Once the survey is submitted, an organization receives its certification decision within 60–90 days.
PHQ
Here are some of the most frequently asked questions about NCQA’s various programs. If you don’t see what you are looking for in one of the entries below, you can ask a question through My NCQA.
More than 50 organizations have earned NCQA Utilization Management Accreditation. See the NCQA Report Card for a directory of accredited organizations.
UM-CR
If you do not currently have Physician and Hospital Quality Certification and are interested in learning more, contact NCQA. If you have a current certification and want to talk to someone about current status or about renewing, submit a question through My NCQA.
PHQ
To be eligible for Provider Network Accreditation, an organization must:
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Note: A “practitioner network” is the practitioner network of clients and organizations.
UM-CR-PN 2019
Price varies by organization and is based on number of physicians and number of programs. Contact NCQA for pricing information.
PHQ
WHP 2014
Organizations that have earned NCQA LTSS Distinction can be found in the NCQA Report Card.
HP 2020
If you are not currently Accredited or Certified and are interested in learning more, contact NCQA. If you are currently Certified and want to talk to someone about your current status, renewing or adding Certifications, submit a question through My NCQA.
WHP 2016
Earning NCQA Accreditation of Case Management for LTSS can help organizations:
HP 2020
The first step to earning accreditation/certification is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and submit your online application.
Align your organization’s processes with the standards. NCQA conducts the survey and determines your accreditation status within 30 days of the final review.
See a step-by-step process.
WHP 2014
The standards, provide a framework for implementing best practices to improve:
To see the program requirement details, get the Standards & Guidelines document.
MBHO 2019