URAC is the Gold Standard for Health Care Accreditation

URAC’s approach to the accreditation process allows organizations to improve their health care activities through collaboration and iteration. This approach allows you to determine the best way forward for your organization’s improvements.

URAC’s full accreditation and certification standards are available for purchase and download here.

Pharmacy

Specialty Pharmacy Accreditation

Performs and/or delegates the dispensing of specialty medications.

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Mail Service Pharmacy Accreditation

Ships traditional prescription medicines and/or supplies.

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Pharmacy Services Accreditation

Vaccine Administration, Point-of-Care Testing, Drug Therapy Management, Community Dispensing.

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Specialty Physician Practice Dispensing Accreditation

Physician's office dispensing specialty medications from a physician order.

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Rare Disease Certification

Manages rare disease-related services/assistance/specialized care.

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Specialty Pharmacy Services Accreditation

Performs support services for specialty pharmacies; does not dispense medications.

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Specialty Pharmacy Accreditation For Small Businesses

Created for small specialty pharmacies.

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Mail Service Pharmacy Accreditation For Small Businesses

Created for small mail service pharmacies.

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Infusion Pharmacy Accreditation

Non-Medicare pharmacy-based infusion organizations.

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Medicare Home Infusion Therapy Supplier Accreditation

Medicare pharmacy-based infusion organizations.

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Pharmacy Benefit Management Accreditation

Pharmacy benefit management companies, health plans, other health care organizations.

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Opioid Stewardship Designation

Manages patients' use of or access to opioid medication.

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Patient Care Management

Health Utilization Management Accreditation

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

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Health Utilization Management Certification

Performs pre-review/initial screening by non-clinical staff

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Case Management Accreditation

Provides for interactive care coordination in collaboration with patients and other stakeholders

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Health Call Center Accreditation

Provides for clinical services and support via phone for patients

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Disease Management Accreditation

Manages a population with chronic disease and co-morbidities

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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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Opioid Stewardship Designation

Manages patients' use of or access to opioid medication.

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Transitions Of Care Designation

Coordinates services, education and information-sharing between hospitals, physicians, post-acute care providers and patients

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Specialty Physician Practice Dispensing Accreditation

Physician's office dispensing specialty medications from a physician order.

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Administrative Management

Health Care Management Certification

Operates in health care and is not eligible for other URAC accreditation

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Contact Center Certification

Offers non-clinical services, e.g., support, customer services or telemarketing

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Clinically Integrated Network Accreditation

Provides health services through a provider network that coordinates care across the continuum

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Patient-Centered Medical Home Certification

Improves coordination of care and patient outcomes through a team-based model

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Independent Medical Examination Accreditation

Performs and/or delegates an independent, objective assessment of a patient's medical condition

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Independent Review Organization Accreditation

Provides third-party medical review resouce for objective, unbiased review decisions

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Provider-Based Population Health Accreditation

Coordinates care for a defined population of beneficiaries through a provider network

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Employer-Based Population Health Accreditation

For employer- and/or union-sponsored care delivery models that focus on population health and care coordination

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Integrated Behavioral Health Designation

Designed for URAC-accredited organizations that integrate behavioral health into their model of primary care

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Measurement-Based Care Designation

Designed for URAC-accredited organizations that provide evidence-based care for behavioral health conditions

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Credentials Verification Organization Accreditation

Gathers information and verifies provider credentials to determine qualifications

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Dental Network Accreditation

Performs and/or delegates dental network functions, including management, credentialing and recredentialing

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Health Network Accreditation

Performs and/or delegates health network functions, including management, credentialing and recredentialing

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Health Content Provider Certification

Develops and distributes health content through website or other distribution

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Independent Dispute Resolution Designation

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Digital Health and Telehealth

Telehealth Accreditation

Performs and/or delegates health care services via telecommunications technology

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Telehealth Support Services Certification

Supports telehealth providers but does not directly provide care

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Health Website Accreditation

Provides health information to users through a website

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Remote Patient Monitoring Accreditation

Uses digital technologies to collect health data and transmit to health care providers

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Health Content Provider Certification

Develops and distributes health content through website or other distribution

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Opioid Stewardship Designation

Manages patients' use of or access to opioid medication.

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Health Plan

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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Medicare Advantage Organization Accreditation

Performs and/or delegates the management of Medicare patients' care

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Dental Plan Accreditation

Performs and/or delegates coverage of designated dental plan services for members

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ParityManager Software

Software solution for health plan parity compliance

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Opioid Stewardship Designation

Manages patients' use of or access to opioid medication.

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Small Health Plan Offering

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Health Plan with Long-Term Services and Supports

Health plan with a program to provide long-term services and supports to members

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Medicaid Health Plan

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

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Medicaid with Long-Term Services and Supports

Health plan with a program to provide long-term services and supports to Medicaid members

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Telehealth Accreditation

Performs and/or delegates health care services via telecommunications technology

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Health Utilization Management Accreditation

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

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