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Information Page Get started - Accreditation of Case Management for LTSS

Last modified 08.12.2020
ncqa.org/programs/health-plans/long-term-services-and-supports/case-management-accreditation-for-ltss-only-health-plans/get-started/

As the population ages, more states are seeking to increase accountability, improve quality and promote a cost-effective service delivery system. States and managed care organizations…

Information Page Get Started - Health Plan Accreditation

Last modified 08.11.2020
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/get-started/

Health plans must support care that keeps members at their optimum level of health while also keeping costs down and meeting government and purchaser requirements.…

Information Page Get Started - Case Management Accreditation

Last modified 08.11.2020
ncqa.org/programs/health-plans/case-management-cm/get-started/

NCQA Case Management Accreditation addresses the delivery of case management services, not just the internal processes. HOW DOES MY ORGANIZATION BENEFIT? Use the NCQA Case…

Information Page Get Started - Utilization Management Accreditation

Last modified 08.11.2020
ncqa.org/programs/health-plans/utilization-management/get-started/

With the ever-increasing emphasis on reducing costs while improving patient outcomes, utilization management companies are taking on new importance. Using objective and evidence-based criteria they…

Information Page Get Started - Credentialing Accreditation

Last modified 08.11.2020
ncqa.org/programs/health-plans/credentialing/get-started/

Credentialing is more than a “check-the-box” regulatory duty, it’s an essential safety component of the health care system. Health care organizations must establish the qualifications…

Information Page FAQ Directory: Health Plan Accreditation

Last modified 08.11.2020
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/faqs/all/

FAQ Directory: Health Plan Accreditation

Information Page Get Started - Population Health Program Accreditation

Last modified 08.11.2020
ncqa.org/programs/health-plans/population-health-program-accreditation/get-started/

If a patient’s journey through the health care system is fragmented and uncoordinated, the result can be increased costs and poorer outcomes. Population health activities…

Information Page Health Plan Accreditation 2020: Standards and Survey Tool Release Dates

Last modified 07.20.2020
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/standards-release-dates/

NCQA typically releases the survey tool at the same time it releases the standards. However, the 2020 Health Plan Survey Tool was released on March…

Information Page Webinar: Health Plan Accreditation 2020

Last modified 11.24.2019
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/webinar-health-plan-accreditation-2020/

NCQA hosted a webinar, Health Plan Accreditation 2020, on Wednesday, August 21st. Raena Akin-Deko, NCQA’s AVP of Product Strategy and Development, presented the latest on the…

Information Page Health Plan Accreditation 2020: New Requirements and Consumer Protections

Last modified 10.09.2019
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/current-customers/hpa2020/new-requirements/

In response to feedback from states and other stakeholders, NCQA identified some existing requirements that will be must-pass elements starting in 2020, as well as…

Information Page Get Started - Accreditation of Case Management for Long-Term Services and Supports

Last modified 08.30.2019
ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/get-started/

As the population ages, more states are seeking to increase accountability, improve quality and promote a cost-effective service delivery system. States and managed care organizations…