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Information PagePayer Support

Last modified 08.08.2019
ncqa.org/programs/health-care-providers-practices/patient-centered-medical-home-pcmh/benefits-support/payer-support/

Payer Support: Partners in Quality Because NCQA PCMH Recognition is associated with lower costs and better quality, many payers offer incentives, support or physician tiering…

Information PageStates Using NCQA Programs

Last modified 08.06.2019
ncqa.org/public-policy/work-with-states-map/

States Using NCQA Programs NCQA programs are used across the country to assist states in delivering quality care and holding providers accountable. Each state takes…

Information PageHealth Plan Accreditation (HPA)

Last modified 07.29.2019
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/

Health Plan Accreditation (HPA) Health plans must support care that keeps members at optimum levels of health while also controlling costs and meeting government and…

Information PageCredentialing

Last modified 01.17.2019
ncqa.org/programs/health-plans/credentialing/

Credentialing Accreditation NCQA Credentialing Accreditation helps improve credentialing and protects consumers by ensuring a consistent, effective and diligent credentialing process.

Information PageAccountable Care Organizations (ACO)

Last modified 01.16.2019
ncqa.org/programs/health-care-providers-practices/accountable-care-organizations-aco/

ACO Accreditation NCQA Accountable Care Organization (ACO) Accreditation provides a roadmap for ACOs, or those seeking to become ACOs, to provide patient-centered, integrated quality care.

Information PageCase Management

Last modified 12.11.2018
ncqa.org/programs/health-plans/case-management-cm/

Case Management Accreditation Case management is a vital part of the health care delivery system. It’s a collaborative process of assessment, planning, facilitation, care coordination,…

Information PageManaged Behavioral Healthcare Organizations (MBHO)

Last modified 12.04.2018
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/

Managed Behavioral Healthcare Organization NCQA Managed Behavioral Healthcare Organization Accreditation demonstrates to health plans, employers, regulators and consumers an organization’s commitment to follow evidence-based practices…

Information PageLong-Term Services and Supports (LTSS)

Last modified 10.26.2018
ncqa.org/programs/health-plans/long-term-services-and-supports/

Long-Term Services and Supports Programs NCQA offers several long-term services and supports (LTSS) specific programs. These programs help organizations improve their operations and initiatives in…

Information PagePopulation Health Program Accreditation

Last modified 01.22.2019
ncqa.org/programs/health-plans/population-health-program-accreditation/

Population Health Program Accreditation Helping improve integration of population health principles into management of defined populations.

Information PageHealth Plan Accreditation 2020: New Requirements and Consumer Protections

Last modified 10.09.2019
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/new-requirements/

In response to feedback from states and other stakeholders, NCQA identified some existing requirements that will be must-pass elements starting in 2020, as well as…

Information PagePolicy: NCQA Accreditation and Certification

Last modified 10.08.2019
ncqa.org/programs/health-plans/policy-accreditation-and-certification/

Latest News  Changes to the 2020 WHP Standards and Measures (Updated September 17, 2019) Changes to NCQA Accreditation Standards for 2019 and 2020 Standards Years…

Information PageWebinar: Health Plan Accreditation 2020

Last modified 09.12.2019
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/webinar-health-plan-accreditation-2020/

NCQA hosted a webinar, Health Plan Accreditation 2020, on Wednesday, August 21st. Raena Akin-Deko, NCQA’s AVP of Product Strategy and Development, presented the latest on the…