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2022 Specialty Pharmacy Standards and Guidelines (web-based)
store.ncqa.org/index.php/catalog/product/view/id/43002022 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF SPECIALTY PHARMACIES
Note: This publication is made accessible in NCQA's Interactive Review Tool (IRT) system. It cannot be downloaded. For a dow... -
HEDIS MY 2021 Volume 5 (epub)
store.ncqa.org/index.php/catalog/product/view/id/4291HEDIS MEASUREMENT YEAR 2021 VOLUME 5: HEDIS COMPLIANCE AUDIT™: STANDARDS, POLICIES AND PROCEDURES
View Table of Contents for this Publication
Note: NCQA has updated the naming conventi... -
2022 UM/CR/Provider Network Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/42872022 STANDARDS AND GUIDELINES FOR ACCREDITATION IN UTILIZATION MANAGEMENT AND CREDENTIALING AND PROVIDER NETWORK
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This publication outlines standards and... -
2022 Specialty Pharmacy Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/42852022 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF SPECIALTY PHARMACIES
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This publication features in-depth explanations and examples of how to meet th... -
2021 Health Plan Ratings in Excel Format (For Internal Use Only by Customer)
store.ncqa.org/index.php/catalog/product/view/id/42812021 HEALTH PLAN RATINGS IN EXCEL FORMAT (FOR INTERNAL USE ONLY BY CUSTOMER)
NCQA’s Health Plan Ratings 2021 includes commercial, Medicare and Medicaid health plans. The overall rating is the weigh... -
2020 Medicaid Managed Care Toolkit
store.ncqa.org/index.php/catalog/product/view/id/40382020 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 ... -
HEDIS MY 2020 Volume 5 (epub)
store.ncqa.org/index.php/catalog/product/view/id/3904HEDIS MEASUREMENT YEAR 2020 VOLUME 5: HEDIS COMPLIANCE AUDIT™: STANDARDS, POLICIES AND PROCEDURES
View Table of Contents for this Publication
Note: NCQA has updated the naming conventi... -
2020 WHP Survey Tool (web-based)
store.ncqa.org/index.php/catalog/product/view/id/37872020 WELLNESS & HEALTH PROMOTION 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 su... -
2020 WHP Standards and Guidelines (web-based)
store.ncqa.org/index.php/catalog/product/view/id/37852020 STANDARDS AND GUIDELINES FOR ACCREDITATION AND CERTIFICATION IN WELLNESS & HEALTH PROMOTION
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Note: This publication is made accessible in NCQA's Int... -
2020 WHP Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/37702020 STANDARDS AND GUIDELINES FOR ACCREDITATION AND CERTIFICATION IN WELLNESS & HEALTH PROMOTION
View Table of Contents for this Publication
This publication outlines the standards and features ex... -
Population Health Management Prevalidation Handbook (epub)
store.ncqa.org/index.php/catalog/product/view/id/3765POPULATION HEALTH MANAGEMENT PREVALIDATION HANDBOOK
UPDATED AS OF 7/28/25
View Table of Contents for this Publication
This publication features explanations of how vendor IT products may mee... -
2019 Health Plan Ratings in Excel Format (For Internal Use Only by Customer)
store.ncqa.org/index.php/catalog/product/view/id/37572019 HEALTH PLAN RATINGS IN EXCEL FORMAT (FOR INTERNAL USE ONLY BY CUSTOMER)
NCQA’s Health Insurance Plan Ratings 2019 list private (commercial), Medicare and Medicaid health insurance plans based ...