NCQA Case Management Accreditation provides a framework for implementing evidence-based best practices to ensure: Manage patients as they move between care settings. Use patient-centered assessment to determine care needs. Develop personalized, patient-centered care plans. Provide access to qualified case management staff.

NCQA Case Management Accreditation requirements ensure that organizations can consistently use efficient and cost-effective case management processes and delivery of services. Requirements cover these key areas: Identification and assessment. Care planning. Care monitoring. Care coordination.

NCQA standards allow organizations to use software to collect credentialing information from approved sources, as long as organization staff document that the information was reviewed and verified. CM 2023

Review NCQA's Case Management (CM) program. Review the Accreditation of Case Management for Long-Term Services and Supports (CM-LTSS) program. Learn about the LTSS Best Practices Academy.

2024年11月18日 · NCQA operational definitions for correction, clarification and policy changes are as follows: A correction (CO) is a change made to rectify an error in the standards and guidelines. A clarification (CL) is additional information that explains an existing requirement. A policy change (PC) is a modification of an existing requirement.

2021年7月26日 · NCQA-Accredited in Case Management, NCQA- Accredited PHP Organizations, NCQA-Prevalidated Health IT Solutions or are NCQA Certified in CVO, unless the element is NA. CL 11/23/20 116,119 CM 9, Elements B and D NCQA-Accredited/Certified delegates Add “NCQA-Prevalidated Health IT Solutions” to the first sentence so the text reads:

2023年12月29日 · Implement the NCQA CCM standards. Incorporate a patient-centered assessment to determine care needs. Apply best practices and a collaborative process of assessment, planning, facilitation, care coordination and evaluation. Develop a case management plan that includes prioritized goals and identifying barriers.

2020年7月1日 · NCQA PUBLICATION LICENSE AGREEMENT. This Publication License Agreement, along with all materials referenced herein (“License Agreement”), is a legal agreement between the individual or entity purchasing the license to use the Product (hereinafter the “Licensee”) and the National Committee for Quality Assurance (“NCQA”).

Define complex case management (CCM) and the eligibility criteria for participating members. Describe the required criteria for CCM file selection for the NCQA survey. Demonstrate compliance with the NCQA CCM standards. Evaluate delegate CCM files for compliant and non-compliant data elements.

As the Director Nursing, for the ChristianaCare’s center for virtual health, she has helped to facilitate the implementation of Hospital Care at Home and virtual ambulatory practices for primary care, remote patient monitoring and transitions of care.