Please note that NCQA does not endorse MCG Health's solutions, or require the use of MCG care guidelines to achieve accreditation. CPT only Copyright 2022 American Medical Association. and Compliance, Evidence-Based We shared the results with the National Committee for Quality Assurance (NCQA) Quality Compass. Download, NCQA As described above, seeking accreditation is anarduous process. Do you want to continue? We work to make your health care better by: Each year, we check to see how close we are to meeting our goals. When health plans work with vendors that have already passed NCQAs thorough review, they receive oversight relief for all the standards that apply. Share this page with a friend or colleague by Email. Satisfy state requirements and employer needs. NCQA certification is a testament to a companys commitment to participant experience and scientific validity. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Notification to Authorities and Practitioner Appeal Rights. NCQA Reviews the Application. To improve satisfaction, we: Improved the accuracy of our provider directory information, Improved online self-service options for members and providers, We surveyed members in the Aetna Case Management program. 12 months in advance: Become familiar with NCQA's required standards and processes. NCQA Accreditation as of June 30, 2022. 0000001781 00000 n
(PDF) A Profile of Medicaid Managed Care Programs in 2010: Findings We work for better health care, better choices and better health. Our Care Navigation program earns NCQA accreditation, but what does it New and revised codes are added to the CPBs as they are updated. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA).