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.
Vaccine Administration, Point-of-Care Testing, Drug Therapy Management, Community Dispensing.
Performs support services for specialty pharmacies; does not dispense medications.
Medicare pharmacy-based infusion organizations.
Pharmacy benefit management companies, health plans, other health care organizations.
Patient Care Management
Performs pre-review/initial screening by non-clinical staff
Provides for interactive care coordination in collaboration with patients and other stakeholders
Provides for determination of medical necessity for workers covered under a Workers' Compensation program
Coordinates services, education and information-sharing between hospitals, physicians, post-acute care providers and patients
Operates in health care and is not eligible for other URAC accreditation
Offers non-clinical services, e.g., support, customer services or telemarketing
Provides health services through a provider network that coordinates care across the continuum
Improves coordination of care and patient outcomes through a team-based model
Performs and/or delegates an independent, objective assessment of a patient's medical condition
Provides third-party medical review resouce for objective, unbiased review decisions
Coordinates care for a defined population of beneficiaries through a provider network
For employer- and/or union-sponsored care delivery models that focus on population health and care coordination
Designed for URAC-accredited organizations that integrate behavioral health into their model of primary care
Designed for URAC-accredited organizations that provide evidence-based care for behavioral health conditions
Gathers information and verifies provider credentials to determine qualifications
Performs and/or delegates dental network functions, including management, credentialing and recredentialing
Performs and/or delegates health network functions, including management, credentialing and recredentialing
Digital Health and Telehealth
Supports telehealth providers but does not directly provide care
Uses digital technologies to collect health data and transmit to health care providers
Performs and/or delegates coverage of designated health services for members
Performs and/or delegates coverage of designated health services through a Health Insurance Marketplace program
Performs and/or delegates the management of Medicare patients' care
Performs and/or delegates coverage of designated dental plan services for members
Health plan with a program to provide long-term services and supports to members
Performs and/or delegates coverage of designated health services for Medicaid members
Health plan with a program to provide long-term services and supports to Medicaid members