NCQA

NCQA Certification

NCQA is committed to providing health care quality information through the web and the media in order to help consumers, employers, and others make more informed health care choices.

Program Scope, Date First Certified, Dates of Current Cycle

ASH Networks and ASH Plans were the first complementary health care companies to receive NCQA Organization Certification in Utilization Management and Credentialing. This Certification process focuses on consumer protection and improvement in service to customers. Standards recognize that organizations that apply for certification have open-access networks, and can improve service quality and utilize customized structures to meet purchaser needs. First certified: October 2005. Current cycle: October 2009-2011.

ASH has not pursued NCQA Health Plan accreditation as NCQA does not accredit specialty health plans. It should be noted that ASH programs are currently delegated to by more than 50 NCQA-accredited health plans for many of the services offered by ASH, including utilization management, provider quality management, claims processing, provider credentialing, and member services. ASH continues to align its operations to comply with NCQA standards to support good business practices and NCQA accredited customers.

ASH's Healthyroads wellness programs were among the first in the country to receive NCQA Wellness and Health Promotion Accreditation with Performance Reporting. NCQA Wellness & Health Promotion Accreditation is a nationally recognized evaluation that purchasers and consumers can use to assess wellness and health promotion programs. This accomplishment included successful completion of the NCQA HEDIS^® Compliance Audit™. HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the health care quality. First accredited: October 2009. Current cycle: October 2009-2012.

HEDIS and NCQA HEDIS Compliance Audit are trademarks of the National Committee for Quality Assurance (NCQA).