CBH Earns Highest Level NCQA MBHO Accreditation
Community Behavioral Health (CBH) has earned the National Committee for Quality Assurance’s (NCQA) Managed Behavioral Health Organization (MBHO) Full Accreditation.
The NCQA MBHO Accreditation, designated by Full or One-Year Accreditation, measures the effectiveness of a health plan’s operational management through a rigorous evaluation of nearly 60 quality standards conducted by a team of physicians and managed care experts. The MBHO Accreditation standards are used to help MBHOs achieve peak performance, reduce patient risks, and create consistent quality enhancement to improve healthcare for its members.
CBH began the application process in 2018 and, after a year-long assessment, earned the highest level accreditation. NCQA’s Full Accreditation lasts for three years and is granted to companies that meet all NCQA standards and achieve excellent ratings for programs and quality improvement.
CBH received top ratings in the following categories: Quality Management and Improvement, Utilization Management, Credentialing and Recredentialing, Member’s Rights and Responsibilities, and Care Coordination. CBH’s NCQA report card also highlighted the nonprofit’s new complex case management program, its credentialing committee, which includes network practitioners, and its latest Member Handbook publication.
CBH also launched cbhphilly.org to meet NCQA accreditation standards. The new website was developed with a member-centric focus to help navigate the Philadelphia behavioral health system. Members can now learn how to access services, identify a nearby service provider using the interactive provider directory, and view a list of covered services and member rights and responsibilities.
“Preparation for the accreditation was a cross-departmental effort that exemplifies our dedication to our members and our focus on quality. CBH’s commitment to helping all Philadelphians access high-quality behavioral health services is at the core of our mission every single day. I am very proud of this accomplishment and our CBH team,” said CBH Chief Executive Officer Joan Erney.
CBH’s Full Accreditation will stand for the next three years as the organization continues to maintain all required standards.
“Community Behavioral Health’s MBHO Accreditation is proof that it’s an organization which works hard to coordinate care, provide access, and good customer support for members,” said Margaret E. O’Kane, NCQA President, “It’s a sign that CBH is focused on improving the behavioral health of its members.”
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.
Community Behavioral Health (CBH) is a 501(c)(3) nonprofit organization that manages the Philadelphia HealthChoices Program. As a division of the City of Philadelphia’s Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), CBH administers the Medicaid behavioral health managed care program on behalf of the City of Philadelphia and effectively manages access to treatment and services for mental health and substance use issues. In 2018, over 717,000 Philadelphians were eligible for behavioral health services through Medicaid, and over 118,000 were served by CBH in the same year. CBH’s vast network of nearly 170 publicly-funded addiction and mental health treatment provider agencies operates at over 700 sites across the city. Employing more than 400 people and managing an annual budget of over $800 million, CBH aims to cultivate high-quality, evidence-based, and accessible behavioral health services for the people of Philadelphia. To learn more about CBH, visit cbhphilly.org.