{"id":16745,"date":"2020-06-18T12:54:14","date_gmt":"2020-06-18T16:54:14","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=16745"},"modified":"2025-12-03T16:34:58","modified_gmt":"2025-12-03T21:34:58","slug":"optin","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/optin\/","title":{"rendered":"Opt In"},"content":{"rendered":"<div class=\"sfmc-form-wrapper sfmc-form-light sfmc-form-alignnone\"><div class=\"bin\">\n<!-- The following code was generated by Exacttarget.com. 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(name@host.com)\");\n\t\ttheform.elements['Email Address'].focus();\n\t\treturn false;\n\t}\n\n    \/\/ var org_type = theform.elements['Organization Type'][0];\n    \/\/ var job_desc = theform.elements['Organization Type'][1];\n\n    \/\/ if ( '' == org_type.options[ org_type.selectedIndex ].value )\n    \/\/ {\n    \/\/     alert(\"Please select an Organization Type\" );\n    \/\/     return false;\n    \/\/ }\n\n    \/\/ if ( '' == job_desc.options[ job_desc.selectedIndex ].value )\n    \/\/ {\n    \/\/     alert(\"Please select a Job Description\" );\n    \/\/     return false;\n    \/\/ }\n\n    return true;\n}\n\/\/--> \n<\/script>\n\n<div class=\"sfmc-form-header\">\n    <div class=\"bin\">\n        <h3>Sign Up for Our Mailing List<\/h3>        <p>Fill out the form below to receive news from NCQA. Your profile information will help us send you the most relevant email content.<\/p>\n    <\/div>\n<\/div>\n\n<form action=\"https:\/\/cl.exct.net\/subscribe.aspx\" name=\"subscribeForm\" method=\"post\" onSubmit=\"return checkForm( this );\" class=\"sfmc-form\"> \n    <input type=hidden name=\"thx\" value=\"https:\/\/www.ncqa.org\/newsletter-thank-you\/\"> \n    <input type=hidden name=\"err\" value=\"https:\/\/www.ncqa.org\/error\/\"> \n    <input type=hidden name=\"SubAction\" value=\"sub_add_update\"> \n    <input type=hidden name=\"MID\" value=\"7218071\">\n    <input type=\"hidden\" name=\"lid\" value=\"470\">\n    <input type=\"hidden\" name=\"lid\" value=\"463\">\n    <input type=\"hidden\" name=\"lid\" value=\"471\">\n    <p> \n        <label for=\"sfmc-first-name\">First Name:<\/label>\n        <input type=\"text\" name=\"First Name\" id=\"sfmc-first-name\" class=\"field field-text field-name\">\n    <\/p>\n    <p> \n        <label for=\"sfmc-last-name\">Last Name:<\/label>\n        <input type=\"text\" name=\"Last Name\" id=\"sfmc-last-name\" class=\"field field-text field-name\">\n    <\/p>\n    <p>\n        <label for=\"sfmc-email\">Email:<\/font><\/td> \n        <input type=\"email\" name=\"Email Address\" id=\"sfmc-email\" class=\"field field-text field-email\" placholder=\"name@company.com\">\n    <\/p>\n    <p>    \n        <label for=\"sfmc-company\">Company Name:<\/label>\n        <input type=\"text\" name=\"Company\" id=\"sfmc-company\" class=\"field field-text field-company\">\n    <\/p>\n    <p>\n        <label for=\"sfmc-organization\">Organization Type:<\/label>\n        <select name=\"Organization Type\" id=\"sfmc-organization\" class=\"field field-select\">\n            <option value=\"\">- Select One -<\/option>\n            <option value=\"Case management organization\">Case management organization<\/option>\n            <option value=\"Clinically Integrated Network\/ACO\">Clinically Integrated Network\/ACO<\/option>\n            <option value=\"Community-Based Organization or Area Agency on Aging\">Community-Based Organization or Area Agency on Aging<\/option>\n            <option value=\"Consulting firm\">Consulting Firm<\/option>\n            <option value=\"Credentialing organization\">Credentialing organization<\/option>\n            <option value=\"Employer\">Employer<\/option>\n            <option value=\"Government\/public policy\">Government\/public policy<\/option>\n            <option value=\"Health IT\">Health IT<\/option>\n            <option value=\"Health plan\">Health plan<\/option>\n            <option value=\"Population health management company\">Population health management company<\/option>\n            <option value=\"Practice\/Clinic\">Practice\/Clinic<\/option>  \n            <option value=\"Other\">Other<\/option>   \n        <\/select>\n    <\/p>\n    <p>\n        <label for=\"sfmc-org-type\">Job Description:<\/label>\n            <select name=\"Job Function\" id=\"sfmc-job-description\" class=\"field field-select\">\n            <option value=\"\">- Select One -<\/option>\n            <option value=\"Accreditation Management\">Accreditation Management<\/option>\n            <option value=\"Clinician\">Clinician<\/option>\n            <option value=\"Consultant\">Consultant<\/option>\n            <option value=\"C-Suite\/Executive\">C-Suite\/Executive<\/option>\n            <option value=\"Practice Manager\/Practice Administration\">Practice Manager\/Practice Administration<\/option>\n            <option value=\"Program Manager\/Program Administration\">Program Manager\/Program Administration<\/option>  \n            <option value=\"Public Policy\">Public Policy<\/option>\n            <option value=\"Quality Improvement\">Quality Improvement<\/option> \n            <option value=\"Researchery\">Researcher<\/option> \n            <option value=\"Other\">Other<\/option>        \n        <\/select>\n    <\/p>\n    <p class=\"sfmc-submit-row\">\n                <input type=\"hidden\" name=\"Subscribe Source\" value=\"opt-in-journey\">\n                <input type=\"submit\" value=\"Submit\" id=\"sfmc-submit\" class=\"btn btn-submit btn--red\">\n    <\/p>\n<\/form>\n\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-single-column.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-16745","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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