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FAQ What organizations are eligible for Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012307Any organization that provides managed health care services may apply for the NCQA Health Plan Accreditation if it meets the following criteria: Operates under an…
FAQ What are Managed Behavioral Healthcare Accreditation requirements?
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/faqs/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…
FAQ 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.
FAQ 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.
FAQ What is the process for earning Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012372The first step to earning accreditation is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and…
FAQ 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…
FAQ 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…
FAQ What is Managed Behavioral Healthcare Organization Accreditation?
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/faqs/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.…
FAQ What organizations are eligible for Managed Behavioral Healthcare Accreditation?
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/faqs/all/?faq=000012340Any organization that provides managed health care services may apply for the NCQA Managed Behavioral Healthcare Organization Accreditation if it meets the following criteria: Has…
FAQ 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…
FAQ Where can I find the MBHO Standards and Guidelines?
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/faqs/all/?faq=000012339Find the Standards and Guidelines document in the NCQA eStore.
FAQ 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…