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Ask if your organization will be eligible.

Starting July 2024, NCQA Credentialing Accreditation will allow organizations to delegate over 50% of primary source verification to delegates that are NCQA Accredited or NCQA Certified.

Updated Eligibility Policy for CR Accreditation in UM-CR-PN for release in November 2023 – effective for surveys in July 2024

• Credentialing Verification: If more than 50% of credentialing verification is delegated, all delegates must be NCQA Accredited/Certified.
• Decision Making: Organizations are not eligible for CR Accreditation if they delegate more than 50% of credentialing decision making.