Healthcare Accreditation and Certification Consulting
Last updated: October 2026
Accreditation consulting is professional help preparing an organization to meet an accrediting body's standards and prepare for its review. Integral Healthcare Solutions (IHS), founded in 2002 by Thomas G. Goddard, JD, PhD, former Chief Operating Officer and General Counsel of URAC, provides accreditation, compliance and program development consulting across 15+ accrediting and certifying bodies.
For each program, IHS does five things: a gap assessment against the governing standards, document and evidence mapping, drafting the program, policies and clinical content for your clinicians to review and approve, a mock review against the governing text, and readiness support. IHS is not an accrediting body and does not influence its decision. IHS drafts, and your organization's named contact submits.
IHS offers this work to health plans, PBMs, pharmacies, behavioral health organizations, rehabilitation facilities, laboratories, FQHCs, home health and hospice providers, and technology vendors. To discuss a program not listed here, Schedule a Free Discovery Session.
How do I choose between accreditors?
The party that requires accreditation usually decides which accreditor you need. The first accreditor named in a payer request or RFP is a first guess, so confirm it against the text that creates the requirement.
| Where the requirement comes from | What to read |
|---|---|
| A payer contract or network agreement | The accreditation clause and the accreditors it names |
| A delegation agreement | The accreditation it recognizes |
| A state licensure rule or statute | The rule text and any list of recognized accreditors |
| A federal program or contract | The program rule or solicitation |
Accreditors differ in program scope, standards, timelines and fees, so compare each body's own materials. IHS does not tell you which body to choose.
Which URAC accreditation programs does IHS support?
IHS supports the URAC programs below, from initial accreditation through renewal. Dr. Goddard was URAC's Chief Operating Officer and General Counsel before founding IHS.
Health Plan, PBM & Managed Care
- URAC Health Plan Accreditation
- URAC PBM Accreditation
- URAC Case Management & Utilization Management Accreditation
- URAC Medicaid Health Plan Accreditation
- URAC Medicare Advantage Organization Accreditation
- URAC Marketplace Health Plan Accreditation
- URAC Health Plan with LTSS Accreditation
- URAC Health Plan Accreditation for Small Business
- URAC Dental Plan Accreditation
- URAC Medicaid with LTSS Accreditation
- URAC Mental Health / Substance Use Disorder Parity Accreditation
- URAC Workers' Compensation Utilization Management Accreditation
- URAC Independent Review Organization (IRO) Accreditation
- URAC Independent Dispute Resolution (IDR) Designation
Network Accreditation
- URAC Health Network Accreditation
- URAC Dental Network Accreditation
- URAC Clinically Integrated Network Accreditation
Pharmacy Accreditation
- URAC Specialty Pharmacy Accreditation
- URAC Mail Service Pharmacy Accreditation (Original Program)
- URAC Infusion Pharmacy Accreditation
- URAC Medicare Home Infusion Therapy Supplier Accreditation
- URAC Mail Service Pharmacy Accreditation (Expanded Program)
- URAC Mail Service Pharmacy Accreditation for Small Businesses
- URAC Specialty Pharmacy Services Accreditation
- URAC Specialty Pharmacy Small Business Accreditation
- URAC Pharmacy Services Accreditation
- URAC Rare Disease Pharmacy Center of Excellence
Patient Care & Clinical Programs
- URAC Disease Management Accreditation
- URAC Health Contact Center Accreditation
- URAC Transitions of Care Designation
- URAC Measurement-Based Care Designation
- URAC Community Health Worker Program Accreditation
- URAC Independent Medical Examination (IME) Accreditation
Workplace, Employer Health & Behavioral Health
- URAC Employer-Based Population Health Accreditation
- URAC Mental Health at Work Accreditation
- URAC Opioid Stewardship Designation
- URAC ParityManager Software Consulting
- URAC Excellent Health Outcomes Accreditation
Digital Health & Cybersecurity
Professional Certification
If your organization needs consulting on a URAC program not shown here, Schedule a Free Discovery Session to confirm scope.
Which NCQA accreditation and recognition programs does IHS support?
IHS supports NCQA programs for health plans, credentialing verification organizations and practices seeking recognition.
