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AmeriHealth Caritas District of Columbia Achieves NCQA’s Commendable Accreditation Status

AmeriHealth Caritas District of Columbia, a Medicaid managed care plan serving the District of Columbia and a member of the AmeriHealth Caritas Family of Companies, has earned a Commendable Health Plan Accreditation status from the National Committee for Quality Assurance (NCQA).

NCQA awards a status of Commendable to organizations with service and clinical quality that meet NCQA's rigorous requirements for consumer protection and quality improvement. Through ongoing evaluation and continuous quality improvement, AmeriHealth Caritas District of Columbia improved its accreditation status based on a review of the health plan’s most recent Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) scores.

“We always strive for performance excellence in every facet of our work, even as we confront the deeply challenging social risk factors which pose barriers to the health and well-being of our members," said Market President Karen Dale. “Raising our NCQA accreditation status reflects our strong commitment to our members and our mission to build resilient and healthier communities.”

NCQA is a private, non-profit 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 is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. NCQA Accreditation not only involves a rigorous review of a health plan’s consumer protection and quality improvement systems, but also requires health plans to submit audited data on key clinical and service measures (e.g., mammography screening rates; smoking cessation; consumer satisfaction) in order to achieve the highest levels of accreditation.

About AmeriHealth Caritas District of Columbia

AmeriHealth Caritas District of Columbia, a member of the AmeriHealth Caritas Family of Companies, is a Medicaid managed care health plan that serves Medicaid recipients living throughout the District of Columbia. Headquartered in the District, AmeriHealth Caritas District of Columbia is a mission-driven company dedicated to helping members get care, stay well and build healthy communities.

About AmeriHealth Caritas

AmeriHealth Caritas is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 17 states and the District of Columbia, AmeriHealth Caritas serves more than 5.7 million Medicaid, Medicare and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience serving low-income and chronically ill populations.