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FAQ How does Credentialing Accreditation help my organization?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012282NCQA Credentialing Accreditation is designed to ensure that organizations pursuing accreditation can maintain a high-quality network for members and contracted clients. The standards provide a…
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 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…
FAQ What other organizations have earned Credentialing Accreditation?
ncqa.org/programs/health-plans/utilization-management/faqs/um-cr-pn/?faq=000012291More than 90 organizations have earned NCQA Credentialing Accreditation. See the NCQA Report Card for a directory of accredited organizations.
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 Where can I find information to help me get started?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000012219Accreditation 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 other organizations have earned LTSS Accreditation?
ncqa.org/programs/health-plans/long-term-services-and-supports/case-management-accreditation-for-ltss-only-health-plans/faqs/all/?faq=000012250Over sixty organizations have earned NCQA Accreditation of Case Management for LTSS. See the NCQA Report Card for a directory of accredited organizations.
FAQ What organizations are eligible?
ncqa.org/programs/health-plans/long-term-services-and-supports/case-management-accreditation-for-ltss-only-health-plans/faqs/all/?faq=000012244Organizations in operation for at least 6 months and coordinate LTSS are eligible for accreditation; for example: Area Agencies on Aging.Aging and Disability Resource Centers.Centers…
FAQ What other organizations have earned Case Management Accreditation?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000012220More than forty organizations have earned NCQA Credentialing Accreditation. See the NCQA Report Card for a directory of accredited organizations.
FAQ What is Case Management Accreditation?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000012210NCQA Case Management Accreditation is a comprehensive, evidence-based program dedicated to quality improvement that evaluates the operations of case management programs in provider, payer or…