The Centers for Medicare and Medicaid Service’s (CMS’s) deeming program allows Medicare Advantage (MA) organizations to satisfy certain federal requirements by earning accreditation from an approved accrediting organization. This program allows MA organizations to earn “deemed” status for CMS requirements in the permitted domains, thus avoiding a full CMS audit
URAC was approved as a CMS-approved accreditation organization for MA deeming of HMOs/PPOs in 2012 for a six-year term. URAC’s renewal application for approval of MA deeming authority has been accepted and is currently in a 30-day public comment period as of December 26, 2018.
URAC clients benefit from our unique accreditation process, which facilitates learning and helps the organization create a framework for continuous improvement. In addition, URAC’s MA program features a simplified accreditation process, focused standards, reduced compliance burden, and affordable pricing.
The URAC-accredited organization meets CMS Medicare Advantage regulatory standards in the following areas:
Confidentiality and Accuracy of Enrollee Records
Information on Advance Directives
Provider Participation Rules
Who may apply?
Health plans, including Health Maintenance Organizations and Preferred Provider Organizations.