URAC Health Plan Map of the USA

3 easy steps to begin your URAC accreditation

Obtain the standards at the URAC store
Request a consultation
Sign the application agreement for accreditation
Sign the application agreement for accreditation
URAC Health Plan Accreditation gives you the choice back

URAC offers health plan accreditation in all states and territories

And there are 13 states where URAC fulfills state requirements for health plan accreditation: Connecticut, Florida, Iowa, Michigan, Minnesota, Montana, North Dakota, New Jersey, New Mexico, Nevada, Texas, Utah, Vermont.

Under the ACA, to operate on the Exchanges, qualified health plans must be accredited by a recognized accrediting entity such as URAC.

The updates to URAC’s Health Plan with Long-Term Services and Supports Accreditation program reduces accreditation application document uploads by more than 50%, saving time by eliminating repetitive steps!

URAC Health Plan Accreditation with Long-Term Services and Supports

URAC now offers a Health Plan Long-term Services and Supports (LTSS) module that health plans can use to demonstrate their commitment to addressing the needs of their members in an effective and resource-efficient manner.

LTSS encompasses the broad range of medical and personal care assistance that health plan members may need – for several weeks, months or years – when they experience difficulty completing self-care tasks as a result of aging, chronic illness or disability.

You have a choice in your Health Plan Accreditor!

Now more than ever, it’s important for health plans of all sizes to ensure they are working with the best accreditor for their needs. URAC’s updated Health Plan Accreditation program addresses the needs of health plans by streamlining our standards to shorten the timeline.

Our new affordable and competitive pricing ensures health plans get the best value for their accreditation dollars with URAC.

What makes us better than and different from other health plan accreditors? URAC Health Plan Accreditation:

  • Allows health plans to be in the driver’s seat to establish their own metrics and performance monitoring so they are meaningful to the plan’s goals
  • Includes contemporary concepts about artificial intelligence, machine learning and regulatory requirements regarding network management
  • Addresses mental health parity, which is increasingly important and enforced by individual states and the Federal Department of Labor
URAC Accreditation Star
Getting started with Health Plan with Long-term Supports and Services

Be Better Prepared

At URAC, the Health Plan Accreditation process is more than collecting metrics and box checking. Only URAC offers you extensive industry knowledge through a comprehensive program that creates the structure to drive efficiencies and outcomes in today’s value-based model of health care.

What does it take to get Accredited

Who May Apply

Health plans, including commercial plans such as health maintenance organizations, preferred provider organization, self-insured and Medicaid plans, are eligible to apply. As a non-profit working to strengthen quality standards across the health care continuum, URAC now offers special pricing to accommodate small health plans.

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