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  1. 2025 UM Standards and Guidelines (web-based)

    Product 11.30.-0001
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    2025 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...

  2. 2025 UM Survey Tool (web-based)

    Product 11.30.-0001
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    2025 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...

  3. 2025 UM Standards and Guidelines (epub)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5466

    2025 STANDARDS AND GUIDELINES FOR ACCREDITATION IN UTILIZATION MANAGEMENT
    View Table of Contents for this Publication
    This publication outlines standards and features explanations and examples of h...

  4. 2025 UM File Review Access (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5465

    2025 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 Sy...

  5. 2025 HP File Review Access (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5464

    2025 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...

  6. 2025 HP Survey Tool (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5462

    2025 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...

  7. 2025 HP Standards and Guidelines (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5460

    2025 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...

  8. 2025 HP Standards and Guidelines (epub)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5459

    2025 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF HEALTH PLANS
    View Table of Contents for this Publication
    This publication features in-depth explanations and examples of how to meet the stand...

  9. 2025 MBHO File Review Access (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5294

    2025 FILE REVIEW SYSTEM ACCESS FOR ACCREDITATION OF MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS
    NCQA developed a new online system to efficiently manage the file review process required for surveys.
    ...

  10. 2024 MBHO File Review Access (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5283

    2024 FILE REVIEW SYSTEM ACCESS FOR ACCREDITATION OF MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS
    NCQA developed a new online system to efficiently manage the file review process required for surveys.
    T...

  11. 2023 Medicaid Managed Care Toolkit

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5224

    2023 MEDICAID MANAGED CARE TOOLKIT
    NCQA's Medicaid Managed Care Toolkit provides states and their contracted quality partners with a guide to making the most of accreditation and the HEDIS and CAHPS ...

  12. 2024 MBHO Survey Tool (web-based)

    Product 11.30.-0001
    store.ncqa.org/index.php/catalog/product/view/id/5021

    2024 MANAGED BEHAVIORAL HEALTHCARE ORGANIZATIONS SURVEY TOOL
    The Survey Tool includes all information needed to prepare and submit materials for an NCQA survey. Organizations applying for accreditatio...