Advanced HPA 2021: Mastering Must Pass Elements

Cost: $670

Advanced HPA 2021: Mastering Must Pass Elements

This OnDemand course offers an interactive environment for participants to address trending issues pertaining to must-pass elements in Health Plan Accreditation (HPA), including implications for derivative products (i.e., UM-CR-PN, Credentialing, MBHO). Critical aspects for interpreting requirements that impact Accreditation status are also discussed. For applied learning, faculty lead activities are included to provide attendees with opportunities to interpret requirements pragmatically. In accordance with the NCQA Education and Training Program Terms of Use and Participation, each participant must register individually as shared access is strictly prohibited.

Target Audience

  • ​​​​​​Administrators and Clinicians
  • Consultants, Contractors, and Vendors
  • Directors, Managers, Specialists, and Coordinators
  • Professionals at Health Plans or Managed Care Organizations
  • Professionals of Compliance, Regulation, or Public Policy
  • Professionals of Population or Public Health
  • Professionals of Performance, Quality, or Risk Management
  • Professionals of Quality Assurance or Improvement

Learning Objectives

  • Discuss issues and needs that drive must-pass elements.
  • Distinguish and evaluate key attributes of must-pass elements and critical factors.
  • Address common misconceptions of requirements.
  • Critique scenarios to effectively manage requirements.
  • Exchange pragmatic approaches for managing requirements.
Course summary
Available credit: 
  • 1.00 Participation
Course opens: 
Course expires: 

Clint Koenig, MD, MA, MSPH

Clint Koenig, MD, MA, MSPH is the senior Medical Director at OhioHealthy, a new system-based health plan in Columbus Ohio. He has served as State Medical Director in New Hampshire and Ohio. Other leadership roles include the Health Plan Regional Chief Medical Officer at Universal American, a government programs health management organization in Syracuse New York as well as the Director for Utilization Management at Monroe Plan for Medical Care, a healthcare management organization in Rochester, New York. In addition, Clint held Chief Medical Officer roles in Federally Qualified Health Centers and integrated delivery systems.

He has been an NCQA surveyor for 10 years and surveys health plans, Patient Centered Medical Home, Special Needs Plans and Long Term Services and Supports organizations.

Dr. Koenig received his MD from Albany Medical College in Albany, NY. He completed his residency in Family Medicine, from the University of Missouri. He also completed a fellowship at the University of Missouri, where he received Masters degrees in Public Health and Journalism.

Veronica Locke, MHSA

Veronica Locke is a consultant for The Mihalik Group, providing healthcare-related consulting services.  Her areas of expertise include quality assessment and improvement; credentialing; delegation; disease management accreditation/certification; population health management; multicultural health care.

Veronica is the former Senior Manager of Accreditation Policy for the National Committee for Quality Assurance. She was actively involved in the development and maintenance of the standards and guidelines of NCQA's Accreditation and Certification programs, specifically Health Plan, Disease Management and Multicultural Health Care Distinction programs. As a member of the Policy team, one of her major responsibilities was to serve as a content champion when providing policy clarifications and trainings internally and externally.

She received her Bachelor of Science Degree in Public Health from the University of Maryland, College Park and her Master of Health Systems Administration Degree from Georgetown University in Washington, DC.

This is a non AMA PRA Category 1 CreditTM, ANA CNE, APA, ACPE and ASWB ACE activity.

Available Credit

  • 1.00 Participation


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