"This certification from NCQA underscores SMS's commitment to provide effective and appropriate sleep services to our health plan clients, which includes applying consistent and rigorous standards of utilization management," said Tom Gaffney, President, Sleep Management Solutions. "It is rewarding to receive industry recognition for the work our organization performs each day in providing appropriate sleep services to our payer clients."
NCQA's Utilization Management Certification focuses on consumer protection and improvement in service to customers. Certification is governed by the Standards for Certification in Utilization Management, developed with the assistance of representatives from the Standards Committee, the Review Oversight Committee, and input from other organizations. The certification process includes rigorous onsite evaluations conducted by a team certified credential specialists. NCQA Certification is a voluntary review process.
"Achieving Utilization Management certification from NCQA demonstrates that Sleep Management Solutions has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards," Margaret E. O'Kane, president of NCQA.
About CareCentrix, Inc. CareCentrix (www.carecentrix.com) is the nation's leading benefits management company focused on effectively managing home-based care. Headquartered in Hartford, Conn., the company provides a full range of services including coordination of home nursing, home infusion and home medical equipment. The CareCentrix service line includes HomeSTAR, a program which reduces hospital readmissions; and Sleep Management Solutions, a wholly owned company, offering sleep benefit management services to patients and health plans. CareCentrix serves more than 30 million people through its national network of 7,000 credentialed home healthcare providers, with customer care centers located across the United States.
About Sleep Management Solutions Founded in 2006, Sleep Management Solutions pioneered the sleep benefit management model and works with the payer community to effectively manage the growing costs associated with sleep services. The company provides an end-to-end integrated approach to managing the sleep continuum with a focus on enhancing both clinical and financial quality for payer clients. Based in Hartford, CT, SMS is currently managing approximately 10 Million members within the scope of its program. For more information about Sleep Management Solutions. visit www.sleepmanagementsolutions.com.
About NCQA 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.