Monroe Plan is Proud to be NCQA Accredited

NCQA Health Plan Accreditation is a widely recognized, evidence-based program dedicated to quality improvement and measurement. Monroe Plan is proud to have passed this rigorous evaluation and earned NCQA Accreditation for Care Management and Utilization Management Programs for several years running. Earning the NCQA distinction places Monroe Plan among an elite group of Health Care Service Organizations. It is a true testament to the caliber of our team and the quality of the work that we do every day!

NCQA is the:

        • Most widely-recognized accreditation program in the United States.
        • Most comprehensive evaluation in the industry.
        • Only assessment that bases results of clinical performance (i.e., HEDIS measures) and consumer experience (i.e., CAHPS measures).

Case Management

Monroe Plan is proud to have been awarded NCQA accreditation for the past 10 years. Case Management is widely recognized as a vital part of the health care delivery system. At Monroe Plan, Case Management is a highly collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet comprehensive medical, behavioral, and social needs of patients and their families while promoting quality, cost-effective outcomes. NCQA Accreditation solidifies that Monroe Plan’s Case Management experience, expertise, and outcomes are exceptional. Learn more about how our Case Management Programs can improve your Organization’s performance!

Utilization Management

Monroe Plan’s Utilization Management Program has been NCQA Certified for over 8 years and is one of a small number of Organizations in the Country to have this designation. We know that Utilization Management (UM) when done well, helps ensure that patients have the proper care and the required services without overusing resources. The NCQA assessment team does a deep dive into the operational, compliance, and provider and member satisfaction elements of an Organizations’ UM program. Monroe Plan passes each time with flying colors! Learn more about how our Utilization Management Program can improve your Organization’s performance!