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About the Program:
The Accreditation Association has been surveying and accrediting managed care organizations since 1983. The Accreditation Association's managed care standards are developed with active industry input. They include the evaluation of such critical functional areas as enrollee communications systems; enrollee complaint and grievance resolution systems; utilization management, including enrollee appeal procedures; quality management and improvement; and provider credentialing and re-credentialing systems.
The Accreditation Association's Managed Care Program has received Medicare Advantage Deemed Status from the Centers for Medicare and Medicaid Services.
Resources:
In order to help managed care organizations prepare for an accreditation survey, the Accreditation Association has developed the AAAHC Accreditation Guidebook for Managed Care Organizations. This Guidebook provides information on the Accreditation Association's standards and how they are applied to managed care organizations. This guidebook also includes information on policies and procedures, as well as worksheets to help managed care organizations prepare for their survey.
Downloads are:
Adobe's Portable Document Format (PDF) - Note: You must have Adobe Acrobat software on your computer to view a PDF file.
| Guide for Managed Care Organizations |
| Advantages of AAAHC Accreditation For Managed Care Organizations |
Meeting the Accreditation Association Standards
For Managed Care Organizations |
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We Can Help State Agencies Provide Oversight of
Medicaid Managed Care Organizations Accreditation |
APPLY FOR A MANAGED CARE ORGANIZATION SURVEY:
The second version of the revised Application for Survey is a web-based application. This will require organizations to electronically submit all application materials to the AAAHC. If you have any questions about the change to the application, please contact an Application Coordinator at [email protected] or 847-853-6060
Access Online Application
NOTE: Organizations downloading the Application for Survey must also download the Business Associate Agreement for HIPAA compliance purposes.
Download Business Associate Agreement
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