URAC Core 18 -- v. 2.1 revision


URAC has made a housekeeping change to Core 18 in v. 2.1, a 3-weighted standard.  The stem of the standard has changed from:

The organization implements an oversight mechanism for delegated functions that includes:

to

The organization establishes and implements an oversight mechanism for delegated functions within the scope of accreditation that includes:

To my eye, the addition of "establishes and" doesn't add much other than a tip of the hat to making sure you have a formal process that is memorialized in a P&P.  The more significant change is the addition of "within the scope of accreditation".  This is not a policy change -- URAC has always limited the requirements of its delegation standards to the scope of the accreditation.  It has done so, however, in the interpretive guide.  This looks like an attempt to be crystal clear, in the body of the standard, that the scope of your accreditation application limits the scope of the delegation requirements.

So, if you are a health plan, for example, that delegates network functions to contractors, but are applying only for Health Utilization Management accreditation, you need not address those delegation relationships in your HUM application.