Population health
Accreditations from CARF, The Joint Commission, and NCQA reflect adherence to nationally recognized standards for clinical care, outcomes, and patient safety.
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CARF Accreditation
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Intensive Outpatient Treatment (BH)
Outpatient Treatment (BH)October 31, 2025 – October 31, 2028
Optum Behavioral Care of North Carolina, P.C. dba First Step Services of North Carolina
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CARF Accreditation
Learn moreOutpatient Treatment: Integrated: SUD/Mental Health (Adults) Outpatient Treatment: Integrated: SUD/Mental Health (Children and Adolescents)
September 16, 2026 – April 30, 2029
Optum Behavioral Care of Colorado, P.C. dba Perspective Counseling Centers of Michigan
Oakland Psychological Clinics
Heron Ridge Associates
Child & Family Psychological Services -
Joint Commission
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Home Care
March 13, 2025 – March 13, 2028
Optum Women’s and Children’s Health, LLC
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Joint Commission
Learn moreBehavioral Health Care and Human Services
February 8, 2025 – February 8, 2028
Optum Behavioral Care of North Carolina, P.C., dba Daybreak Treatment Center of Tennessee
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NCQA Accreditation
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Population Health Program (PHP)
October 31, 2025 – October 31, 2028
OptumHealth Care Solutions, LLC
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NCQA Accreditation
Learn morePopulation Health Program (PHP)
August 19, 2026 – August 19, 2029
Optum Health Networks, Inc.
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NCQA Accreditation
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Managed Behavioral Healthcare Organization
June 18, 2025 – June 18, 2028
OptumHealth Behavioral Solutions of California
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NCQA Accreditation
Learn moreManaged Behavioral Healthcare Organization
December 21, 2023 – December 21, 2026
Optum Behavioral
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NCQA Certification
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Wellness and Health Promotion
Health Appraisal
June 26, 2025 – June 26, 2027
Rally Health, Inc.
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NCQA Certification
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Wellness and Health Promotion
Self-Management Tools
June 26, 2025 – June 26, 2027
Rally Health, Inc.
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NCQA Certification
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Wellness and Health Promotion
Health Coaching
December 26, 2025 – December 26, 2027
OptumHealth Care Solutions, LLC
Specialized clinical programs
URAC accreditations reflect adherence to nationally recognized standards for call center services, online health information, telehealth, and clinical review, supporting accuracy, accessibility, and patient-centered care.
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URAC Certification
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Health Utilization Management Certification
05/01/2027
HUM: Clinical Review Criteria Certification 1.0
May 1, 2024 – May 1, 2027
Change Healthcare Technologies, LLC
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URAC Certification
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Health Content Provider
07/01/2027
Health Content Provider
July 1, 2024 – July 1, 2027
Change Healthcare Technologies, LLC
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URAC Accreditation
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Health Equity
12/01/2028
Health Equity
December 1, 2025 – December 1, 2028
OptumRx, Inc.
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URAC Accreditation
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Health Web Site
09/01/2029
Health Web Site 4.1
September 1, 2026 – September 1, 2029
OptumHealth Care Solutions, LLC
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URAC Accreditation
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Telehealth/Telemedicine Accreditation
04/01/2028
Telehealth Accreditation 4.0 Consumer-to-Provider
April 1, 2025 – April 1, 2028
OptumHealth Care Solutions, LLC
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URAC Accreditation
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Health Call Center
05/01/2027
Health Call Center
May 1, 2024 – May 1, 2027
OptumHealth Care Solutions, LLC
(Optum Serve GNAL) -
URAC Accreditation
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Health Contact Center
01/01/2028
Health Contact Center
January 1, 2025 – January 1, 2028
OptumHealth Care Solutions, LLC
Practitioner & provider credentialing
NCQA accreditations reflect adherence to established standards for evaluating the qualifications, training, and performance of Optum doctors and care providers, supporting safe, high-quality care.
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NCQA Accreditation
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Provider Network
February 5, 2024 - February 5, 2027
Optum Public Sector Solutions, Inc.
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NCQA Accreditation
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Credentialing
February 5, 2024 - February 5, 2027
Optum Public Sector Solutions, Inc.
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NCQA Accreditation
Learn moreCredentialing
October 1, 2025 – October 1, 2028
Optum Health Plan of California (OHPC)
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NCQA Accreditation
Learn moreCredentialing
March 17, 2026 – March 17, 2029
Collaborative Care Services, Inc.
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NCQA Accreditation
Learn moreCredentialing
March 6, 2026 – March 6, 2029
PRIMECARE Medical Network, Inc. (PMNI)
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NCQA Accreditation
Learn moreCredentialing
March 16, 2026 – March 16, 2029
EPIC Health Plan (dba OptumCare of California)
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NCQA Accreditation
Learn moreCredentialing
April 13, 2026 – April 13, 2029
Monarch Health Plan, Inc.
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NCQA Accreditation
Learn moreCredentialing
May 1, 2026 - May 1, 2029
OptumHealth Care Solutions, LLC
Case management & long-term care coordination
NCQA accreditations reflect adherence to established standards for case management programs focused on care coordination, patient outcomes, and support for managing complex and long-term health needs.
