Tag Archives: accreditation standards

NCQA member engagement standards change accreditation paradigm for Medicaid plans

ACA mandates that plans offering insurance products on health benefit exchanges (HBE) maintain full accreditation with standards boards like NCQA or URAC. Generally considered the gold standard for accreditation, state Medicaid programs are increasingly adding NCQA compliance to their contracts with Medicaid MCOs. Traditionally exempt from NCQA’s Member Connections standards (MEM), Medicaid MCOs must now […]
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