{"id":10154,"date":"2018-11-28T14:43:49","date_gmt":"2018-11-28T19:43:49","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=10154"},"modified":"2023-12-01T14:05:22","modified_gmt":"2023-12-01T19:05:22","slug":"population-health-management-prevalidation","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/","title":{"rendered":"Population Health Management Prevalidation"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-10284 size-full alignright\" src=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png\" alt=\"\" width=\"400\" height=\"400\" \/>NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.<\/p>\n<p>More than 175 million people are enrolled in an NCQA-Accredited health plan. Those plans, and organizations supporting health plans and managing populations at all risk levels, are looking for health information technology (health IT) vendors that align with the Population Health Management model.<\/p>\n<p>Health IT systems that earn NCQA Population Health Management Prevalidation demonstrate product functionality that supports or meets NCQA population health management related standards. Prevalidation attracts accredited organizations and assures current\/potential customers that health IT solutions support their goals.<\/p>\n<h2>GAIN A COMPETITIVE EDGE<\/h2>\n<ul>\n<li><strong>Provide value-added client benefits.<\/strong> Organizations using health IT solutions that meet NCQA requirements can earn automatic credit toward their NCQA surveys, easing administrative burden for providing supporting documentation, and saving time.<\/li>\n<li><strong>Gain a competitive edge.<\/strong> Advertise direct alignment of health IT functionality with NCQA requirements.<\/li>\n<li><strong>Access industry resources.<\/strong> Enjoy an ongoing collaborative relationship with NCQA and learn frontline details about planned policy changes and enhancements to program requirements.<\/li>\n<li><strong>Receive marketing support.<\/strong> NCQA lists prevalidated vendors on its website.<\/li>\n<\/ul>\n<h2>PREVALIDATED VENDORS<\/h2>\n<p>See a <a href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/vendors\/\">list of currently prevalidated vendors<\/a>.<\/p>\n<h2>EARNING PREVALIDATION<\/h2>\n<p>Organizations with a technology solution that meets or supports population health management criteria undergo a live, virtual review. NCQA determines if the solution earns prevalidation designations for the appropriate criteria. <a href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/process\/\">Learn more about the full process.<\/a><\/p>\n<h2>MAINTAINING PREVALIDATION<\/h2>\n<p>Vendors pay an annual maintenance fee to retain their prevalidation status, and are required to inform NCQA of:<\/p>\n<ul>\n<li>Changes in system functionality\/versions.<\/li>\n<li>Changes in ownership.<\/li>\n<li>Changes in address or contact information for NCQA and in the vendor directory.<\/li>\n<li>Legal issues that arise.<\/li>\n<\/ul>\n<h2>Latest POPULATION HEALTH MANAGEMENT Blog Articles<\/h2>\n<p><div class=\"ncqa-blog-posts\">\n  <ol class=\"list-post-cards\">\n            <li>\n          <div class=\"card card--post\" id=\"blog-ncqa-org-50640\">\n            <a href=\"https:\/\/www.ncqa.org\/blog\/risk-adjusted-utilization-tables-updates-and-faqs\/\">\n              <div class=\"card__image\" style=\"background-image: url(https:\/\/www.ncqa.org\/wp-content\/uploads\/RAU-Tables-Blog-01.jpg);\"><\/div>\n              <div class=\"card__content\">\n                <p>\n                  <em>March 31, 2026<\/em>\n                <\/p>\n\n                <h6>HEDIS\u00ae Risk-Adjusted Utilization Tables: New Measures, Shared Table Updates and FAQs <i class=\"zmdi zmdi-open-in-new\"><\/i><\/h6>\n              <\/div><!-- \/.card__content -->\n            <\/a>\n          <\/div><!-- \/.card card-\/-post -->\n        <\/li>\n              <li>\n          <div class=\"card card--post\" id=\"blog-ncqa-org-50660\">\n            <a href=\"https:\/\/www.ncqa.org\/blog\/whats-new-with-pcmh-2026\/\">\n              <div class=\"card__image\" style=\"background-image: url(https:\/\/www.ncqa.org\/wp-content\/uploads\/PCMH-Updates-Blog-01.jpg);\"><\/div>\n              <div class=\"card__content\">\n                <p>\n                  <em>March 30, 2026<\/em>\n                <\/p>\n\n                <h6>What\u2019s New with PCMH: Practice Spotlight, Expanded Office Hours and Annual Reporting Changes <i class=\"zmdi zmdi-open-in-new\"><\/i><\/h6>\n              <\/div><!-- \/.card__content -->\n            <\/a>\n          <\/div><!-- \/.card card-\/-post -->\n        <\/li>\n              <li>\n          <div class=\"card card--post\" id=\"blog-ncqa-org-50547\">\n            <a href=\"https:\/\/www.ncqa.org\/blog\/ncqa-tests-person-centered-outcome-measures-with-d-snp-plans\/\">\n              <div class=\"card__image\" style=\"background-image: url(https:\/\/www.ncqa.org\/wp-content\/uploads\/PCO-Measures-and-D-SNP.jpg);\"><\/div>\n              <div class=\"card__content\">\n                <p>\n                  <em>March 27, 2026<\/em>\n                <\/p>\n\n                <h6>NCQA Tests Person-Centered Outcome Measures With D-SNP Plans <i class=\"zmdi zmdi-open-in-new\"><\/i><\/h6>\n              <\/div><!-- \/.card__content -->\n            <\/a>\n          <\/div><!-- \/.card card-\/-post -->\n        <\/li>\n                  <\/ol><!-- \/.list-post-cards -->\n<\/div>\n<a name=\"pricing\"><\/a><\/p>\n<h2>PRICING<\/h2>\n<p>See\u00a0<a href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/pricing-prevalidation\/\">fees for Population Health Management Prevalidation<\/a>.<\/p>\n<h2>LEARN MORE<\/h2>\n<p>To receive application materials for NCQA PHM Prevalidation consideration, purchase the\u00a0<a href=\"https:\/\/www.ncqa.org\/store-population-health-prevalidation-handbook\" target=\"_blank\" rel=\"noopener noreferrer\">Population Health Management Prevalidation Handbook<\/a>\u00a0or contact us through\u00a0<a href=\"https:\/\/my.ncqa.