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What is NCQA accreditation?

NCQA Health Plan Accreditation is a widely recognized, evidence-based program dedicated to quality improvement and measurement. It provides a comprehensive framework for organizations to align and improve operations in areas that are most important to states, employers and consumers.

How long is NCQA accreditation?

NCQA Health Plan Accreditation builds upon more than 25 years of experience to provide a current, rigorous and comprehensive framework for essential quality improvement and measurement. It is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®).

What are NCQA standards?

NCQA standards are a roadmap for improvementorganizations use them to perform a gap analysis and align improvement activities with areas that are most important to states and employers, such as network adequacy and consumer protection. Standards evaluate plans on: Quality Management and Improvement.

What is health plan accreditation?

A health plan's accreditation status provides an impartial opinion about its quality. An impartial organization accredits a health plan when it determines that the health plan's practices meet national standards. ... A health plan's brochure cover will show its accreditation status and the accrediting organization.

What does NCQA measure?

NCQA measures quality so consumers can find good health care. NCQA gives consumers the information they need to find high-quality health care. We do this by measuring the quality of practices, providers, health plans and other health care organizations.

How do I become NCQA certified?

Request an application. Submit an inquiry through My NCQA. ... Review Handbook and Application. NCQA will send you the handbook and application. ... Submit the Application and Pay the Application Fee. NCQA Reviews the Application. ... Pay the Final Fee and Earn Your License. ... Maintain Your License.

How do I get NCQA certified?

Request an Application. Submit an inquiry through My NCQA. ... Review Handbook and Application. ... Submit Your Application. ... NCQA Approves Your Application. ... Learn Requirements and Audit Process. ... Sit for Your Exam.

What is NCQA certification?

NCQA Certification. ... NCQA is a private nonprofit organization that accredits and certifies a wide range of healthcare organizations. WHP Certification reduces oversight and information gathering by organizations seeking NCQA Accreditation.

What are NCQA guidelines?

NCQA developed advertising and marketing guidelines to help customers promote their NCQA achievements clearly and equitably. The guidelines also help protect the value and integrity of NCQA programs and our customers' achievements.

What is Pcmh certification?

PCMH accreditation signifies that a provider has become an advanced primary care practice. This designation means that the practice has undergone a transformation in quality and safety enhancement and has established a foundation for coordination across the continuum of care.
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