NCQA

Medical abbreviation · Health Insurance

NCQA
Stands forNational Committee for Quality Assurance
CategoriesMedical

NCQA stands for National Committee for Quality Assurance, a health insurance abbreviation.

Independent nonprofit founded in 1990 that accredits health plans, recognizes medical practices such as patient-centered medical homes and develops the HEDIS quality measures. Employers and regulators treat NCQA accreditation as a mark of plan quality.

Example: The plan advertises its NCQA accreditation and 4-star rating.

Usage notes

NCQA publishes annual health plan ratings and certifies credentials verification organizations. Several states require NCQA or comparable accreditation for Medicaid managed care plans. Pronounced as letters.

More health insurance abbreviations

  • MOOP – Maximum out-of-pocket
  • MPFS – Medicare Physician Fee Schedule
  • MS-DRG – Medicare Severity Diagnosis-Related Group
  • MSP – Medicare Savings Program
  • NCCI – National Correct Coding Initiative
  • NCD – National coverage determination
  • NPI – National Provider Identifier
  • NSA – No Surprises Act
  • OEP – Open enrollment period
  • OON – Out-of-network
  • OOP – Out-of-pocket
  • OPPS – Outpatient Prospective Payment System

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This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.