NCQA accreditation and recognition engagements are led by Maureen Plumstead. Dr. Goddard leads NCQA program development only, such as designing a credentialing program.
Health Plans & Managed Care
- NCQA Health Plan Accreditation (HPA)
- NCQA Health Outcomes Accreditation
- NCQA Behavioral Health Accreditation
- NCQA Case Management Accreditation
- NCQA Utilization Management Accreditation
- NCQA Credentialing Accreditation
- NCQA Credentialing Certification
- NCQA Provider Network Accreditation
- NCQA Physician and Hospital Quality (PHQ) Certification
- NCQA Population Health Program Accreditation
- NCQA Wellness and Health Promotion Accreditation
- NCQA Long-Term Services and Supports (LTSS) Distinction
Long-Term Services & Community-Based Organizations
Health Care Providers & Practices
- NCQA Patient-Centered Medical Home (PCMH) Recognition
- NCQA Patient-Centered Specialty Practice (PCSP) Recognition
- NCQA Virtual Care Accreditation
- NCQA Certified Community Behavioral Health Clinic (CCBHC) Accreditation
- NCQA Diabetes Recognition Program (DRP)
Credentialing
Which NABP accreditation programs does IHS support?
NABP is the National Association of Boards of Pharmacy. IHS supports the NABP programs below alongside state board licensure and PBM network requirements.
- NABP Specialty Pharmacy Accreditation
- NABP Drug Distributor Accreditation (DDA)
- NABP Digital Pharmacy Accreditation
- NABP DMEPOS Pharmacy Accreditation
- NABP Healthcare Merchant Accreditation
- NABP Home Infusion Therapy Pharmacy Accreditation
- NABP Community Pharmacy Accreditation
- NABP Compounding Pharmacy Accreditation
- NABP OTC Medical Device Distributor Accreditation
Which ACHC accreditation programs does IHS support?
ACHC is the Accreditation Commission for Health Care. IHS supports the ACHC programs below.
CMS Deeming Authority Programs
- ACHC Acute Care Hospital Accreditation
- ACHC Ambulatory Surgery Center Accreditation
- ACHC Clinical Laboratory Accreditation
- ACHC Critical Access Hospital Accreditation
- ACHC DMEPOS Accreditation
- ACHC Home Health Accreditation
- ACHC Home Infusion Therapy Accreditation
- ACHC Hospice Accreditation
- ACHC Renal Dialysis Accreditation
Clinical & Behavioral Health
- ACHC Behavioral Health Accreditation
- ACHC Ambulatory Care Accreditation
- ACHC Palliative Care Accreditation
- ACHC Office-Based Surgery Accreditation
- ACHC Sleep Accreditation
- ACHC Dentistry Accreditation
Home-Based & Residential Care
Pharmacy & Telehealth
What is Security Compliance Foundations (HITRUST)?
HITRUST provides a risk-based cybersecurity certification framework used by health plans, pharmacies, technology vendors, and healthcare facilities to demonstrate compliance with HIPAA, NIST, and other regulatory requirements. IHS is not a HITRUST licensee. IHS builds the policies, governance, HIPAA risk analysis and evidence behind a HITRUST effort, manages the project and coordinates with the HITRUST-licensed firm the organization engages, which performs the readiness and validated assessments.
Which CARF accreditation programs does IHS support?
CARF is the Commission on Accreditation of Rehabilitation Facilities. IHS supports CARF behavioral health accreditation, listed below. To discuss another CARF program, Schedule a Free Discovery Session.
Which other accrediting and certifying bodies does IHS support?
These pages address bodies beyond URAC, NCQA, NABP, ACHC and CARF:
- DMEPOS Supplier Accreditation (ACHC, NABP, and CMS-Approved AOs)
- Pharmacy Compounding Compliance (USP 795/797/800, PCAB, NABP VPP)
- NDAC Dialysis Accreditation
- FACT Cellular Therapy Accreditation (CAR-T, HCT, Immune Effector Cell)
- NCCHC Correctional Health Accreditation
- AAHRPP IRB & Human Research Protection Accreditation
- Home Health & Hospice Accreditation (CHAP, ACHC)
- DNV GL ISO 9001 Healthcare Accreditation
- FQHC Site Visit Preparation (HRSA Operational Site Visit)
IHS's Joint Commission readiness work covers Home Care pharmacy accreditation and Health Care Staffing Services certification. The list at the end of this page links the remaining programs.
