Affordable Care Act Requires Blues Accreditation by National Committee for Quality Assurance

Blues agents must complete sales training to meet accreditation requirements.

To sell our products in the ACA’s Health Insurance Marketplace, Blue Cross Blue Shield of Michigan must become accredited by the National Committee for Quality Assurance, also known as NCQA. Blue Care Network’s accreditation process is managed separately.

NCQA has outlined requirements that Blues agents must meet regarding outreach to prospective individual and group members — and to their employers, when applicable. The guidelines specifically address engagement prior to enrollment.

To ensure that we achieve accreditation, you must do the following:

1. Review individual and group sales training presentations:

• NCQA Accreditation Requirements for the Individual Plan Sales Process
• NCQA Accreditation Requirements for the Group Plan Sales Process

2. Distribute The Value of Blues Coverage flier. The flier provides information we’re required by NCQA to tell prospective members. The above sales presentations detail how and when to distribute the fliers.

• Overview of Individual Blues Coverage Flier
• Overview of Group Blues Coverage Flier
  

The fliers will also be posted in Agent Secured Services. The specific locations are listed in the attached presentations.

Questions? Contact your Blues sales representative or managing agent.