Case Management Accreditation Benefits & Support

HOW DOES MY ORGANIZATION BENEFIT?

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:

• Efficient and cost-effective case management processes and service delivery:
  • Apply a QI process to improve operations.
  • Maintain security of patients’ personal health information.
  • Ensure access to qualified case management staff.
  • Develop personalized, patient-centered care plans.
  • Manage patients between care settings.
  • Conduct systematic, patient-centered assessments.
  • Monitor patient progress to care goals.

WHERE CAN I FIND RESOURCES?

Find more information about NCQA Case Management Accreditation here:

• Standards and Guidelines: The complete descriptions of the standards, including the intent statement and scope of review.
• Interactive Review Tool: Includes the complete standards and guidelines; also lets organizations determine survey readiness. Learn more about the IRT and view online trainings.

ADDITIONAL SUPPORT

• The Policy Clarification Support (PCS) system, My NCQA and FAQs can help you interpret NCQA standards.
• Policy Updates: Lists corrections, clarifications and policy changes to the NCQA standards and guidelines.
• Education and Training: NCQA offers a variety of training options, from on-demand, web-based programs to live, in-person seminars.
• Advertising Guidelines: Designed to help customers create clear, factual and accurate advertising and marketing materials.
• Seals: Created to provide print-friendly graphics for use in promoting NCQA status.