What does accreditation consulting cost?
The total cost of an accreditation project has three parts, and a different party sets each one.
- Accrediting body fees. Each body sets its own application, review and maintenance fees. Verify current fees with the body before you budget.
- Consulting fees. IHS sets a fixed fee for each engagement after a free discovery session, because scope, number of sites and gap severity change the work.
- Your own staff time. Your clinicians approve the drafts, and your team gathers the supporting records.
How does an accreditation engagement work?
Every IHS accreditation engagement begins with a complimentary discovery call with Dr. Goddard, which produces a fixed-fee proposal. The work then follows these steps:
- Gap assessment. A Standard-by-Standard Review of your policies and operations against the target program's standards.
- Document and evidence mapping. Each requirement is tied to the document or record that shows it.
- Drafting. IHS drafts the program, policies and clinical content for your clinicians to review and approve.
- Mock review. A mock review against the governing text surfaces gaps before the real review.
- Readiness support. IHS answers your team's questions during the review period. IHS does not take part in the review, and your organization's named contact submits.
- Corrective action. If the accrediting body finds deficiencies, IHS helps draft the corrective action plan.
What this is not
- IHS is not an accrediting body. It does not grant accreditation or influence an accreditation decision.
- IHS is a consulting firm, not a law firm, and this page is not legal advice.
- IHS drafts, and your organization's named contact submits to the accrediting body and communicates with it.
- IHS does not guarantee an accreditation outcome. The accrediting body decides.
How do the three practice lines fit together?
Accreditation Consulting is one of IHS's three practice lines, with Compliance Services and Program Development. A client can use more than one at a time.
- Compliance Services: standalone regulatory compliance consulting independent of accreditation cycles: state mandates, CMS changes, 340B, HIPAA, telehealth, AI governance, and ongoing monitoring
- Program Development & Standards Development: building healthcare programs from the ground up: CVO design, credentialing architecture, compliance programs, CON applications, QMS design, and new line of business builds
- Leadership & Organizational Development (I/O Psychology): an additional IHS offering: industrial-organizational psychology consulting for healthcare workforces and leadership teams, including leadership-team assessment, burnout and moral injury diagnostics, executive coaching, M&A culture integration, and AI workforce governance
- Complete Service Catalog: the full list of IHS services
Who leads IHS accreditation engagements?
Led by senior practitioners. Thomas G. Goddard, JD, PhD, personally leads IHS's URAC and program-development engagements. Maureen Plumstead leads NCQA accreditation work. Dr. Goddard oversaw URAC's accreditation operations as its COO and General Counsel.
Multi-body coordination. Many organizations pursue more than one body, such as URAC and NCQA for health plans. IHS manages shared documentation, overlapping standards and conflicting timelines as one project.
Experience since 2002. Since 2002, IHS has guided health plans, PBMs, specialty pharmacies, behavioral health organizations and other healthcare organizations through accreditation.
Frequently asked questions
What is accreditation consulting?
It is help preparing an organization for an accrediting body's review. IHS works in five steps: gap assessment, document and evidence mapping, drafting for your clinicians to approve, mock review and readiness support.
Who is accreditation consulting not for?
It is not for organizations that want a firm to deal with the accrediting body for them, or that want a guaranteed result. IHS drafts, your organization's named contact submits, and the accrediting body decides.
How do I choose between URAC, NCQA and other accreditors?
Start with the document that requires accreditation: a payer contract, delegation agreement, state rule or federal program rule. It decides which accreditors qualify. IHS does not recommend one body over another.
How much does IHS accreditation consulting cost?
Cost has three parts: the accrediting body's fees, consulting fees and your own staff time. IHS sets a fixed fee for each engagement after a free discovery session, because scope, number of sites and gap severity change the work.
Who communicates with the accrediting body, IHS or my organization?
Your organization does. IHS drafts the text, and your organization's named contact sends it under their own name.
Which accrediting bodies does IHS work with?
IHS supports URAC, NCQA, NABP, ACHC, CARF and 15+ other bodies, all linked on this page. Joint Commission readiness covers Home Care pharmacy accreditation and Health Care Staffing Services certification. IHS is not a HITRUST licensee, so its HITRUST work is program foundations and project management alongside your licensed firm.
