Neighborhood is rated as one of the Top 10 Medicaid plans in the nation for Effectiveness of Care

NCQA Accreditation

Neighborhood Health Plan of Rhode Island (Neighborhood) is fully accredited with the National Committee for Quality Assurance (NCQA). NCQA is an independent, non-profit organization whose mission is to improve health care quality everywhere. 

NCQA Accreditation is a nationally recognized evaluation that purchasers, regulators, and consumers can use to assess managed care plans. NCQA Accreditation evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers and administrative services – in order to continuously improve health care for its members.  NCQA accreditation surveys include rigorous on-site and off-site evaluations of over 60 standards and selected HEDIS® performance measures.  A team of physicians and managed care experts conducts accreditation surveys.  A national oversight committee of physicians analyzes the team’s findings and assigns an accreditation level based on the performance level of each plan being evaluated to NCQA’s standards. 

Neighborhood earned NCQA’s ‘Excellent’ Accreditation status in 2002. NCQA’s ‘Excellent’ Accreditation status is reserved for the best health plans in the nation.  It is only awarded to those plans that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.  To learn more about NCQA , please visit the NCQA website at www.ncqa.org.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).