Explaining HPA 2022: Credentialing (CR) - OnDemand
Explaining HPA 2022: Credentialing (CR) - OnDemand
This OnDemand course provides a focused and thorough examination of the Health Plan Accreditation Standards for Credentialing (CR). Faculty will equip participants with guidance for interpreting the requirements, navigating the standards, and avoiding misconceptions. Faculty will also facilitate short activities to simulate how to address requirements. This course is appropriate for any professional with either a direct or indirect stake in NCQA Accreditation.
This course presents information based on the requirements from the Health Plan Accreditation 2022 Standards. Therefore, the content of this course applies directly to NCQA Accreditation Surveys conducted between July 1, 2022 and June 30, 2023.
- For content pertaining to Delegation requirements, use “Delegation” to search NCQA courses at www.ncqa.org/education-training/
- For content dedicated to the policies and procedures for Health Plan Accreditation, please consider taking the course Fundamentals of Health Plan Accreditation (HPA
To inquire about group training rates, complete our online form.
- System Controls for Credentialing
- Credentialing Committee
- Credentialing Verification
- Ongoing Monitoring and Interventions
- Assessment of Organizational Providers
Benefits and Resources:
- Presentation Slides
- Recording of Live Session
- Live Q&A
- Scenarios for Applied Learning
- Perspective from Former NCQA Policy Staff
- ACCME Credits for Clinicians
For learning optimization, please share your learning needs or performance goals by completing short pre-assessment survey.
For inquiries regarding group training rates, please complete our online form.
- Clinicians, Directors, Managers, Specialists, and Coordinators
- Consultants, Contractors, Delegates, and Vendors
- Health Plans and Managed Care Organizations
- Professionals in Population Health or Public Health
- Professionals in Compliance, Public Policy, or Risk Management
- Professionals in Quality Assurance/Improvement or Performance Measurement
- Explain the intent of the HPA Standards for Credentialing (CR).
- Define performance issues and target results within the scope of requirements.
- Describe relationships and themes across the CR Elements.
- Discuss requirement implications and considerations for stakeholder groups.
- Critique examples and scenarios to enhance application.
Veronica Locke, MHSA
Veronica Locke, MHSA is a process consultant with the Health Care Service Corporation (HCSC) in Dallas, Texas. Prior to joining HCSC, Veronica was 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.
In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) to provide Interprofessional Continuing Education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 2.5 Interprofessional Continuing Education (IPCE) credit for learning and change.
This educational activity is approved for: 2.5 AMA PRA Category 1 CreditTM.
This educational activity is approved for 2.5 nursing contact hours.*
This live course grants 2.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts. This course is not considered a required CCE quarterly webinar.
The assigned universal program number(s): JA0004597-0000-21-030-H04-P Upon successful
completion of this program (attending the full session and completing a program evaluation),
participants will access CPE Monitor on the ACPE website to locate and track their CPE statement
* Please note – You must attend the entire program to be eligible for total number of contact hours.
"ATTENTION: Effective February 1, 2022, this on-demand (enduring material) activity no longer offers credits for the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), or the Association of Social Work Boards (ASWB). Only applicable professionals who fully completed this on-demand activity prior to February 1, 2022, are eligible for AAPA, APA, or ASWB credits. No other CEUs are impacted by this change.”
Disclosure of Relevant Financial Relationships
The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.
For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution. For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.
Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.
Relevant financial relationships exist with the following companies/organizations:
Veronica Locke: None
Additional Planning Committee Members:
Clint Koenig: None
Vincent Pereira: None
Shelly Smith: None
This program was developed in part by NCQA staff.
This program received no commercial support.
- 2.50 ACPE
- 2.50 AMA PRA Category 1 Credit™
- 2.50 ANCC
- 2.50 IPCE
- 1.00 Participation
- 2.00 PCMH CCE