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 Are there additional resources for case management organizations 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.

CM 2017

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 Where can I find information to help me get started with Provider Network Accreditation?

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.

UM-CR-PN 2019

8.24.2018 What is the process for earning Health Plan Accreditation?

The first step to earning accreditation 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.

HP 2020

8.24.2018 Where can I find information to help me get started with the Medicaid Module?

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.

HP 2020

8.24.2018 How long does it take to earn Physician and Hospital Quality Certification?

Once the survey is submitted, an organization receives its certification decision within 60–90 days.

PHQ

8.24.2018 How do I get started with MBHO 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.

MBHO 2019

8.24.2018 How do we start?

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

8.24.2018 How do I get started with LTSS Distinction for Case Management Organizations?

CM 2017

8.24.2018 Are there any other documents or information that will help me get started with Accreditation/Certification?

Accreditation/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.

WHP 2016

8.24.2018 What is the process for earning LTSS Distinction for Case Management Organizations?

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.

CM 2017

8.24.2018 What is the process for earning Accreditation/Certification?

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 2013