Thursday, March 12, 2015

NCQA Seeks Public Comments on Changes to Its Health Plan Accreditation by APRIL 8

NCQA is asking for interested parties to submit comments regarding proposed changes to its Health Plan Accreditation (HPA) by 5:00 PM EST on Wednesday, April 8, 2015.

From NCQA:

"NCQA is releasing proposed changes to Health Plan Accreditation for public comment, including:

  • Developing a more comprehensive assessment of network adequacy and provider directory accuracy by updating existing requirements and adding new requirements in a new category of standards: Network Management. 
  • Including new requirements to strengthen NCQA’s ability to detect systematic issues related to Utilization Management. 
  • Simplifying scoring for file review elements in HPA and other accreditation/certification products that contain these elements. 

In addition to HPA standards updates, NCQA proposes policy changes to the following programs:

  • Managed Behavioral Healthcare Organization Accreditation (MBHO) 
  • Wellness and Health Promotion Accreditation (WHP) 
  • Credentials Verification Organization Certification (CVO) 
  • Health Information Products Certification (HIP) 
  • Utilization Management and Credentialing Certification (UM/CR)" 

Please click HERE for more information on the proposed changes and instructions for submitting comments.

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