FAQ Directory: Managed Behavioral Healthcare Organization Accreditation

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2.15.2020 UM Timeliness Report (MBHO) Under 2020 MBHO standards, UM 5, Element B requires organizations to monitor UM decision making and notification using UM 5 decision time frames, even though UM 5, Element A was eliminated under the 2020 standards. Is this correct?

Yes, it is correct. The elimination of Element A does not affect the 2020 review of Element B: UM Timeliness Report. The expectation is that the report includes timeliness for both decision making and notification of the decision given that the report includes denials and approvals. NCQA does not require written notification for approvals; therefore, timeliness for approvals is only reported under decisions.

MBHO 2020