URAC Accreditation In Illinois

Illinois recognizes that URAC's programs meet the necessary state standards for accreditation. 

  • 215 ILCS 134/85 - Health Utilization Management Accreditation
  • 820 ILCS 205/8.7(b) - Workers Compensation Utilization Management Accreditation
  • 215 ILCS 134/80 - Health Plan Accreditation
  • Marketplace Health Plan Accreditation

URAC accreditations meet the state standards and you can be accredited in six months or less.

Illinois Recognizes URAC's Accreditation Programs

The Illinois Department of Insurance and the Department of Healthcare and Family Services recognize that URAC's programs meet the necessary state standards for accreditation. This acknowledgment can enhance the credibility of organizations that are accredited, ensuring they adhere to high-quality practices in health care.

URAC is the leading independent, national accreditation organization is widely recognized by nearly every state and the federal government for our quality accreditation programs. Our accreditation programs help ensure that your organization adheres to high standards of quality and efficiency, ensuring better outcomes for your organization and patients.

URAC is different from other accrediting organizations; our programs are not prescriptive and this flexibility enables your organization to develop policies and procedures - that ensure the highest quality outcomes.

URAC Accreditation Is Recognized In Illinois

Health Utilization Management Accreditation

Applies to stand-alone UM Organizations and to UM functions inside health benefit programs

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Workers’ Compensation Utilization Management Accreditation

Provides for determination of medical necessity for workers covered under a Workers' Compensation program

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Health Plan Accreditation

Performs and/or delegates coverage of designated health services for members

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Marketplace Health Plan Accreditation

Performs and/or delegates coverage of designated health services through a Health Insurance Marketplace program

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What To Expect

Within six months or less, we will provide an impartial evaluation of your utilization management program. URAC’s thorough approach to accreditation stimulates best practices, through email, conference calls and educational webinars.