Over sixty organizations have earned NCQA Accreditation of Case Management for LTSS. See the NCQA Report Card for a directory of accredited organizations.
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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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Over sixty organizations have earned NCQA Accreditation of Case Management for LTSS. See the NCQA Report Card for a directory of accredited organizations.
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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.
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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.
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Use the NCQA Case Management Accreditation standards to perform a gap analysis and determine improvement areas. They provide a framework for implementing evidence-based best practices to ensure:
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Earning NCQA’s Accreditation of Case Management for LTSS can help organizations:
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NCQA Case Management Accreditation is a comprehensive, evidence-based program dedicated to quality improvement that evaluates the operations of case management programs in provider, payer or community-based organizations. NCQA-Accredited organizations demonstrate they have the internal processes and service delivery structure to cost-effectively meet the complex patient needs to improve health or functional capability.
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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.
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Find the Standards and Guidelines document in the NCQA eStore.
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