National Committee for Quality Assurance. (NCQA) Accreditation As required by IC 00-00-00-00, the Contractor shall be an accredited Health Plan by the National Committee for Quality Assurance (NCQA) with the LTSS Distinction. When EXHIBIT 1 SCOPE OF WORK – INDIANA PATHWAYS FOR AGING accreditation standards conflict with the standards set forth in the Contract, the Contract prevails, unless the accreditation standard is more stringent. If the Contractor is accredited as of the start date of the Agreement, the Contractor shall maintain accreditation throughout the term of this agreement. If the Contractor is not accredited as of the start date of this agreement, the Contractor shall obtain their Health Plan accreditation and the LTSS Distinction for Health Plans no later than the end of the second full calendar year of operation and shall maintain accreditation for the term of this Agreement. The Contractor must submit to FSSA the final Accreditation Report for each accreditation cycle within ten (10) days of receipt of the report. The Contractor must submit to FSSA updates of accreditation status, based on annual HEDIS scores, within ten (10) days of receipt. Per 42 CFR 438.332(b), The Contractor must authorize NCQA to provide the State a copy of its most recent accreditation review including: its accreditation status, survey type, and level (as applicable); recommended actions or improvements, corrective action plans, and summaries of findings; and the expiration date of the accreditation. As required by 42 CFR 438.332(c), FSSA shall publish on its website the accreditation status of each Contractor.
National Committee for Quality Assurance. (NCQA) means an organization responsible for developing and managing health care measures that assess the quality of care and services that commercial and Medicaid managed care clients receive.
National Committee for Quality Assurance. (NCQA) Health Plan Accreditation. Provide documentation of the Applicant’s most recent NCQA health plan accreditation level or of New Health Plan Accreditation by NCQA’s New Health Plan Accreditation Program.
National Committee for Quality Assurance. (NCQA) – An independent 501 (c)(3) nonprofit organization in the United States designed to improve healthcare quality.
National Committee for Quality Assurance. EHS is not affiliated with NCQA. Any trademarks, service marks, or other intellectual property owned by NCQA is the sole property of NCQA. Any certification, accreditation, or recognition by NCQA is in NCQA’s sole control and in NCQA’s sole discretion. In order to receive certification, accreditation, or recognition by NCQA, Customer or it Sub-licensees must register with NCQA, pay all fees required by NCQA and comply with all terms and conditions of NCQA.