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">My NCQA<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health. More than 175 million people are enrolled in an NCQA-Accredited health plan. Those plans, and organizations supporting health plans and managing populations at all risk levels, are looking for health information technology (health IT) [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":1172,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10154","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Population Health Management Prevalidation - NCQA<\/title>\n<meta name=\"description\" content=\"NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Population Health Management Prevalidation - NCQA\" \/>\n<meta property=\"og:description\" content=\"NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2023-12-01T19:05:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/\",\"url\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/\",\"name\":\"Population Health Management Prevalidation - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png\",\"datePublished\":\"2018-11-28T19:43:49+00:00\",\"dateModified\":\"2023-12-01T19:05:22+00:00\",\"description\":\"NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#primaryimage\",\"url\":\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png\",\"contentUrl\":\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png\",\"width\":400,\"height\":400},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Our Programs\",\"item\":\"https:\/\/www.ncqa.org\/programs\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Data and Information Technology\",\"item\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"HIT and Data Certification\",\"item\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Population Health Management Prevalidation\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. Improving health care.\",\"publisher\":{\"@id\":\"https:\/\/www.ncqa.org\/#organization\"},\"alternateName\":\"National Committee for Quality Assurance\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.ncqa.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.ncqa.org\/#organization\",\"name\":\"NCQA\",\"alternateName\":\"National Committee for Quality Assurance\",\"url\":\"https:\/\/www.ncqa.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.ncqa.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.ncqa.org\/wp-content\/uploads\/NCQA-Blog-Logo-Thumbnail.jpg\",\"contentUrl\":\"https:\/\/www.ncqa.org\/wp-content\/uploads\/NCQA-Blog-Logo-Thumbnail.jpg\",\"width\":876,\"height\":673,\"caption\":\"NCQA\"},\"image\":{\"@id\":\"https:\/\/www.ncqa.org\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/NCQA.org\",\"https:\/\/x.com\/NCQA\",\"https:\/\/www.instagram.com\/ncqa_dc\/\",\"https:\/\/www.youtube.com\/@NcqaOrg\",\"https:\/\/www.linkedin.com\/company\/ncqa\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Population Health Management Prevalidation - NCQA","description":"NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/","og_locale":"en_US","og_type":"article","og_title":"Population Health Management Prevalidation - NCQA","og_description":"NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.","og_url":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/","og_site_name":"NCQA","article_publisher":"https:\/\/www.facebook.com\/NCQA.org","article_modified_time":"2023-12-01T19:05:22+00:00","og_image":[{"url":"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_site":"@NCQA","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/","url":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/","name":"Population Health Management Prevalidation - NCQA","isPartOf":{"@id":"https:\/\/www.ncqa.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#primaryimage"},"image":{"@id":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#primaryimage"},"thumbnailUrl":"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png","datePublished":"2018-11-28T19:43:49+00:00","dateModified":"2023-12-01T19:05:22+00:00","description":"NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health.","breadcrumb":{"@id":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#primaryimage","url":"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png","contentUrl":"https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/11\/phm-tablet.png","width":400,"height":400},{"@type":"BreadcrumbList","@id":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/population-health-management-prevalidation\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ncqa.org\/"},{"@type":"ListItem","position":2,"name":"Our Programs","item":"https:\/\/www.ncqa.org\/programs\/"},{"@type":"ListItem","position":3,"name":"Data and Information Technology","item":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/"},{"@type":"ListItem","position":4,"name":"HIT and Data Certification","item":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/"},{"@type":"ListItem","position":5,"name":"Population Health Management Prevalidation"}]},{"@type":"WebSite","@id":"https:\/\/www.ncqa.org\/#website","url":"https:\/\/www.ncqa.org\/","name":"NCQA","description":"Measuring quality. Improving health care.","publisher":{"@id":"https:\/\/www.ncqa.org\/#organization"},"alternateName":"National Committee for Quality Assurance","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ncqa.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.ncqa.org\/#organization","name":"NCQA","alternateName":"National Committee for Quality Assurance","url":"https:\/\/www.ncqa.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.ncqa.org\/#\/schema\/logo\/image\/","url":"https:\/\/www.ncqa.org\/wp-content\/uploads\/NCQA-Blog-Logo-Thumbnail.jpg","contentUrl":"https:\/\/www.ncqa.org\/wp-content\/uploads\/NCQA-Blog-Logo-Thumbnail.jpg","width":876,"height":673,"caption":"NCQA"},"image":{"@id":"https:\/\/www.ncqa.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/NCQA.org","https:\/\/x.com\/NCQA","https:\/\/www.instagram.com\/ncqa_dc\/","https:\/\/www.youtube.com\/@NcqaOrg","https:\/\/www.linkedin.com\/company\/ncqa\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages\/10154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/comments?post=10154"}],"version-history":[{"count":0,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages\/10154\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages\/1172"}],"wp:attachment":[{"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/media?parent=10154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}