Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Policy Manual 6010.63-M, April 2021
Providers
Chapter 11
Section 12.2
Qualified Accreditation Organization
Issue Date:  
Authority:  32 CFR 199.2
Revision:  
1.0  ISSUE
What criteria must be met in order to be recognized as a qualified accreditation organization under TRICARE for Corporate Service Providers (CSPs)?
2.0  POLICY
A qualified accreditation organization is a not-for-profit corporation or foundation that:
2.1  Develops process standards and outcome standards for health care delivery programs (HCDPs), or knowledge standards and skill standards for health care professional certification testing, using experts both from within and outside of the health care program area or individual specialty to which the standards are to be applied;
2.2  Creates measurable criteria that demonstrate compliance with each standard;
2.3  Publishes the organization’s standards, criteria and evaluation processes so that they are available to the general public;
2.4  Performs on-site evaluations of HCDPs, or provides testing of individuals, to measure the extent of compliance with each standard;
2.5  Provides on-site evaluation or individual testing on a national or international basis;
2.6  Provides to evaluated programs and tested individuals time-limited written certification of compliance with the organization’s standards;
2.7  Excludes certification of any program operated by an organization which has an economic interest in the accreditation organization or in which the accreditation organization has an economic interest;
2.8  Publishes promptly the certification outcomes of each program evaluation or individual test so that it is available to the general public; and
2.9  Has been found to apply standards, criteria, and certification processes which reinforce TRICARE provider authorization requirements and promote efficient delivery of TRICARE benefits.
- END -

Utility Navigation Links

DoD Seal

tricare.mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Frequently Asked Questions page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.8.7983.18738

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.