2017 UM/CR Standards and Guidelines (web-based)

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2017 Standards and Guidelines for Certification in Utilization Management and Credentialing
Effective for surveys with a start date of July 1, 2017 - June 30, 2018.

This publication outlines standards and features explanations and examples of how to meet the standards, certification scoring guidelines, points and certification outcomes. Eligibility requirements, application information and policies and procedures are also included.

This publication is a web-based format. It is also available separately in a downloadable epublication format. 
Explore NCQA's publication formats on the Product & Publication Formats page.

Note: Purchase of the Standards and Guidelines is not necessary if purchasing the Survey Tool.