NCQA Accreditation for Population Health Program (PHP)
October 31, 2025 – October 31, 2028
OptumHealth Care Solutions, LLC.
URAC Accreditation for Health Call Center
May 1, 2024 – May 1, 2027
OptumHealth Care Solutions, LLC
(Optum Serve GNAL)
Health Call Center
05/01/2027
NCQA Accreditation for Population Health Program
August 15, 2023 – August 15, 2026
Optum Health Networks, Inc.
Joint Commission: Home Care
March 13, 2025 – March 13, 2028
Optum Women’s and Children’s Health, LLC
NCQA Accreditation for Case Management
September 3, 2024 – September 3, 2027
OptumHealth Care Solutions, LLC.
URAC Accreditation - Health Utilization Management
February 1, 2026 – August 1, 2026
Optum Behavioral
Health Utilization Management
08/01/2026
NCQA Accreditation for Utilization Management
April 27, 2026 - April 27, 2029
OptumHealth Care Solutions, LLC.
NCQA Accreditation for MBHO
June 18, 2025 – June 18, 2028
OptumHealth Behavioral Solutions of California
URAC Health Contact Center Accreditation
January 1, 2025 – January 1, 2028
OptumHealth Care Solutions
Health Contact Center
01/01/2028
URAC Accreditation - Health Utilization Management
May 1, 2026 – May 1, 2029
OptumHealth Care Solutions, LLC
Health Utilization Management
05/01/2029
NCQA Accreditation for Case Management
February 13, 2024 – February 13, 2027
Optum Health Networks, Inc.
NCQA Accreditation for Provider Network and Credentialing
February 5, 2024 - February 5, 2027
Optum Public Sector Solutions, Inc.
NCQA Certification for Wellness and Health Promotion
Health Appraisal
Self-Management Tools
June 26, 2025 – June 26, 2027
Rally Health, Inc.
NCQA Accreditation for Credentialing
July 11, 2024 - July 11, 2027
Optum Health Network, Inc
NCQA Accreditation for Utilization Management
February 23, 2026 – July 11, 2028
OrthoNet LLC
URAC Accreditation for Mail Service Pharmacy
November 01, 2023 – November 01, 2026
OptumRx, Inc.
Mail Service Pharmacy
Opioid Stewardship Designation
11/01/2026
URAC Accreditation for Specialty Pharmacy
June 01, 2024 - June 01, 2027
OptumRx Administrative Services, LLC
Specialty Pharmacy
06/01/2027
URAC Accreditation for Infusion Specialty Pharmacy
November 01, 2023 – November 01, 2026
Optum, Inc.
Specialty Pharmacy
11/01/2026
ACHC – Home Infusion Therapy
March 14, 2024 - March 14, 2027
Optum Infusion Services 305, LLC
URAC Accreditation for Workers’ Compensation and Property and Casualty Pharmacy Benefit Management
September 1, 2025 – September 1, 2028
PMSI, LLC
Workers' Compensation and Property and
Casualty Pharmacy Benefit Management
09/01/2028
URAC Accreditation for Pharmacy Benefit Management (PBM)
January 01, 2025 - January 01, 2028
OptumRx, Inc.
Pharmacy Benefit Management
01/01/2028
ACHC – Infusion Pharmacy
March 15, 2024 - March 14, 2027
Optum Infusion Services 305, LLC
NCQA Accreditation for Utilization Management
October 3, 2025 – October 3, 2028
OptumRx, Inc
Specialty Pharmacy
04/01/2028
NCQA Accreditation for Utilization Management
March 18, 2026 – March 18, 2029
OptumHealth Networks
NCQA Accreditation for Credentialing
March 17, 2026 – March 17, 2029
Collaborative Care Services, Inc.
NCQA Accreditation for Case Management
November 21, 2023 – November 21, 2026
OptumCare New Mexico, LLC
URAC HUM: Clinical Review Criteria Certification 1.0
May 1, 2024 – May 1, 2027
Change Healthcare Technologies, LLC
Health Utilization Management Certification
05/01/2027
URAC Health Content Provider Certification
July 1, 2024 – July 1, 2027
Change Healthcare Technologies, LLC
Health Content Provider
07/01/2027
URAC Provisional Accreditation - Health Web Site 4.1
April 1, 2025 – October 1, 2026
OptumHealth Care Solutions, LLC
Telehealth/Health Web Site
10/01/2026
URAC Telehealth Accreditation 4.0: Consumer-to-Provider
April 1, 2025 – April 1, 2028
OptumHealth Care Solutions, LLC
Telehealth/Telemedicine Accreditation
04/01/2028
Joint Commission: Behavioral Health Care and Human Services
February 8, 2025 – February 8, 2028
Optum Behavioral Care of North Carolina, P.C., dba Daybreak Treatment Center of Tennessee
NCQA Accreditation for Case Management
October 9, 2025 – October 9, 2028
Optum Health Plan of California (OHPC)
NCQA Accreditation for Credentialing
October 1, 2025 – October 1, 2028
Optum Health Plan of California (OHPC)
NCQA Accreditation for Utilization Management
October 17, 2025 – October 17, 2028
Optum Health Plan of California (OHPC)
CARF Accreditation
Programs
Intensive Outpatient Treatment (BH)
Outpatient Treatment (BH)
October 31, 2025 – October 31, 2028
Optum Behavioral Care of North Carolina, P.C. dba First Step Services of North Carolina
NCQA Certification for Wellness and Health Promotion
Health Coaching
December 26, 2025 – December 26, 2027
OptumHealth Care Solutions, LLC
NCQA Accreditation for Case Management
March 6, 2026 – March 6, 2029
PRIMECARE Medical Network, Inc. (PMNI)
NCQA Accreditation for Credentialing
March 6, 2026 – March 6, 2029
PRIMECARE Medical Network, Inc. (PMNI)
NCQA Accreditation for Utilization Management
March 18, 2026 – March 18, 2029
PRIMECARE Medical Network, Inc. (PMNI)
NCQA Accreditation for Credentialing
March 16, 2026 – March 16, 2029
EPIC Health Plan (dba OptumCare of California)
NCQA Accreditation for Case Management
March 20, 2026 – March 20, 2029
EPIC Health Plan (dba OptumCare of California)
NCQA Accreditation for Case Management – Long-Term Services and Supports
March 26, 2026 – March 26, 2029
Optum Health Networks, Inc.
NCQA Accreditation for Utilization Management
April 2, 2026 – April 2, 2029
EPIC Health Plan (dba OptumCare of California)
NCQA Accreditation for Utilization Management
April 13, 2026 – April 13, 2029
Monarch Health Plan, Inc.
NCQA Accreditation for Credentialing
April 13, 2026 – April 13, 2029
Monarch Health Plan, Inc.
NCQA Accreditation for Case Management
April 15, 2026 – April 15, 2029
Monarch Health Plan, Inc.
NCQA Accreditation for Credentialing
May 1, 2026 - May 1, 2029
OptumHealth Care Solutions, LLC.
URAC Leaders in Performance Measurement
2024 - Pioneers Leaderboard
Case Management
OptumHealth Care Solutions, LLC
URAC Leaders in Performance Measurement Award
2024 - Top Performers Leaderboard
Top Performers by Pharmacy Type
Specialty Pharmacy Top Performer in Health Plan/PBM Owned
- Genoa Healthcare, LLC
