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FAQ How do I get started with Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012375If you are not currently accredited and want to learn more, contact NCQA. If you are currently accredited and want to talk to someone about…
FAQ Where can I find the LTSS Distinction for Case Management Organizations Standards and Guidelines?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000012316Find the Standards and Guidelines document in the NCQA eStore.
FAQ How does Health Plan Accreditation help my organization?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012304Use 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…
FAQ What other organizations have earned Wellness and Health Promotion Accreditation/Certification?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000012388More than 40 organizations have earned Credentials Verification Organizations Certification. A directory of Certified organizations can be found at the NCQA Report Card.
FAQ What are Health Plan Accreditation requirements?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012305NCQA standards are a roadmap for improvement—organizations use them to perform a gap analysis and align improvement activities with areas that are most important to…
FAQ What is Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012303NCQA Health Plan Accreditation is the most widely recognized, evidence-based program in the industry dedicated to quality improvement and measurement. It provides a comprehensive framework…
FAQ How long does it take to earn Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012310The typical evaluation time frame is 12 months from application submission to decision, depending on an organization’s readiness. Some organizations may already be working within…
FAQ What organizations are eligible for Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012307Any organization that provides managed health care services may apply for the NCQA Health Plan Accreditation if it meets the following criteria: Operates under an…
FAQ What are Managed Behavioral Healthcare Accreditation requirements?
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/faqs/all/?faq=000012338The standards, provide a framework for implementing best practices to improve: Quality Management and Improvement: Monitor, evaluate and improve the quality and safety of care.Care…
FAQ What is the price for Health Plan Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012309Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
FAQ What is the price for Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012373Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
FAQ What is the process for earning Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012372The first step to earning accreditation is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and…