What does it mean to be NCQA accredited?
For employers—whether they are self-insured or fully insured—NCQA Accreditation means that an independent, nationally recognized organization has validated a plan’s performance. Without NCQA Accreditation, there is no assurance for employers that a health plan is truly committed to meeting quality standards.
What are the NCQA standards?
NCQA standards are a roadmap for improvement—organizations 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.
How do I become NCQA accredited?
Process: Becoming Licensed
- 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.
Why is NCQA accreditation important?
NCQA accreditation standards help health plans and other organizations align future initiatives with issues that are front and center for employers and states. Through the accreditation process, organizations are able to perform a gap analysis and identify areas for improving their evidence-based practices.
What is the benefit of NCQA accreditation?
Use the NCQA Health Plan Accreditation standards to perform a gap analysis and determine improvement areas. They provide a framework for implementing evidence-based best practices to help plans improve in areas of: QI process. Population health management.
How long does it take to get NCQA accreditation?
12 months
How long does it take to earn Credentialing Accreditation? The typical evaluation time frame is 12 months from application submission to decision, depending on an organization’s readiness. Some organizations may already be working within NCQA guidelines.
How long is NCQA accreditation good for?
3 years
Accredited-3 years: NCQA awards a status of Accredited – 3 years to organizations that demonstrate strong performance of the functions outlined in the standards for CM-LTSS accreditation.
What is the purpose of NCQA?
The National Committee for Quality Assurance (NCQA), is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations.