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FAQ What organizations are eligible to pursue Case Management Accreditation?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000002819NCQA considers entities that perform relevant functions to be eligible for NCQA CM Accreditation, including, but not limited to: CM organizations, population health management organizations,…
FAQ What is the process for reporting performance measure results for Accredited With Performance Reporting (AWPR) status?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000002849Organizations are responsible for reporting NCQA WHP performance measure results exactly as specified if they are seeking AWPR status. Organizations must submit performance measure results…
FAQ When must organizations submit NCQA WHP Performance Measures in order to obtain Accredited With Performance Reporting (AWPR) status?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000002767Organizations coming through the WHP accreditation process for the first time and that wants to earn AWPR status must submit audited measures with the ISS…
Product HEDIS MY 2025 Volume 5 (epub)
store.ncqa.org/index.php/catalog/product/view/id/5745HEDIS MEASUREMENT YEAR 2025 VOLUME 5: HEDIS COMPLIANCE AUDIT: STANDARDS, POLICIES AND PROCEDURES
Health plans must submit audited HEDIS data to achieve NCQA Accreditation and/or meet employer expectat...Product 2026 UM Standards and Guidelines (web-based)
store.ncqa.org/index.php/catalog/product/view/id/57392026 STANDARDS AND GUIDELINES FOR ACCREDITATION IN UTILIZATION MANAGEMENT
Note: This publication is made accessible in NCQA's Interactive Review Tool (IRT) system. It cannot be downloaded. For a down...Product 2026 UM Survey Tool (web-based)
store.ncqa.org/index.php/catalog/product/view/id/57382026 UTILIZATION MANAGEMENT SURVEY TOOL
Note: This Survey Tool is accessed through NCQA's Interactive Review Tool (IRT) system.
The Survey Tool includes all information needed to prepare and submit ma...Product 2026 UM Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/57372026 STANDARDS AND GUIDELINES FOR ACCREDITATION IN UTILIZATION MANAGEMENT
This publication outlines standards and features explanations and examples of how to meet the standards, scoring guidelines, p...Product 2026 UM File Review Access (web-based)
store.ncqa.org/index.php/catalog/product/view/id/57362026 FILE REVIEW SYSTEM ACCESS FOR UTILIZATION MANAGEMENT ACCREDITATION
NCQA developed a new online system to efficiently manage the file review process required for surveys.
The File Review Syst...Product 2026 MBHO Survey Tool (web-based)
store.ncqa.org/index.php/catalog/product/view/id/57342026 MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS SURVEY TOOL
Note: This Survey Tool is accessed through NCQA's Interactive Review Tool (IRT) system.
The Survey Tool includes all information needed to ...Product 2026 MBHO Standards and Guidelines (web-based)
store.ncqa.org/index.php/catalog/product/view/id/57322026 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS
Note: This publication is made accessible in NCQA's Interactive Review Tool (IRT) system. It cannot b...Product 2026 MBHO Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/57312026 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS
This publication outlines standards and features in-depth explanations and examples of how to meet th...Product 2026 HP File Review Access (web-based)
store.ncqa.org/index.php/catalog/product/view/id/57302026 FILE REVIEW SYSTEM ACCESS FOR HEALTH PLAN ACCREDITATION
NCQA developed a new online system to efficiently manage the file review process required for surveys.
The File Review System is accessed t...