- Health group. Utilization 1: URAC Accredited, Management 2: Not URAC Accredited URAC Single, To the day. Accreditations Radio - Case group. Management 1: URAC Accredited, 2: Not URAC Accredited URAC Single, To the day. Accreditations group. - Pharmacy 1: URAC Accredited, Benefit 2: Not URAC Management Accredited 18.1.3 If Applicant indicated any accreditations above, provide a copy of the accrediting agency's certificate, and upload as a file titled 1a” and including question number 18.1.3. “Accreditation No space for details provided. Single, Pull-down list. 1: Yes, Accreditation 1a attached, 2: Not attached 18.1.4 Applicant must provide the NCQA accreditation status and expiration date of the accreditation achieved for the PPO product identified in this response. Indicate all that apply. For the URAC Accreditation option, enter each expiration date in the detail box if Applicant has earned multiple URAC accreditations. Details limited to 50 words. Answer Expiration Programs date Reviewed MM/DD/YYYY NCQA PPO Single, To the day. list. 1: Excellent, 2: Commendable, 3: Accredited, 4: Provisional, 5: Denied, 6: In Process, 7: Scheduled, 8: Expired, 9: NCQA not used or product not eligible NCQA Single, To the day. Exchange list.
- Health Utilization Management group. 1: URAC Accredited, 2: Not URAC Accredited URAC Accreditations - Case Management Single, Radio group. 1: URAC Accredited, 2: Not URAC Accredited To the day. URAC Accreditations - Pharmacy Benefit Management Single, group. 1: URAC Accredited, 2: Not URAC Accredited To the day. 18.1.3 If Applicant indicated any accreditations above, provide a copy of the accrediting agency's certificate, and upload as a file titled “Accreditation 1a” and including question number 18.1.3. No space for details provided. Single, Pull-down list. 1: Yes, Accreditation 1a attached, 2: Not attached 18.1.4 Applicant must provide the NCQA accreditation status and expiration date of the accreditation achieved for the PPO product identified in this response. Indicate all that apply. For the URAC Accreditation option, enter each expiration date in the detail box if Applicant has earned multiple URAC accreditations. Details limited to 50 words. Answer Expiration date MM/DD/YYYY Programs Reviewed NCQA PPO Single, list. 1: Excellent, 2: Commendable, 3: Accredited, 4: Provisional, 5: Denied, 6: In Process, 7: Scheduled, 8: Expired, 9: NCQA not used or product not eligible To the day. NCQA Exchange Single, list. To the day.
CCSB%20QHP%20Certification%20Application%20Plan%20Year%202019%20Quarterly%20Application_Final.docx