The typical evaluation time frame is 12 months from application submission to decision, depending on an organization’s readiness. Some organizations may already be working within NCQA guidelines.
MBHO 2019
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 long does it take to earn Managed Behavioral Healthcare Accreditation?
8.24.2018 How does the Medicaid Module help my organization?
Meeting NCQA Medicaid Module standards can help organizations:
- Streamline compliance activities. Compliance activities are reduced when the state uses NCQA Health Plan Accreditation and Medicaid Module standards as part of the Medicaid quality review.
- Become more efficient. Reallocate key quality review resources to other Medicaid priorities.
HP 2020
8.24.2018 What is the price for Managed Behavioral Healthcare Accreditation?
8.24.2018 How long does it take to earn LTSS Distinction for Health Plans?
8.24.2018 How does this LTSS Distinction help my case management organization?
Earning NCQA Accreditation of Case Management for LTSS can help organizations:
- Become more efficient. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.
- Integrate care better. Standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.
- Provide person-centered care. Standards focus on person-centered services, which can lead to better care planning and monitoring.
- Support contracting needs. Standards align with the state needs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.
CM 2017
8.24.2018 Where can I find the LTSS Distinction Standards and Guidelines?
Find the Standards and Guidelines document in the NCQA eStore.
HP 2020
8.24.2018 Where can I find the MBHO Standards and Guidelines?
Find the Standards and Guidelines document in the NCQA eStore.
MBHO 2019
8.23.2018 What is the process for earning Credentialing 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 CR standards. NCQA conducts the survey and determines your accreditation status within 30 days of the final review.
See a step-by-step process.
UM-CR 2016
8.23.2018 Where can I find information to help me get started with Credentialing 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 2016
8.23.2018 How do I get started with Credentialing 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.
UM-CR 2016
8.23.2018 What is Credentialing Accreditation?
NCQA Credentialing Accreditation is a comprehensive program that evaluates the operations of organizations providing full-scope credentialing services, which include verifying practitioner credentials, designated credentialing-committee review of practitioners and monitoring practitioner sanctions.
UM-CR 2016
8.23.2018 What are the Credentialing Accreditation requirements?
Credentialing Accreditation assesses an organization’s performance in the following areas:
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UM-CR 2016