Accreditation

NCQA’s Health Plan Accreditation is considered the industry’s gold standard. Health plans operate in a highly competitive environment, often vying for business with local, regional and national firms. NCQA Accreditation helps health plans demonstrate their commitment to quality and accountability and provides extraordinary benefits in today’s market. The standardized survey process for plans of all types is constantly fine-tuned to keep pace with the changing health care environment. Developed with the input and support of health plans, providers, purchasers, unions and consumer groups, NCQA standards are demanding and encourage continuous enhancement of a plan’s quality and value.

Choose an Accreditation program category below to view applicable products:

• Accountable Care Organizations (ACO)

• Case Management (CM) and Long-Term Services and Supports (LTSS)

• Disease Management (DM)

• Health Plans (HP)

• Managed Behavioral Healthcare Organizations (MBHO)

• Population Health Management (PHM)

• Utilization Management/Credentialing/Provider Network (UM/CR/PN)

• Wellness and Health Promotion (WHP)

• Accreditation and Certification Users Group (ACUG) Membership

NCQA’s Health Plan Accreditation is considered the industry’s gold standard. Health plans operate in a highly competitive environment, often vying for business with local, regional and national firms. NCQA Accreditation helps health plans demonstrate their commitment to quality and accountability and provides extraordinary benefits in today’s market. The standardized survey process for plans of all types is constantly fine-tuned to keep pace with the changing health care environment. Developed with the input and support of health plans, providers, purchasers, unions and consumer groups, NCQA standards are demanding and encourage continuous enhancement of a plan’s quality and value.

Choose an Accreditation program category below to view applicable products.

Case Management (CM) and Long-Term Services and Supports (LTSS)
Health Equity (HE)
Health Plans (HP)
Managed Behavioral Healthcare Organizations (MBHO)
Population Health Management (PHM)
Specialty Pharmacy (SRx)
Utilization Management/Credentialing/Provider Network (UM/CR/PN)
Wellness and Health Promotion (WHP)
LTSS Best Practices Academy Membership