{"id":2967,"date":"2018-07-20T13:52:50","date_gmt":"2018-07-20T17:52:50","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=2967"},"modified":"2026-02-10T13:57:02","modified_gmt":"2026-02-10T18:57:02","slug":"policy-accreditation-and-certification","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/","title":{"rendered":"Policy: NCQA Accreditation and Certification"},"content":{"rendered":"<h2><span class=\"TextRun SCXW174688974\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW174688974\">Lat<\/span><\/span><span class=\"TextRun SCXW174688974\" lang=\"EN-US\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW174688974\">est News<\/span><\/span><span class=\"EOP SCXW174688974\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h2>\n<ul>\n<li><a href=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/Network-Management-Analysis-Tip-Sheet-_December-2025.pdf\" target=\"_blank\" rel=\"noopener\">Network Management Analysis Tip Sheet<\/a> (December 2025)<\/li>\n<li><a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/Announcement-2025-Program-Name-and-Status-Changes.pdf\">Announcement: 2025 Program Name and Status Changes<\/a> (September 30, 2025)<\/li>\n<li><a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/2026-Retroactive-Changes-Memo_Final-7.25.25.pdf\">Changes to the NCQA Accreditation Standards for the 2025 and 2026 Standards Year<\/a> (July 25, 2025)<\/li>\n<li><a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/SSME-Survey-Memo_June-2025.pdf\">New Appendix 7 \u2013 Accreditable Entity Review-Level Requirements in SSME Surveys<\/a> (June 23, 2025)<\/li>\n<li><a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/Scoring-Modifications-Memo-04302025.pdf\" target=\"_blank\" rel=\"noopener\">Modifications to Scoring for NCQA Accreditation Surveys post President&#8217;s Executive Orders<\/a> (April 30, 2025)<\/li>\n<li><a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/2025-Retroactive-Changes-Memo_Final.pdf\" target=\"_blank\" rel=\"noopener\">Changes to the NCQA Accreditation Standards for the 2024 and 2025 Standards Years<\/a> (July 22, 2024)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Latest News\u00a0 Network Management Analysis Tip Sheet (December 2025) Announcement: 2025 Program Name and Status Changes (September 30, 2025) Changes to the NCQA Accreditation Standards for the 2025 and 2026 Standards Year (July 25, 2025) New Appendix 7 \u2013 Accreditable Entity Review-Level Requirements in SSME Surveys (June 23, 2025) Modifications to Scoring for NCQA Accreditation [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":534,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-2967","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>Policy: NCQA Accreditation and Certification - NCQA<\/title>\n<meta name=\"description\" content=\"NCQA sets standards for interpreting NCQA Accreditation standards and HEDIS measures. This page contains the latest updates to interpretations of NCQA standards and measures, as well as resources that can help you interpret and implement NCQA standards.\" \/>\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\/health-plans\/policy-accreditation-and-certification\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Policy: NCQA Accreditation and Certification - NCQA\" \/>\n<meta property=\"og:description\" content=\"NCQA sets standards for interpreting NCQA Accreditation standards and HEDIS measures. This page contains the latest updates to interpretations of NCQA standards and measures, as well as resources that can help you interpret and implement NCQA standards.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/\" \/>\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=\"2026-02-10T18:57:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\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\/health-plans\/policy-accreditation-and-certification\/\",\"url\":\"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/\",\"name\":\"Policy: NCQA Accreditation and Certification - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2018-07-20T17:52:50+00:00\",\"dateModified\":\"2026-02-10T18:57:02+00:00\",\"description\":\"NCQA sets standards for interpreting NCQA Accreditation standards and HEDIS measures. This page contains the latest updates to interpretations of NCQA standards and measures, as well as resources that can help you interpret and implement NCQA standards.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/#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\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/programs\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Policy: NCQA Accreditation and Certification\"}]},{\"@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":"Policy: NCQA Accreditation and Certification - NCQA","description":"NCQA sets standards for interpreting NCQA Accreditation standards and HEDIS measures. This page contains the latest updates to interpretations of NCQA standards and measures, as well as resources that can help you interpret and implement NCQA standards.","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\/health-plans\/policy-accreditation-and-certification\/","og_locale":"en_US","og_type":"article","og_title":"Policy: NCQA Accreditation and Certification - NCQA","og_description":"NCQA sets standards for interpreting NCQA Accreditation standards and HEDIS measures. This page contains the latest updates to interpretations of NCQA standards and measures, as well as resources that can help you interpret and implement NCQA standards.","og_url":"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/","og_site_name":"NCQA","article_publisher":"https:\/\/www.facebook.com\/NCQA.org","article_modified_time":"2026-02-10T18:57:02+00:00","og_image":[{"width":1200,"height":627,"url":"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg","type":"image\/jpeg"}],"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\/health-plans\/policy-accreditation-and-certification\/","url":"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/","name":"Policy: NCQA Accreditation and Certification - NCQA","isPartOf":{"@id":"https:\/\/www.ncqa.org\/#website"},"datePublished":"2018-07-20T17:52:50+00:00","dateModified":"2026-02-10T18:57:02+00:00","description":"NCQA sets standards for interpreting NCQA Accreditation standards and HEDIS measures. This page contains the latest updates to interpretations of NCQA standards and measures, as well as resources that can help you interpret and implement NCQA standards.","breadcrumb":{"@id":"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ncqa.org\/programs\/health-plans\/policy-accreditation-and-certification\/#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":"Health Plans","item":"https:\/\/www.ncqa.org\/programs\/health-plans\/"},{"@type":"ListItem","position":4,"name":"Policy: NCQA Accreditation and Certification"}]},{"@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\/2967","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=2967"}],"version-history":[{"count":2,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages\/2967\/revisions"}],"predecessor-version":[{"id":49660,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages\/2967\/revisions\/49660"}],"up":[{"embeddable":true,"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/pages\/534"}],"wp:attachment":[{"href":"https:\/\/www.ncqa.org\/wp-json\/wp\/v2\/media?parent=2967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}