NCQA Accreditation Support

Helping organizations achieve and maintain NCQA accreditation through expert consulting, readiness assessments, staff education, and continuous quality improvement.

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NCQA Accreditation Programs We Support

MHR provides consulting, readiness, and accreditation support for organizations pursuing:

  • Health Plan Accreditation
  • Behavioral Health Accreditation
  • Case Management (CM)
  • Long-Term Services and Supports (LTSS)
  • Health Information Product Accreditation
  • Population Health Program (PHP) Accreditation
  • Utilization Management (UM) Accreditation
  • Credentialing Accreditation
  • Provider Network (PN) Accreditation
  • Health Outcomes Accreditation
  • Community-Focused Care Accreditation
  • Wellness and Health Promotion (WHP) Accreditation

"Accreditation isn't about checking boxes. It's about building processes that improve quality, strengthen your organization, and stand up to reviewer scrutiny long after the review is over."
Susan Moore, President, MHR

Additional Areas of Expertise

In addition to accreditation consulting, MHR supports organizations with:

  • SNP Model of Care (MOC)
  • Accreditation readiness reviews
  • Gap assessments
  • Standards interpretation
  • Staff education
  • Policy and procedure development
  • Document development, including analyses
  • Accreditation project management
  • Tools, templates, and implementation support
  • Policy clarification support

Accreditation Consulting:

Expert consulting to help organizations interpret NCQA standards, identify gaps, prepare documentation, and achieve accreditation.

Proprietary Templates and Tools:

Save time with proven templates, tools, and resources designed to streamline accreditation preparation.

Client-Focused Training:

Customized training that helps staff understand NCQA standards and confidently prepare for accreditation.

Accreditation Staffing Support:

Need accreditation expertise? We assist with evaluating candidates and identifying professionals with NCQA experience.

Education & Training:

Educational programs designed for healthcare professionals seeking a deeper understanding of NCQA accreditation and quality improvement.

Why Organizations Choose MHR

  • Focus exclusively on NCQA and URAC accreditation with consultants who stay current on evolving standards and requirements.
  • Work directly with Current NCQA Surveyors and Current URAC Reviewers who understand today's survey expectations.
  • Receive practical, collaborative guidance tailored to your organization's goals, timeline, and resources.
  • Build your team's knowledge and confidence through mentoring, education, and hands-on support.
  • Partner with a team that works with organizations ranging from regional health plans to large, multi-state managed care organizations.

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Accreditation Consulting
Templates & Tools
Training Programs

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