Case Management Certification Clause Samples

Case Management Certification. The Contractor’s System shall: i. NE13.1 Meet and maintain the requirements that will allow State programs to secure certification in Case Management by the National Committee for Quality Assurance (NCQA). (R1 FINAL) ii. NE13.2 Meet and maintain the requirements that will allow State programs to secure certification in Disease Management and/or Health Utilization Management by the Utilization Review Accreditation Commission (URAC) or National Committee for Quality Assurance (NCQA). (R1 FINAL) G. TECHNICAL REQUIREMENTS