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 does Health Plan Accreditation help my organization?

  • Use the NCQA Health Plan Accreditation standards to perform a gap analysis and determine improvement areas. They provide a framework for implementing evidence-based, best practices help plans improve in areas of:
    • QI process.
    • Population health management.
    • Practitioner network and access to care.
    • Utilization management processes.
    • Credentialing and recredentialing processes.
    • Members’ rights and responsibilities.
    • Member connection.
    • Medicaid service requirements.
  • Satisfy state requirements and employer needs. The standards align with many state requirements.

ALL 2020