NCQA or URAC Certifications

As per CFR 438.332, the department posts the certificate of accreditation by a Private Independent Entity. The posted certificates reflect the following agencies: the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC).

External Quality Review Projects

The Balanced Budget Act (BBA) of 1997 requires that state agencies contract with an External Quality Review Organization to conduct an annual external quality review of the services provided by contracted Medicaid Managed Care Organizations.

Statewide

2023

2022

2021

2020

2019

2018

2017

2016

2015

Carelon Behavioral Health, Inc.
(Formerly Beacon Health Options)

2023

2022

2021

2020

2019

2018-NA

2017-NA

2016-NA

2015-NA

Community Behavioral Health

2023

2022

2021

2020

2019

2018

2017

2016

2015

Community Care Behavioral Health

2023

2022

2021

2020

2019

2018

2017

2016

2015

Magellan Behavioral Health

2023

2022

2021

2020

2019

2018

2017

2016

2015

PerformCare

2023

2022

2021

2020

2019

2018

2017

2016

2015

Value Behavioral Health

2022-NA

2021-NA

2020-NA

2019-NA

2018

2017

2016

2015