NCQA vs URAC -
Study Set 1
questions and
answers
NCQA - answer There is a current, signed
attestation statement from the applicant
regarding the reasons for any inability to
perform the essential functions of the
position, with or without accommodation,
and the lack of present illegal drug use.
URAC - answer Application includes
disclosure of any physical, mental, or
substance abuse problems that could,
without reasonable accommodation, impede
the practitioner's ability to provide care
according to accepted standards of
professional performance or pose a threat to
the health or safety of patients.
, NCQA - answer CR1, Factor 1)Non physician
practitioners who have an independent
relationship with the organization and
provide care under the organization's
medical benefits must be credentialed.
URAC - answer All practitioners who are
participating providers and who provide
covered health care services to consumers
and those who appear in the organization's
provider directory are credentialed. The
organization verifies the qualifications of all
AHPs that may provide clinical services to
consumers through a written agreement with
the organization.
NCQA AND URAC - answer Not specifically
addressed.
This was a trick question
NCQA - answer Recredential at least every
36 months. NCQA counts the three-year 36
month cycle to the month, not to the day. For
Study Set 1
questions and
answers
NCQA - answer There is a current, signed
attestation statement from the applicant
regarding the reasons for any inability to
perform the essential functions of the
position, with or without accommodation,
and the lack of present illegal drug use.
URAC - answer Application includes
disclosure of any physical, mental, or
substance abuse problems that could,
without reasonable accommodation, impede
the practitioner's ability to provide care
according to accepted standards of
professional performance or pose a threat to
the health or safety of patients.
, NCQA - answer CR1, Factor 1)Non physician
practitioners who have an independent
relationship with the organization and
provide care under the organization's
medical benefits must be credentialed.
URAC - answer All practitioners who are
participating providers and who provide
covered health care services to consumers
and those who appear in the organization's
provider directory are credentialed. The
organization verifies the qualifications of all
AHPs that may provide clinical services to
consumers through a written agreement with
the organization.
NCQA AND URAC - answer Not specifically
addressed.
This was a trick question
NCQA - answer Recredential at least every
36 months. NCQA counts the three-year 36
month cycle to the month, not to the day. For