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NCQA Accreditation
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Case Management
September 3, 2024 – September 3, 2027
OptumHealth Care Solutions, LLC
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NCQA Accreditation
Learn moreCase Management
February 13, 2024 – February 13, 2027
Optum Health Networks, Inc.
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NCQA Accreditation
Learn moreCase Management
November 21, 2023 – November 21, 2026
OptumCare New Mexico, LLC
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NCQA Accreditation
Learn moreCase Management
October 9, 2025 – October 9, 2028
Optum Health Plan of California (OHPC)
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NCQA Accreditation
Learn moreCase Management
March 6, 2026 – March 6, 2029
PRIMECARE Medical Network, Inc. (PMNI)
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NCQA Accreditation
Learn moreCase Management
March 20, 2026 – March 20, 2029
EPIC Health Plan (dba OptumCare of California)
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NCQA Accreditation
Learn moreCase Management
April 15, 2026 – April 15, 2029
Monarch Health Plan, Inc.
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NCQA Accreditation
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Case Management for Long-Term Services and Supports
March 26, 2026 – March 26, 2029
Optum Health Networks, Inc.
Utilization management standards
NCQA and URAC accreditations reflect adherence to established standards for reviewing care decisions for medical necessity, evidence-based care, and alignment with quality and cost-efficiency goals.
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URAC Accreditation
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Health Utilization Management
02/01/2029
Health Utilization Management
August 1, 2026 – February 1, 2029
Optum Behavioral
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URAC Accreditation
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Health Utilization Management
05/01/2029
Health Utilization Management
May 1, 2026 – May 1, 2029
OptumHealth Care Solutions, LLC
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NCQA Accreditation
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Utilization Management
April 27, 2026 - April 27, 2029
OptumHealth Care Solutions, LLC
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NCQA Accreditation
Learn moreUtilization Management
October 3, 2025 – October 3, 2028
OptumRx, Inc.
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NCQA Accreditation
Learn moreUtilization Management
March 18, 2026 – March 18, 2029
OptumHealth Networks
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NCQA Accreditation
Learn moreUtilization Management
October 17, 2025 – October 17, 2028
Optum Health Plan of California (OHPC)
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NCQA Accreditation
Learn moreUtilization Management
March 18, 2026 – March 18, 2029
PRIMECARE Medical Network, Inc. (PMNI)
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NCQA Accreditation
Learn moreUtilization Management
April 2, 2026 – April 2, 2029
EPIC Health Plan (dba OptumCare of California)
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URAC Accreditation
Learn moreUtilization Management
April 13, 2026 – April 13, 2029
Monarch Health Plan, Inc.
Pharmacy care & medication management: ACHC
ACHC accreditations demonstrate compliance with nationally recognized standards for infusion services, specialty medications, and medication distribution, supporting safe, accurate, and coordinated patient care.
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ACHC
Learn more
Home Infusion Therapy
March 14, 2024 - March 14, 2027
Optum Infusion Services 305, LLC
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ACHC
Learn moreInfusion Pharmacy Services and Hazardous Drug Handling
March 29, 2025 – March 28, 2028
Sierra Home Medical Products, Inc. dba Southwest Medical Pharmacy & DME
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Pharmacy care & medication management: NABP/URAC
NABP and URAC accreditations demonstrate compliance with nationally recognized standards for infusion services, specialty medications, and medication distribution, supporting safe, accurate, and coordinated patient care.
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URAC Accreditation
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Specialty Pharmacy
11/01/2026
Infusion Specialty Pharmacy
November 01, 2023 – November 01, 2026
Optum, Inc.
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URAC Accreditation
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Mail Service Pharmacy
Opioid Stewardship Designation
11/01/2026
Mail Service Pharmacy
November 01, 2023 – November 01, 2026
OptumRx, Inc.
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URAC Accreditation
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Specialty Pharmacy
06/01/2027
Specialty Pharmacy
June 01, 2024 - June 01, 2027
OptumRx Administrative Services, LLC
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URAC Accreditation
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Specialty Pharmacy
04/01/2028
Specialty Pharmacy
April 1, 2025 – April 1, 2028
Genoa Healthcare, LLC
Pharmacy benefit management programs
URAC accreditations reflect adherence to established standards for structured PBM programs that support effective cost management, safe medication use, and access to prescription drugs.
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URAC Accreditation
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Workers’ Compensation and Property and
Casualty Pharmacy Benefit Management
09/01/2028
Workers’ Compensation and Property and Casualty Pharmacy Benefit Management
September 1, 2025 – September 1, 2028
PMSI, LLC
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URAC Accreditation
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Pharmacy Benefit Management
01/01/2028
Pharmacy Benefit Management (PBM)
January 01, 2025 – January 01, 2028
OptumRx, Inc.
Innovation & leadership
Awards highlighting leadership in health technology and data-driven care.
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URAC Leaders in Performance Measurement
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2025 - Pioneers Leaderboard
Case ManagementOptumHealth Care Solutions, LLC
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URAC Leaders in Performance Measurement
Learn more2024 - Pioneers Leaderboard
Case ManagementOptumHealth Care Solutions, LLC
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URAC Leaders in Performance Measurement Award
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2024 - Top Performers Leaderboard
Top Performers by Pharmacy Type
Specialty Pharmacy Top Performer in Health Plan/PBM Owned
Genoa Healthcare, LLC
