Accreditations

URAC AccreditationSeal-Workers-Comp-2019

URAC 

We are an SSAE 16-accredited organization, which is renewed on an annual basis. In addition, we are certified by URAC (Utilization Review Accreditation Commission) for pharmacy benefit management and case management. URAC is a non-profit, independent accreditation agency that promotes quality healthcare and provides standards that healthcare organizations must meet in order to receive, and maintain, accreditation. URAC has a specific set of standards for workers’ compensation PBMs, which serves as an indicator of quality and compliance. ​We are proud to have received URAC accreditation across the entire enterprise; our next scheduled corporate accreditation review is set to occur in September 2019 for pharmacy benefit management, and will be valid for an additional three years thereafter.





NCQA

Case_Management_3_Years

The Optum Case Management program received certification from the National Committee for Quality Assurance (NCQA). Recognized for quality, the NCQA reviewed our policies, procedures and data reporting and awarded us the highest level of accreditation—a 3 year accreditation—for our comprehensive case management program.

The NCQA Review Oversight Committee (ROC) found that the program offered by Optum demonstrates strong performance of NCQA’s rigorous requirements for comprehensive case management. This status is awarded only to organizations that demonstrate strong performance of the functions outlined in the NCQA standards for Case Management accreditation. Our accreditation is effective October 30, 2017 – October 30, 2020.