NCQA seeking comments on 2016 Health Plan Accreditation

March 13, 2015
Credentialing Resource Center Digest

The public has until April 8 to submit comments on NCQA’s proposed changes to Health Plan Accreditation for 2016. Proposed changes include:
  • 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. 
The updates will be released in July 2015 to take effect July 2016.
 
 Source: NCQA
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Medical Staff Leadership and Governance