Standards and Guidelines for Utilization Management (UM) Certification

This publication outlines standards and features explanations and examples of how to meet the standards, certification scoring guidelines, points and certification outcomes. Eligibility requirements, application information and policies and procedures are also included.

Note: Purchase of the Standards and Guidelines is not necessary if purchasing the Survey Tool.

2011 UM/CR Certification Standards and Guidelines (Print edition)
Item #10291-100-11
Price: $240 (Available December 2010)

2011 UM/CR Certification Standards and Guidelines e-pub (Available December 2010)

2011 UM/CR Certification Standards and Guidelines Web-based (Available December 2010)

2010 UM Certification Standards and Guidelines (Print edition)
Item #10326-100-10
Price: $240   

2010 UM Certification Standards and Guidelines e-pub   

2010 UM/CR Certification Standards and Guidelines Web-based  

Standards and Guidelines for Credentialing (CR) Certification

This publication contains the standards, intent statements, scoring guidelines and policies and procedures related to this program. The Standards and Guidelines also list all the documents that will be reviewed during a survey, making this a critical resource for any organization preparing for or contemplating a certification survey.  Purchase of the Standards and Guidelines is not necessary if purchasing the Survey Tool.

2011 UM/CR Certification Standards and Guidelines (Print edition)
Item #10291-100-11
Price: $240 (Available December 2010)

2011 UM/CR Certification Standards and Guidelines e-pub (Available December 2010)

2011 UM/CR Certification Standards and Guidelines Web-based (Available December 2010)

2010 CR Certification Standards and Guidelines (Print edition)
Item #10325-100-10
Price: $240      

2010 CR Certification Standards and Guidelines e-pub   

2010 UM/CR Certification Standards and Guidelines Web-based

Survey Tool for Certification in Utilization Management/Credentialing
The Survey Tool includes all information needed to prepare and submit materials for an NCQA survey. Organizations applying for accreditation/certification must complete the Survey Tool and submit to NCQA to begin the survey process. 

For web-based products, NCQA does not make any commitments with respect to the use or performance of the Software and Services with browsers other than Netscape 6.0 or higher, or MS Internet Explorer 5.5 or higher. Please review the license agreement for web-based tools prior to purchase.

2011 UM/CR Survey Tool Available December 2010 (Effective 7/1/11 - )

2010 UM/CR Survey Tool (Effective 7/1/10 - 6/3/11)

Application for Certification in UM/CR
This application provides all materials required to apply for an NCQA UM/CR Certification survey and includes pricing information, policies and procedures and the survey agreement.

2011 UM/CR Application (Pre-order)
Item # 10291-150-11
Price: Free

UM/CR Application
Item # 10310-151-01
Price: Free