Utilization Management/Credentialing (UM/CR)

NCQA’s Certification in UM/CR program is available to a variety of organizations that perform Credentialing (CR) and/or Utilization Management (UM).  The standards represent a merger of the POC (Physician Organization Certification) and OC (Organization Certification) products into a single set of standards designed for organizations that provide full scope CR or UM services or both. NCQA Certification provides these organizations the opportunity to demonstrate the quality of their UM and CR programs.

     


Looking for the Application Packet for This Product?

The application process for Accreditation, Certification and Distinction is now managed through My.NCQA. Learn more about the new application and scheduling process.


 

9 Item(s)

Set Descending Direction
  1. 2018 UM/CR/Provider Network Survey Tool (web-based)

    Anticipated Release Date: July 2017
    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  2. 2017 UM/CR Survey Tool (web-based)

    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  3. 2016 UM/CR Survey Tool (web-based)

    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  4. 2018 UM/CR/Provider Network Standards and Guidelines (epub)

    Anticipated Release Date: July 2017
    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  5. 2017 UM/CR Standards and Guidelines (epub)

    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  6. 2016 UM/CR Standards and Guidelines (epub)

    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  7. 2018 UM/CR/Provider Network Standards and Guidelines (web-based)

    Anticipated Release Date: July 2017
    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  8. 2017 UM/CR Standards and Guidelines (web-based)

    Please click the link below for pricing information for this product.
    Click here for pricing by user level.
  9. 2016 UM/CR Standards and Guidelines (web-based)

    Please click the link below for pricing information for this product.
    Click here for pricing by user level.

9 Item(s)

Set Descending Direction