NCQA Accreditation

The National Committee for Quality Assurance is a private, not-for-profit organization dedicated to improving healthcare quality. NCQA strives to transform healthcare quality through measurement, transparency, and accountability.

About NCQA Accreditation

NCQA Accreditation evaluates the quality of key processes and systems health plans provide their members. The standards are intended to help organizations achieve the highest level of performance possible, reduce patient risk, and create an environment of continuous improvement. NCQA sends a team of trained healthcare experts, including physicians, to conduct a rigorous on-site survey of each health plan being considered for accreditation.

NCQA Accredited Entities

  • Humana Insurance Company – Kansas, Missouri, Illinois, Texas, Utah and Wisconsin for Commercial PPO
  • Humana Insurance Company – Arizona*, Illinois*, Kansas*, Kentucky*, Missouri*, Ohio*, Tennessee*, Texas*, Utah* and Wisconsin* for Medicare PPO
  • Humana Medical Plan, Inc. – (Florida), Commercial HMO/POS, Medicare HMO*, Medicaid HMO
  • Humana Health Plan of Texas, Inc. – Commercial HMO/POS
  • Humana Health Plan, Inc. –
    • Commercial HMO/POS: Arizona, Colorado, Kentucky*, Kansas/Missouri, Illinois, Tennessee*;
    • Medicare HMO: Arizona, Colorado, Kansas/Missouri, Texas
    • Medicare/Medicaid  Dual Demonstration: Illinois
    • Commercial PPO: Kentucky
  • Humana Wisconsin Health Organization Insurance Corporation – Commercial HMO/POS* (Wisconsin) and Medicare HMO* (Wisconsin and Ohio)
  • Humana Health Plan of Ohio, Inc. – Commercial HMO/POS
  • Humana Employers Health Plan of Georgia, Inc. – Commercial HMO/POS, Medicare HMO
  • Humana Health Benefit Plan of Louisiana, Inc. – Commercial HMO, Medicare HMO*
  • Cariten Health Plan, Inc. – (Tennessee) Medicare HMO*
  • Humana Benefit Plan of Illinois, Inc. – Medicare HMO*
  • Arcadian Health Plan, Inc (Kentucky) – Medicare HMO
  • Go365 – Accredited by NCQA in Wellness and Health Promotion with Performance Measures

* Denotes health plans with an accreditation status of Commendable. All other plans have a status of Accredited.