No. NCQA does not require the analysis to be stratified by practitioner type.
HP 2019
FAQ Directory: Health Plan Accreditation
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9.15.2018 Level of Analysis Required for Appointment Accessibility Does the organizational analysis in NET 2, Element A need to be stratified by practitioner type?
9.15.2018 Terminated arrangements more than 90 calendar days before submission If an organization terminated an arrangement with an NCQA-Accredited/Certified/Recognized delegate more than 90 calendar days before it submitted the completed survey tool, is the organization eligible for automatic credit for the portion of the look-back period when activities were performed by the delegate?
Yes. For non-file review requirements, if the arrangement was terminated more than 90 calendar days before submission of the completed survey tool, the organization is eligible for automatic credit for the portion of the look-back period when the NCQA-Accredited/ Certified/Recognized delegate conducted activities. For file review requirements, automatic credit is applied if the delegate processed (or handled) the file, regardless of when the delegation arrangement was terminated.
HP 2019
8.29.2018 What is the Health Plan Medicaid Module?
NCQA Health Plan Medicaid Module is a complementary program designed to support NCQA-Accredited health plans with a Medicaid product line. The combination of the module standards and NCQA Health Plan Accreditation maximize alignment with the Medicaid Managed Care program requirements. This improves a plan’s opportunity to receive a streamlined state compliance review.
NCQA developed the module by analyzing changes to state and federal requirements for the Medicaid Managed Care programs, as outlined in the Medicaid Managed Care Rule.
HP 2020
8.24.2018 What is the price for the LTSS Distinction for Health Plans?
8.24.2018 What is the price for the Medicaid Module Survey?
8.24.2018 Where can I find the Medicaid Module Standards and Guidelines? How can I obtain the Medicaid Module Standards and Guidelines?
8.24.2018 What is the price for Health Plan Accreditation?
8.24.2018 What other health plans have earned LTSS Distinction?
Organizations that have earned NCQA LTSS Distinction can be found in the NCQA Report Card.
HP 2020
8.24.2018 Where can I find information to help me get started with Health Plan Accreditation?
- Accreditation Process and Timeline:Key steps, timing and resources for a successful accreditation.
- Standards and Guidelines: The complete standards and guidelines, including the intent and scope of review.
- Interactive Survey Tool: Contains the complete standards and guidelines; you can also determine your organization’s survey readiness—the tool calculates your potential survey score.
HP 2020
8.24.2018 What is the process for meeting Module requirements?
The first step 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 provides results within 30 days of the final review.
See a step-by-step process.
HP 2020
8.24.2018 How long does it take to earn LTSS Distinction for Health Plans?
8.24.2018 How do I get started with the Medicaid Module?
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.
HP 2020