NCQA Health Plan Accreditation Updates for 2023

The National Committee for Quality Assurance (NCQA) is a non-profit organization that evaluates and accredits health plans based on their quality and performance. The NCQA Health Plan Accreditation program provides a framework for assessing the quality of health plans and ensuring that they meet certain standards.

For 2023, the NCQA Health Plan Accreditation program has undergone several updates to reflect changes in the healthcare industry and to improve the quality of care provided by health plans. Some of the key updates include:

1. Telehealth Standards: The NCQA has updated its standards to ensure that health plans provide high-quality telehealth services. This includes ensuring that health plans have policies and procedures in place for telehealth visits, as well as ensuring that telehealth visits are conducted in a secure and confidential manner.
2. Medication Management Standards: The NCQA has updated its medication management standards to ensure that health plans are providing safe and effective medication management to their members. This includes ensuring that health plans have systems in place to identify and address medication errors, as well as ensuring that members have access to appropriate medication information and education.
3. Behavioral Health Standards: The NCQA has updated its behavioral health standards to ensure that health plans are providing high-quality behavioral health services to their members. This includes ensuring that health plans have policies and procedures in place for behavioral health assessments, as well as ensuring that members have access to appropriate behavioral health services and resources.
4. Health Equity Standards: The NCQA has updated its health equity standards to ensure that health plans are addressing health disparities and promoting health equity among their members. This includes ensuring that health plans are collecting and using data to identify and address health disparities, as well as ensuring that members have access to culturally and linguistically appropriate health services.
5. Data and Analytics Standards: The NCQA has updated its data and analytics standards to ensure that health plans are collecting and using data to improve the quality of care provided to their members. This includes ensuring that health plans have systems in place for collecting and analyzing data on quality of care, as well as ensuring that members have access to information on the quality of care provided by their health plan.

These updates to the NCQA Health Plan Accreditation program are designed to ensure that health plans are providing high-quality care to their members and addressing the changing needs of the healthcare industry. For more information on these updates and the NCQA Health Plan Accreditation program, please visit the NCQA website:

For more information from NCQA, Click HERE.