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AAAHC Announces Revised Handbooks for Health Plans and FEHB Health Plans

With its commitment to serving as an educational, collaborative partner and resource, the Accreditation Association for Ambulatory Health Care (AAAHC) published version 41 of the Accreditation Handbook for Health Plans and the Accreditation Handbook for FEHB Health Plans. The revised editions provide the most current, trusted information and guidance for organizations seeking AAAHC accreditation that meets stringent operational and program requirements in such areas as quality and risk management, member rights and utilization management, patient safety and provider credentialing.

“Whether pursuing accreditation to fulfill regulatory requirements or as a tool to elevate organizational performance and quality in your health plan, the new handbooks contain expert-guided updates in our Standards to provide a relevant resource for your quality improvement journey,” said AAAHC Board Chair Ira Cheifetz, DMD. “The revised Standards uphold the AAAHC 1095 Strong, quality every day philosophy by driving excellence and survey readiness throughout the 1,095 days of the accreditation term.”

Version 41 of the Accreditation Handbook for Health Plans contains a moderate realignment of a few Standards based on the elimination of the previous “Clinical Records” and “Environment of Care” chapters and consolidation of some Standards to reduce redundancy. These changes better align the responsibility of the health plan to monitor compliance with policies related to clinical record keeping of the provider network and the environment where its membership receives care taking corrective action when indicated.

In addition, chapters have been renumbered for consistency between the Health Plan and FEHB Health Plan Handbooks. It should be noted that plans not designated as a FEHB Carrier under OPM should choose the Accreditation Handbook for Health Plans, v41. AAAHC does not anticipate that organizations will need to perform major overhauls to their policies, procedures, or programs to be compliant with the v41 changes in the Accreditation Handbook for FEHB Health Plans.

“With only moderate changes to the Standards, we anticipate a seamless transition for organizations to integrate policies, procedures, or programs compliant with the v41 handbooks,” said Noel Adachi, MBA, president and CEO of AAAHC. “AAAHC is committed to the mission of improving health care and will continue to update resources with industry best practices to keep organizations survey-ready every day.”

For more information, please contact info@aaahc.org or Assistant Director, Business Development, Lee Todd at ltodd@aaahc.org.

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