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What are the Accreditation/Certification requirements?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000012380The Accreditation/Certification assesses an organization’s performance in the following requirement areas: Workplace program implementation.Protection of private health information.Ability of services to empower participants to improve…
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How does Accreditation/Certification help my organization?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000012379NCQA Wellness and Health Promotion Accreditation/Certification focuses on services most desired by employers and health plans as well as expected by consumers. It provides a…
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How does the Medicaid Module help my organization?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012348Meeting NCQA Medicaid Module standards can help organizations: Streamline compliance activities. Compliance activities are reduced when the state uses NCQA Health Plan Accreditation and Medicaid…
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What other organizations have earned Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012377More than 50 organizations have earned NCQA Utilization Management Accreditation. See the NCQA Report Card for a directory of accredited organizations.
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Where can I find the LTSS Distinction Standards and Guidelines?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012327Find the Standards and Guidelines document in the NCQA eStore.
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What is the process for earning Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012286The first step to earning accreditation is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and…
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Where can I find information to help me get started with Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012290Accreditation Process and Timeline: Key steps, timing and resources for a successful accreditation.Standards and Guidelines: The complete standards and guidelines, including the intent and scope…
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How do I get started with Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012289If you are not currently accredited and want to learn more, contact NCQA. If you are currently accredited and want to talk to someone about…
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How long does it take to earn Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012288The 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 organizations are eligible for Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012285Credentialing Accreditation is for organizations that provide full scope credentialing services. Eligible organizations: Must not be licensed as an HMO, POS, PPO or EPO. Must…
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What is the price for Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012287Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
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What are the Credentialing Accreditation requirements?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012283Credentialing Accreditation assesses an organization’s performance in the following areas: Internal Quality Improvement ProcessAgreement and Collaboration With ClientsProtecting Credentialing InformationCredentialing PoliciesCredentialing CommitteeCredentialing Verification Recredentialing Cycle…