If you are not currently accredited and want to learn more, contact NCQA. If you are currently accredited and want to talk to someone about your status or about renewing or adding accreditations, submit a question through My NCQA.
HP 2020
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.
If you are not currently accredited and want to learn more, contact NCQA. If you are currently accredited and want to talk to someone about your status or about renewing or adding accreditations, submit a question through My NCQA.
HP 2020
Over 1,000 health plan products have earned NCQA Health Plan Accreditation. See the NCQA Report Card for a directory of accredited organizations.
HP 2020
• Certification Process and Timeline: identifies key steps, timing and resources to successfully seek Certification.
• Standards and Guidelines: provides the comprehensive descriptions of the standards, including the intent and the scope of review.
• Interactive Survey Tool: includes the complete standards and guidelines and allows your organization to determine its readiness for a survey by responding to each standard. The tool calculates your survey score.
CVO
Find the Standards and Guidelines document in the NCQA eStore.
HP 2020
If you are not currently 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.
CVO 2016
CVO Certification assesses an organization’s performance in the following requirement areas:
NCQA’s CVO Certification program offers the following 11 certification options:
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CVO 2016
The first step in earning Certification begins with an overview discussion with an NCQA program expert. Next, you will purchase the program resources, review, conduct a gap analysis and then submit your online application. Next you will align your processes with the standards. Finally, NCQA conducts the survey, creates a report and your Certification status is determined within 30 days of the final review. See a step-by-step process.
CVO
NCQA Wellness and Health Promotion Accreditation/Certification focuses on services most desired by employers and health plans as well as expected by consumers. It provides a framework for organizations to implement industry best practices and apply evidence-based methods proven to support health and improve outcomes. The standards help health and wellness organizations identify gaps for improvement and align their services with those desired by potential contracting organizations. |
WHP 2014
HP 2020
An organization is eligible for the NCQA LTSS Distinction if:
Note: NCQA conducts LTSS Distinction Surveys at the legal-entity level.
CM 2017
Organizations must go through a survey and submit documentation to NCQA. The survey score determines certification. See a step-by-step process.
PHQ
The standards and guidelines document is the publication that contains the requirements for certification. You can download this document for free through the NCQA eStore.
These standards include:
For Physician Quality:
For Hospital Quality:
PHQ