Utilization Management/Credentialing (UM/CR)

     


Looking for the Latest Version of This Product?

UM/CR is now classified as an Accreditation product. The most current versions of the UM/CR product, 2017 Utilization Management/Credentialing (UM/CR) and 2018 Utilization Management/Credentialing/Provider Network (UM/CR/PN), are now located under the Accreditation section in the NCQA Store.


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.


  
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.

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  1. 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.
  2. 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.
  3. 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.

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