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  1. Product HEDIS MY 2025 Volume 5 (epub)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5745

    HEDIS 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...

  2. Product 2026 UM Standards and Guidelines (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5739

    2026 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...

  3. Product 2026 UM Survey Tool (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5738

    2026 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...

  4. Product 2026 UM Standards and Guidelines (epub)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5737

    2026 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...

  5. Product 2026 UM File Review Access (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5736

    2026 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...

  6. Product 2026 MBHO Survey Tool (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5734

    2026 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 ...

  7. Product 2026 MBHO Standards and Guidelines (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5732

    2026 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...

  8. Product 2026 MBHO Standards and Guidelines (epub)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5731

    2026 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...

  9. Product 2026 HP File Review Access (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5730

    2026 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...

  10. Product 2026 HP Survey Tool (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5728

    2026 HEALTH PLAN ACCREDITATION 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...

  11. Product 2026 HP Standards and Guidelines (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5726

    2026 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF HEALTH PLANS
    Note: This publication is made accessible in NCQA's Interactive Review Tool (IRT) system. It cannot be downloaded. For a downloadabl...

  12. Product 2026 HP Standards and Guidelines (epub)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5725

    2025 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF HEALTH PLANS
    This publication features in-depth explanations and examples of how to meet the standards, accreditation scoring guidelines and poin...