Utilization Management (UM)
Review NCQA's Utilization Management (UM) Accreditation. Utilization management helps ensure that patients have the proper care and the required services without overusing resources. NCQA Utilization Management Accreditation helps guarantee that organizations making these decisions are following objective, evidence-based best practices.
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2026 UM Survey Tool (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2026 - JUNE 30, 2027As low as $675.00 -
2025 UM Survey Tool (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026As low as $675.00
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2024 UM/CR/Provider Network Survey Tool (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025As low as $675.00
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2026 UM Standards and Guidelines (epub)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2026 - JUNE 30, 2027As low as $370.00 -
2025 UM Standards and Guidelines (epub)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026As low as $370.00
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2024 UM/CR/Provider Network Standards and Guidelines (epub)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025As low as $370.00
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2026 UM Standards and Guidelines (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2026 - JUNE 30, 2027As low as $370.00
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2025 UM Standards and Guidelines (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026As low as $370.00
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2024 UM/CR/Provider Network Standards and Guidelines (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025As low as $370.00
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2026 UM File Review Access (web-based)EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2026 - JUNE 30, 2027As low as $290.00