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FAQ What organizations are eligible to pursue Case Management Accreditation?
ncqa.org/programs/health-plans/case-management-cm/faqs/all/?faq=000002819NCQA considers entities that perform relevant functions to be eligible for NCQA CM Accreditation, including, but not limited to: CM organizations, population health management organizations,…
FAQ What is the process for reporting performance measure results for Accredited With Performance Reporting (AWPR) status?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000002849Organizations are responsible for reporting NCQA WHP performance measure results exactly as specified if they are seeking AWPR status. Organizations must submit performance measure results…
FAQ When must organizations submit NCQA WHP Performance Measures in order to obtain Accredited With Performance Reporting (AWPR) status?
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/faqs/faq-directory-wellness-and-health-promotion/?faq=000002767Organizations coming through the WHP accreditation process for the first time and that wants to earn AWPR status must submit audited measures with the ISS…
Product 2025 Health Plan Accreditation Survey Readiness Package
store.ncqa.org/index.php/catalog/product/view/id/5536Health Plan Accreditation Survey Readiness Resource Package: for New NCQA Customers<table style= "border-collapse: separate; border-spacing: 0; background-color:#f2f9ff; border-color: #d9e0e6">
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Product 2024 Medicaid Managed Care Toolkit
store.ncqa.org/index.php/catalog/product/view/id/55292024 Medicaid MANAGED CARE TOOLKIT
NCQA's Medicaid Managed Care Toolkit provides states and their contracted quality partners with a guide to making the most of accreditation and the HEDIS and CAHPS ...
Product 2024 Health Equity Accreditation Survey Readiness Package
store.ncqa.org/index.php/catalog/product/view/id/5515Health Equity Accreditation Survey Readiness Resource Package: for New NCQA Customers<table style= "border-collapse: separate; border-spacing: 0; background-color:#f2f9ff; border-color: #d9e0e6">...
Product 2024 Virtual Primary Care and Urgent Care Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/55092024 STANDARDS AND GUIDELINES FOR ACCREDITATION IN VIRTUAL PRIMARY CARE AND URGENT CARE
EFFECTIVE FOR ORGANIZATIONS ENROLLING JULY 31, 2024 ONWARD.
View Table of Contents for this Publication
This...
Product 2024 CCBHC Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/55042024 STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS
EFFECTIVE FOR PRACTICES ENROLLING JANUARY 1, 2024 ONWARD.
This publication includes the req...
Product 2025 CR/PN Standards and Guidelines (web-based)
store.ncqa.org/index.php/catalog/product/view/id/54822025 STANDARDS AND GUIDELINES FOR ACCREDITATION AND CERTIFICATION IN CREDENTIALING AND PROVIDER NETWORK
Note: This publication is made accessible in NCQA's Interactive Review Tool (IRT) system. It ca...
Product 2025 CR/PN Survey Tool (web-based)
store.ncqa.org/index.php/catalog/product/view/id/54812025 CREDENTIALING AND PROVIDER NETWORK SURVEY TOOL
Note: This Survey Tool is accessed through NCQA's Interactive Review Tool (IRT) system.
The Survey Tool includes all information needed to prepare a...
Product 2025 CR/PN Standards and Guidelines (epub)
store.ncqa.org/index.php/catalog/product/view/id/54802025 STANDARDS AND GUIDELINES FOR ACCREDITATION AND CERTIFICATION IN CREDENTIALING AND PROVIDER NETWORK
View Table of Contents for this Publication
This publication outlines standards and features ...
Product 2025 CR/PN File Review Access (web-based)
store.ncqa.org/index.php/catalog/product/view/id/54792025 FILE REVIEW SYSTEM ACCESS FOR CREDENTIALING AND PROVIDER NETWORK ACCREDITATION AND CERTIFICATION
NCQA developed a new online system to efficiently manage the file review process required for sur...