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FAQ How does Accreditation/Certification help my organization?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000012379NCQA Wellness and Health Promotion Accreditation/Certification focuses on services most desired by employers and health plans as well as expected by consumers. It provides a…
FAQ What is Wellness and Health Promotion Accreditation/Certification?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000012378NCQA Wellness and Health Promotion Accreditation/Certification evaluates full and limited scope wellness program performance against the standards. Programs should appropriately address implementing a workplace program,…
FAQ How does the Medicaid Module help my organization?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012348Meeting NCQA Medicaid Module standards can help organizations: Streamline compliance activities. Compliance activities are reduced when the state uses NCQA Health Plan Accreditation and Medicaid…
FAQ What other organizations have earned Utilization Management Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012377More than 50 organizations have earned NCQA Utilization Management Accreditation. See the NCQA Report Card for a directory of accredited organizations.
FAQ Where can I find the LTSS Distinction Standards and Guidelines?
ncqa.org/programs/health-plans/long-term-services-and-supports/ltss-distinction-for-health-plans/all/?faq=000012327Find the Standards and Guidelines document in the NCQA eStore.
FAQ Where can I find information to help me get started with Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012290Accreditation 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…
FAQ What is the process for earning Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012286The first step to earning accreditation is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and…
FAQ How do I get started with Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012289If 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 How long does it take to earn Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012288The 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 Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012285Credentialing Accreditation is for organizations that provide full scope credentialing services. Eligible organizations: Must not be licensed as an HMO, POS, PPO or EPO. Must…
FAQ What is the price for Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012287Pricing is based on multiple factors. Obtain full pricing information by submitting a request through My NCQA.
FAQ What are the Credentialing Accreditation requirements?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012283Credentialing Accreditation assesses an organization’s performance in the following areas: Internal Quality Improvement ProcessAgreement and Collaboration With ClientsProtecting Credentialing InformationCredentialing PoliciesCredentialing CommitteeCredentialing Verification Recredentialing Cycle…