Who leads an IHS accreditation engagement?
Dr. Goddard personally leads IHS's URAC and program-development engagements. Maureen Plumstead leads NCQA accreditation and recognition work, and Dr. Goddard leads NCQA program development only.
Schedule a Discovery Call
All IHS accreditation consulting engagements begin with a complimentary discovery call. Dr. Goddard assesses your goals, readiness and timeline and provides a fixed-fee proposal.
More accreditation and certification programs
Alternative accreditation pathways
Behavioral health and HCBS
- ABA Organization Accreditation Readiness Consulting (ACQ)
- CAPRSS Peer Recovery Organization Accreditation Readiness
- COA Human Services Accreditation Readiness Consulting
Blood and biotherapies
- AABB Blood Center and Donor Center Accreditation Consulting
- AABB Cell and Gene Therapy Pharmacy Accreditation Consulting
- AABB Immunohematology Reference Laboratory Accreditation Consulting
- AABB Perioperative Autologous Blood Accreditation Consulting
- AABB Quality Management Systems Certification Consulting
- AABB Relationship Testing Accreditation Consulting
- AABB Transfusion Service Accreditation Consulting
- AATB Tissue Bank Accreditation Consulting
- EBAA Eye Bank Accreditation Consulting
Cardiac and specialty programs
- ACC Transcatheter Valve Certification Consulting (TAVR and TEER)
- Cardiac Cath Lab Accreditation Consulting (ACC CCL)
- Chest Pain Center Accreditation Readiness Consulting (ACC and Joint Commission)
- Chronic Kidney Disease Certification Readiness Consulting (Joint Commission)
- Electrophysiology Program Accreditation Consulting (ACC EP)
- Heart Failure Program Accreditation Consulting (ACC and Joint Commission)
- Inpatient Diabetes Program Certification Readiness Consulting
- Joint Commission Perinatal Care Certification Consulting
- Joint Commission Pulmonary and COPD Certification Consulting
- Joint Commission Rehabilitation Certification Consulting (with CARF Crosswalk)
- Orthopedic Program Certification Readiness Consulting (Joint Replacement, Hip Fracture, Spine)
- Sepsis and Infection-Related Disease Certification Readiness Consulting
- Stroke Center Certification Readiness Consulting (Joint Commission, DNV, ACHC)
Community and public programs
- CDC Diabetes Prevention Recognition and MDPP Supplier Readiness Consulting
- DSMES Program Accreditation Readiness Consulting (ADA and ADCES)
- PHAB Public Health Department Accreditation Readiness Consulting
- PHAB Vital Records and Health Statistics Unit Accreditation Consulting
Digital health and payment models
- DirectTrust Financial Services and Lockbox Accreditation Consulting
- DirectTrust HIE Accreditation Consulting
- DirectTrust HISP Accreditation Consulting
- DirectTrust Health App and Digital Therapeutics accreditation consulting
- DirectTrust Identity and Trust Service Accreditation Consulting
- DirectTrust MSO Accreditation Consulting
- DirectTrust Medical Biller Accreditation Consulting
- DirectTrust Outsourced Services Accreditation Consulting
- E-Prescribing and EPCS Certification Readiness
- QCDR and Qualified Registry Readiness Consulting
Federal provider programs
- Community Mental Health Center (CMHC) Medicare Certification Consulting
- Comprehensive Outpatient Rehabilitation Facility (CORF) Certification Consulting
- Hospital Swing Bed Program Consulting
- ICF/IID Certification Readiness Consulting
- Independent Diagnostic Testing Facility (IDTF) Medicare Enrollment Readiness Consulting
- Organ Procurement Organization Governance and QAPI Consulting
- Outpatient Rehabilitation Agency Medicare Certification Consulting
- PACE Application Consulting for Initial Programs and Expansions
- Portable X-Ray Supplier Certification Consulting
- Psychiatric Residential Treatment Facility (PRTF) Medicaid Readiness Consulting
- Rural Emergency Hospital (REH) Conversion Readiness Consulting
- Rural Health Clinic (RHC) Certification Readiness Consulting
