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

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

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