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

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

You have a choice for your health plan accreditation

Did you know...

URAC offers health plan accreditation in all 50 states, plus Puerto Rico and Washington, DC? 

URAC Health Plan Map of the USA
URAC Health Plan Map of the USA

URAC offers multiple accreditations for health plans of all sizes. We develop our programs with the input of a variety of health care stakeholders to ensure that our accreditations address the key issues that face health plans and payers across the country.

From mental health parity to telehealth, our accreditation experts can help you find the right accreditations for your organization. And our improved process saves you time and staff hours! 

URAC Accreditation Programs

We purposely designed our accreditation approach to be collaborative. It facilitates learning and continuous quality improvement in your organization. While we set the standards, we don't dictate how they are achieved.

This flexibility encourages and supports innovation by your team. All URAC health care accreditations are independently validated ensuring the highest standards of care.

Health Plan

Patient and Doctor - CMS CCIIO accepts URAC Health Plan Accreditation Standards

URAC’s full suite of health plan accreditations include Medicaid, Commercial, Medicare and Exchange programs, some of which include an additional module for organizations that provide Long-term services and supports.

We offer our accreditations in all 50 states. Our new program reduced document upload by more than 50% and around three staff working days! 

  • View our Health Plan accreditation programs here
Mental Health Parity
Health Utilization Management
Digital/Telehealth
Health Website

Our health plan offers you the best value for your accreditation dollars with URAC.

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

  • Includes contemporary concepts about artificial intelligence and machine learning.
  • Addresses mental health parity, which is enforced by individual states and the Federal Department of Labor.
  • Allows health plans to establish their own metrics and performance monitoring so they are meaningful to the plan’s goals.

Be Better Prepared

At URAC, our Health Plan Accreditation process is more than collecting metrics and checking boxes. Only URAC offers your health plan a collaborative, comprehensive learning experience, driven by your organization's specific needs.

URAC Accreditation Star

What to Expect

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