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Frequently Asked Questions Insurance

Our plan uses multiple networks, how do we satisfy OPM’s requirement for provider network accreditation?

Plans attaining a comprehensive health plan accreditation from AAAHC, NCQA, or URAC will have their provider and network oversight assessed as part of that process. No further action is needed.

FEHB carriers satisfying OPM’s accreditation through a modular approach must provide evidence that all networks are accredited. This is best accomplished by means of a separate network accreditation. As an alternative, plans able to demonstrate that their entire network is part of a fully accredited health plan that serves as a subcontractor to the FEHB carrier may provide OPM with detailed documentation for consideration.

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