The 2009 Health Plan Standards and Guidelines and Survey Tool are effective July 1, 2009. Health Plan includes information applicable to managed care organizations (MCOs) and preferred provider organizations (PPOs).

Standards and Guidelines for the Accreditation of Health Plans

Web-based version includes Medicare Advantage.

This publication features in-depth explanations and examples of how to meet the standards, accreditation scoring guidelines and points, accreditation outcomes and reporting categories. Eligibility requirements, application information and policies and procedures are also included.

Note: Purchase of the Standards and Guidelines is not necessary when purchasing the Survey Tool.

2009 Health Plan Standards and Guidelines
Item #10352-100-09
Price: $320

2009 Health Plan Standards and Guidelines e-pub

2009 Health Plan Standards and Guidelines Web-based publication

2008 Health Plan Standards and Guidelines
Item #10352-100-08
Price: $320

2008 Health Plan Standards and Guidelines e-pub

2008 Health Plan Standards and Guidelines Web-based publication

Survey Tool for the Accreditation of Health Plans

Includes Medicare Advantage. The Survey Tool includes all information needed to prepare and submit materials for an NCQA survey. Organizations applying for accreditation must complete the Survey Tool and submit it to NCQA to begin the survey process.

2009 Health Plan Survey Tool Web-based publication

2008 Health Plan Survey Tool Web-based publication

Application for Health Plan Accreditation

This application provides all materials required to apply for an NCQA survey and includes pricing information, policies and procedures and the survey agreement.

2008 Health Plan and MA Application
Item #10013-150-08
Price: Free