WASHINGTON – January 10, 2019 – CMS published a proposed notice in the Federal Register on December 26, 2018, announcing that it is considering granting approval of URAC’s renewal application for Medicare Advantage “deeming authority” for a new six-year term. The notice announces a 30-day public comment period, which ends no later than 5 p.m. January 25, 2019.
URAC's Medicare Advantage Accreditation standards are mapped directly to CMS requirements, and recognized by CMS as being in compliance with federal regulatory requirements related to their Part C coverage for:
- Quality improvement
- Confidentiality and accuracy of enrollee records
- Information on advance directives
- Provider participation rules
URAC’s new Medicare Advantage Accreditation program is a stand-alone accreditation (health plan accreditation not required), featuring a simplified accreditation process, focused standards, reduced compliance burden, and affordable pricing. The accreditation process has been streamlined to shorten the timeline and effort needed for MA organizations to achieve URAC accreditation while easing CMS oversight.
“A Medicare Advantage plan faces a unique regulatory environment that is tailored to address the specific needs of Medicare beneficiaries. URAC’s Medicare Advantage Accreditation is uniquely designed to meet the specific regulatory and population requirements that govern Medicare,” said Aaron Turner-Phifer, Vice President of Government Relations. “Given the significant difference in the regulatory environment governing Medicare Advantage, URAC offers this focused accreditation program as a separate product that makes accreditation an effective compliance tool for organizations offering these plans.”
URAC anticipates having its “deeming authority” promptly approved by CMS, and is accepting applications for Medicare Advantage Accreditation.
Founded in 1990, URAC is the independent leader in advancing healthcare quality through leadership, accreditation, measurement and innovation. URAC offers a wide range of quality benchmarking programs that reflect the latest changes in healthcare and provide a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. URAC’s evidence-based measures and standards are developed through inclusive engagement with a broad range of stakeholders committed to improving the quality of healthcare. For more information, visit urac.org.