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  • This Plan Has Full Accreditation From The Ncqa - Opm

Get This Plan Has Full Accreditation From The Ncqa - Opm

es ang s h c t For enefi b s n g i a e p e se - 23. 22 Serving: Central and Northeastern Pennsylvania Enrollment code: N91 Self Only N92 Self and Family Service area: Services from Plan providers are available only in the following areas: All of Blair, Bradford, Cambria, Carbon, Centre, Clearfield, Clinton, Columbia, Huntingdon, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, and Wyoming Countie.

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How to fill out the This Plan Has Full Accreditation From The NCQA - Opm online

Filling out the form 'This Plan Has Full Accreditation From The NCQA - Opm' can seem challenging, but with this guide, you'll find a clear pathway to successfully completing your submission. Follow these steps to ensure you provide all necessary information accurately.

Follow the steps to fill out the form correctly.

  1. Click the 'Get Form' button to access the form and open it in your preferred editor.
  2. Review the introductory section of the form carefully, ensuring you understand any prerequisites or guidelines provided.
  3. Fill in your personal information in the designated fields, including your name, contact information, and enrollment code. Ensure that all details are accurate and up-to-date.
  4. In the section regarding service area, confirm that your residence is within the outlined service area before proceeding.
  5. Complete the sections pertaining to your health plan choices, selecting any relevant options that correspond to your needs.
  6. Review your selected coverage options, ensuring that they align with your health requirements and preferences.
  7. Submit your form by saving any changes made, and choose to either download, print, or share the completed document based on your preference.

Complete your forms online today to ensure you benefit from the accreditation smoothly.

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NCQA Health Plan Ratings (HPR) and Medicare Part C and D Star Ratings are methods of evaluating and distributing information related to health plan quality and performance. Each method assesses and reports plan performance in a number of domains.

How will NCQA distinguish quality between plans? Current StatusProjected Stars Excellent 4.5-5.0 Commendable 3.5-4.0 Accredited 2.5-3.0 Provisional 1.0-2.0

Accredited: Meets or exceeds NCQA standards for Wellness and Health Promotion Accreditation. Certified: Meets or exceed NCQA standards for Wellness and Health Promotion Certification.

During an accreditation survey, plans are reviewed against over 60 standards which fall into six broad categories as follows: (1) Quality Management and Improvement (accounts for 40% of a plan's score), (2) Credentialing and Recredentialing (10%), (3) Members' Rights and Responsibilities (17.5%), (4) Preventive Health ...

NCQA Credentialing Accreditation is a comprehensive program that evaluates the operations of organizations providing full-scope credentialing services, which include verifying practitioner credentials, designated credentialing-committee review of practitioners and monitoring practitioner sanctions.

Out of 26 MCPs in the state, 12 plans currently have NCQA accreditation, and four are pending an accreditation visit. This workgroup will provide input on topics related to the standards and processes of requiring all MCPs to obtain NCQA accreditation, including consideration of the proposed accreditation requirements.

NCQA Credentialing Accreditation is a comprehensive program that evaluates the operations of organizations providing full-scope credentialing services, which include verifying practitioner credentials, designated credentialing-committee review of practitioners and monitoring practitioner sanctions.

For employers—whether they are self-insured or fully insured—NCQA Accreditation means that an independent, nationally recognized organization has validated a plan's performance. Without NCQA Accreditation, there is no assurance for employers that a health plan is truly committed to meeting quality standards.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232