3 easy steps to begin your URAC accreditation

Obtain

the standards at the URAC store

Request

a quote / consultation

Three Stages of Accreditation - Sign the agreement

Sign

the application agreement for accreditation

Texas Health and Human Services Commission has established MCO requirements for compliance with HB 4533. MCOs must achieve accreditation with either URAC or NCQA by September 1, 2022. HHSC has determined that the accreditation requirement applies to both MCOs and DMOs. DMOs will need to be URAC accredited as it is the only entity offering dental plan accreditation.

Better Prepared for Accelerating Change

After decades of consistency, the world of dental insurance is gradually shifting in areas that go beyond the turbulence brought on by the coronavirus.

  • Insuretechs, those technology companies that aim identify savings and efficiencies, are bringing innovations such as teledentistry and apps that track dental habits.
  • Dental therapists, discount plans and online shopping portals are improving access to care.
  • Some dental and medical plans are converging, with an eye toward coordinated care and value-based reimbursement.
  • Providers are moving toward large group practices and private equity ownership.

Dental health plans with a strong foundation that gives them the ability to capitalize on opportunities will thrive in this competitive landscape. This is where URAC can help. Achieving Dental Plan Accreditation from URAC signals to stakeholders—from patients and providers to potential partners—that your dental plan has fine-tuned its operations and adheres to a set of rigorous quality standards organization-wide.

Comprehensive Standards

URAC’s Dental Plan Accreditation gives you access to a team of experts who work collaboratively with your team to ensure compliance with industry best practices in all areas of management, including:

  • Operations, organizational structure, interdepartmental coordination and oversight of delegating functions
  • Regulatory compliance
  • Quality Management
  • Consumer protection and empowerment
  • Network management, including credentialing and oversight roles
  • Health Utilization Management
  • Risk Management

For those with offerings on the Health Insurance Marketplace, additional standards will be examined, such as provider directory requirements, delegation contracts, standard format for presenting benefit plan options and experience of care ratings using CAHPS®.

Learn more about Dental Network Accreditation.

“Being accredited by URAC demonstrates our commitment to quality and compliance with standards that align with expectations for value-based delivery of dental care.”

Dr. Amir Neshat
Founder and CEO
LIBERTY Dental Plan

Long-Lasting Benefits

URAC Accreditation brings a dental plan many benefits in every area of their business, including:

• Elevates contracting power, credibility and differentiation over competitors as this valued, objective credential assures providers and members the plan adheres to industry best practices in all areas
• Become a lean, smarter and more effective organization by streamlining quality management processes and improving regulatory compliance based on outcomes
• Enhances provider satisfaction through programming that documents and optimizes orientation, fee-schedule changes, dispute resolution mechanisms, clinical practice guidelines, clinical review criteria and other essential activities
• Delivers risk management peace-of-mind with standards that prevent, protect, and manage liabilities, including patient safety, patient health and drug utilization management
• Improves member satisfaction and loyalty through services to identify trends and opportunities for improvement as well as ensure clear communication about benefit plans, coverage, provider availability and more

Download our Standards-at-a-Glance.

MCNA Dental

"Being the first to achieve Dental Plan Accreditation from URAC is a hallmark of excellence for MCNA. The URAC seal of approval validates our approach to operations and clinical management.”

Dr. Jeffrey P. Feingold
Founder, President and CEO
MCNA

What to Expect

In six months or less, URAC will collaborate with your team to create a flexible framework for continuous improvement without prescribing how to meet those standards. For instance, you will choose three quality improvement projects that address opportunities for error reduction or performance improvement related to the services covered by accreditation. URAC’s approach stimulates innovation across the continuum of care through email, conference calls and web conferencing.

Who May Apply

Dental plans operating in the United States and its territories are eligible to apply.