Federal Register #2026-15116

CMS Renews NCQA Deeming Authority for Medicare Advantage HMOs and PPOs

This notice announces the renewal of deeming authority for the National Committee for Quality Assurance (NCQA) by the Centers for Medicare & Medicaid Services (CMS), part of the Department of Health and Human Services. - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - OEM/Vendor: - National Committee for Quality Assurance (NCQA) - Purpose: - Renewal of NCQA's authority to accredit Medicare Advantage Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) - Scope of Deeming Authority: - Quality Improvement - Anti-Discrimination - Confidentiality and Accuracy of Enrollee Records - Information on Advance Directives - Provider Participation Rules - Notable Details: - NCQA is the only organization mentioned and is highlighted as the sole accrediting body in this context - No procurement of products or services is being requested; this is a regulatory approval - The renewal follows a comprehensive review of NCQA's standards, processes, and performance - No product or service line items are included in this notice

Description

This notice announces the approval of the renewal application for Medicare Advantage deeming authority of the National Committee for Quality Assurance (NCQA) for Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). The renewal term is for 6 years, from May 18, 2026 through May 18, 2032. The deeming authority allows NCQA to accredit Medicare Advantage organizations, ensuring they meet Medicare requirements in areas such as Quality Improvement, Anti-Discrimination, Confidentiality and Accuracy of Enrollee Records, Information on Advance Directives, and Provider Participation Rules. The approval follows a detailed review of NCQA's accreditation standards, survey processes, and past performance.

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