Alliance Health Receives NCQA Accreditation

Alliance Health, the Medicaid Managed Care Organization (MCO) for Cumberland, Durham, Johnston, and Wake counties in North Carolina, has earned Full Medicaid Managed Behavioral Health Organization (MBHO) Accreditation with a Long-Term Services and Supports (LTSS) Distinction from the National Committee for Quality Assurance (NCQA).

Alliance is one of three MCOs in North Carolina to earn a full three-year accreditation and only the second MCO to earn LTSS Distinction. Full accreditation is granted for a period of three years to those plans that have excellent programs for continuous quality improvement and meeting NCQA’s rigorous standards.

NCQA MBHO Accreditation is a nationally-recognized evaluation that purchasers, regulators, and consumers can use to assess MBHOs. NCQA MBHO Accreditation evaluates how well a health plan manages all parts of its delivery system – practitioners and provider organizations – in order to continuously improve care for its members. NCQA reviews include rigorous on-site and off-site evaluations conducted by a team of managed care experts. A national oversight committee of physicians and behavioral health providers analyses the team’s findings and assigns an accreditation level based on the MBHO’s performance compared to NCQA standards.

“Alliance Health’s MBHO Accreditation is proof that it’s an organization which works hard to coordinate care, provide access and good customer support for members,” said Margaret E. O’Kane, NCQA President. “It’s a sign that Alliance is focused on improving the behavioral health of its members.”

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in informed health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/ncqa.org/, and on LinkedIn at linkedin.com/company/ncqa.