Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
UM-CR 2016
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.
Credentialing Accreditation is for organizations that provide full scope credentialing services. Eligible organizations:
Note: A “practitioner network” is the practitioner network of clients and organizations.
UM-CR 2016
More than 90 organizations have earned NCQA Credentialing Accreditation. See the NCQA Report Card for a directory of accredited organizations.
UM-CR 2016
NCQA Credentialing Accreditation is designed to ensure that organizations pursuing accreditation can maintain a high-quality network for members and contracted clients. The standards provide a framework for adopting industry best practices to accurately and efficiently credential and recredential health care professionals—ensuring that medical organizations employ qualified professionals and align with state requirements.
UM-CR 2016
Find the Standards and Guidelines document in the NCQA eStore.
UM-CR 2016
A list of the 13 PCMH PRIME criteria can be found on the HPC website here. The full PCMH PRIME requirements, including the criteria and all documentation requirements, is available for download at no cost from the NCQA Store.
CM 2014
More than forty organizations have earned NCQA Credentialing Accreditation. See the NCQA Report Card for a directory of accredited organizations.
CM 2014
Organizations in operation for at least 6 months and coordinate LTSS are eligible for accreditation; for example:
NCQA-Accredited MBHOs or health plans that offer comprehensive medical benefits and manage LTSS are not eligible for this accreditation but can earn LTSS Distinction.
CM-LTSS 2017
Over sixty organizations have earned NCQA Accreditation of Case Management for LTSS. See the NCQA Report Card for a directory of accredited organizations.
CM-LTSS 2017