Accreditation Programs

NCQA evaluates the quality of care and service of various types of health care organizations using rigorous and comprehensive standards. Based on this review, NCQA gives an accreditation rating and produces the reports listed below.

NCQA's Health Plan Report Card

This tool equips consumers with information about the quality of health plans (including HMOs, POS and PPOs) based on their performance in five key areas and overall accreditation. Consumers can compare the ratings of various health plans and get detailed information on individual plans.

NCQA's Report Card for Managed Behavioral Healthcare Organizations (MBHOs)

This tool lists all MBHOs currently in the accreditation process, along with detailed information on individual organizations. Employers and health plans can review accreditation information about MBHOs before making critical decisions and consumers can see whether their MBHOs is accredited.

NCQA's Status List for New Health Plans

This is a list of NCQA-Accredited health plans that have been in operation for less than three years. Health plans included in the Health Plan Report Card above have been operating for more than three years.

Disease Management Accreditation & Certification Status List

This is a list of (1) NCQA-Accredited organizations that offer comprehensive disease management programs with services to patients, practitioners, or both, (2) organizations that have achieved NCQA Certification for specific disease management functions, and (3) organizations that are scheduled to be reviewed by NCQA for DM Accreditation or Certification.

For some health care organizations, NCQA evaluates individual components or functions that the organization performs. Functions can include credentialing, utilization management, claims processing, customer service and quality improvement programs.

NCQA's Certification Status List

This is a list of health care organizations that achieved NCQA certification in specific functions as indicated within the list. Employers and health plans can use this information to ensure that all discrete functions in a delivery system are working together. The Certification Status List covers:



Physician Organization Certification
Credentials Verification Organization Certification
Credentialing Certification
Utilization Management Certification

welcome | create report card | using results | definitions | methods | participation/statistics | feedback | top

©National Committee for Quality Assurance - 1100 13th Street, NW, Suite 1000, Washington, DC 20005 - (202) 955-3500
contact Webmaster@ncqa.org