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
FAQ Directory
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.
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8.24.2018 How do I get started with the Medicaid Module?
8.24.2018 What is the price for CVO Certification?
8.24.2018 How do I get started with Health Plan Accreditation?
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
8.24.2018 Where can I find the Accreditation/Certification Standards and Guidelines?
The Standards and Guidelines document can be found in the NCQA eStore.
WHP 2014
8.24.2018 Are there additional resources for health plans seeking LTSS Distinction?
- LTSS Best Practices Academy: Interactive forum for professionals to discuss strategies for coordinating quality long-term services and supports (LTSS) programs.
- LTSS Roadmap: A compilation of resources to guide organizations through meeting Case Management and Health Plan Standards for LTSS.
HP 2020
8.24.2018 How long does it take to earn LTSS Distinction for Case Management Organizations?
8.24.2018 What organizations are eligible for CVO Certification?
Any organization that provides credentials verification services can apply for Certification if it:
- Verifies practitioner credentials for health plans, MBHOs, physician organizations or health care organizations, and
- Provides verification services for at least six months before application, and
- Performs verification activities for at least 50% of contracted practitioners, and
- Maintains the necessary credentials documentation, policies and procedures for NCQA to conduct the survey, and
- Obtains errors and omissions insurance for $1M–$2M.
CVO
8.24.2018 How long does it take to earn Provider Network Accreditation?
8.24.2018 What is the process for meeting Module requirements?
The first step 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 provides results within 30 days of the final review.
See a step-by-step process.
HP 2020
8.24.2018 What organizations are eligible for the Medicaid Module?
An organization is eligible for the NCQA Health Plan Medicaid Module if:
- Its Medicaid product line has a current NCQA Accreditation status as a First or Renewal Survey, or
- It is seeking accreditation for its Medicaid product line under NCQA HP Accreditation as an Interim, First or Renewal Survey.
HP 2020
8.24.2018 Where can I find information to help me get started with LTSS Distinction for Case Management Organizations?
- Accreditation Process and Timeline: Key steps, timing and resources for a successful accreditation.
- Standards and Guidelines: The complete standards and guidelines, including the intent and scope of review.
- Interactive Survey Tool: Contains the complete standards and guidelines; you can also determine your organization’s survey readiness—the tool calculates your potential survey score.
CM 2017
8.24.2018 What is the process for earning LTSS Distinction for Health Plans?
The first step to earning distinction 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 distinction status within 30 days of the final review.
See a step-by-step process.
HP 2020