- Solid Organ Transplant Program Certification Readiness Consulting
Gaps from 2026 deals
Healthcare education
- ACEND Nutrition and Dietetics Program Accreditation Consulting
- ACGME Residency and Fellowship Program Accreditation Consulting
- ACGME Sponsoring Institution Accreditation Consulting
- ACOTE Occupational Therapy Program Accreditation Consulting
- ACPE PharmD Program Accreditation Consulting
- ANCC PTAP Nurse Residency and Fellowship Accreditation Consulting
- ARC-PA Physician Assistant Program Accreditation Consulting
- ASHP Pharmacy Residency Accreditation Consulting (PGY1 and PGY2)
- ASHP/ACPE Pharmacy Technician Program Accreditation Consulting
- CAAHEP Allied Health Program Accreditation Readiness Consulting
- CAAHEP Clinical Research Program Accreditation Consulting
- CAAHEP Cytology and Blood Bank Program Accreditation Consulting
- CAAHEP EMS and Paramedic Program Accreditation Consulting
- CAAHEP Neurodiagnostic and Sleep Technology Program Accreditation Consulting
- CAAHEP Rehabilitation and Wellness Program Accreditation Consulting
- CAAHEP Sonography and Cardiovascular Technology Program Accreditation Consulting
- CAAHEP Surgical, Anesthesia and Perfusion Program Accreditation Consulting
- CAHME Healthcare Management Education Accreditation Consulting
- CAPTE PT and PTA Program Accreditation Consulting
- CODA Advanced Dental Education Accreditation Consulting
- CODA Dental and Allied Dental Program Accreditation Consulting
- CoARC Respiratory Care Program Accreditation Consulting
- JRCERT Radiologic Program Accreditation Consulting
- Joint Accreditation for Interprofessional Continuing Education Consulting
- NAACLS Clinical Laboratory Science Program Accreditation Consulting
- Nursing Program Accreditation Consulting (CCNE and ACEN)
Imaging and diagnostics
- Diagnostic Imaging Accreditation Readiness Consulting (ACR, IAC)
- Echocardiography Lab Accreditation Readiness Consulting (IAC)
- IAC Nuclear/PET and Radiopharmaceutical Therapy Accreditation Consulting
- IAC Vascular Interventional Accreditation Consulting
- IAC Vascular Testing Laboratory Accreditation Consulting
- MRI-Guided Prostate Biopsy Accreditation Readiness Consulting (IAC)
- Mammography Accreditation and MQSA Certification Readiness Consulting
Laboratory programs
- CAP Biorepository Accreditation Consulting
- CAP Laboratory Accreditation Consulting
- CAP Reproductive Laboratory Accreditation Consulting
- Forensic Drug Testing Laboratory Accreditation Consulting
Other clinical program standards
- ASGE Endoscopy Unit Recognition Program (EURP) Consulting
- ASTRO APEx Radiation Oncology Accreditation Readiness Consulting
- Baby-Friendly Designation Readiness Consulting
- Birth Center Accreditation Readiness Consulting (CABC)
- UHMS Hyperbaric Facility Accreditation Consulting
Payers and delegated organizations
- DOT Drug Testing Collection Program Readiness Consulting (49 CFR Part 40)
- Joint Commission Health Care Staffing Services Certification Consulting
Program development builds
- Health Center Credentialing and Medicaid Enrollment Strategy
- New Line of Business Build for Regulated Healthcare Services
- Policy and Procedure Architecture for Multiple Standards
- Quality Improvement Program Build Consulting
- Quality Management System Design to ISO 9001:2026
- RPM and Telehealth Program Build Consulting
- Specialty Pharmacy Start-Up and Patient Management Program Design
- UM and Case Management Program Build Consulting
Surgical quality programs
- ACS Children's Surgery Verification Consulting
- ACS Emergency General Surgery Verification Consulting
- ACS Geriatric Surgery Verification Consulting
- ACS Quality Verification Program Consulting
- ACS Trauma Center Verification Readiness Consulting
- ACS Vascular Verification Program Readiness Consulting
- Commission on Cancer Accreditation Consulting
- MBSAQIP Bariatric Surgery Accreditation Consulting
- NAPBC Breast Center Accreditation Consulting
- NAPRC Rectal Cancer Accreditation Consulting
