the proper care to patients…
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What are Managed Behavioral Healthcare Accreditation requirements?
ncqa.org/programs/health-plans/behavioral-health-accreditation/faq/all/?faq=000012338The standards, provide a framework for implementing best practices to improve: Quality Management and Improvement: Monitor, evaluate and improve the quality and safety of care.Care…
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What is Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012367NCQA Utilization Management Accreditation is a comprehensive program that evaluates the operations of organizations providing full-scope utilization management services, which include using evidence-based criteria, relevant…
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What is the price for Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012309Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
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Where can I find the LTSS Distinction for Case Management Organizations Standards and Guidelines?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000012316Find the Standards and Guidelines document in the NCQA eStore.
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What other organizations have earned Managed Behavioral Healthcare Accreditation?
ncqa.org/programs/health-plans/behavioral-health-accreditation/faq/all/?faq=000012346More than 30 organizations have earned NCQA Health Plan Accreditation. See the NCQA Report Card for a directory of accredited organizations.