🩺 Raising the Bar: What You Need to Know About the NCQA Diabetes Recognition Program Updates
In the ever-evolving world of healthcare, staying ahead means embracing innovation, accountability, and evidence-based care. The NCQA Diabetes Recognition Program is doing just that—with major updates rolling out in January 2026 that every clinician and practice should know about.
Whether you're a solo provider or part of a larger care team, this program offers a powerful way to showcase your commitment to high-quality diabetes care. Let’s break down what’s changing, what’s staying, and why it matters.
## 🔍 What Is the NCQA Diabetes Recognition Program?
The NCQA (National Committee for Quality Assurance) Diabetes Recognition Program honors clinicians who consistently deliver top-tier care to patients with diabetes. It’s not just about checking boxes—it’s about improving outcomes, streamlining operations, and gaining visibility in a competitive healthcare landscape.
## 🚀 What’s New in 2026?
Starting January 2026, the program is getting a digital makeover and expanding its reach:
Digital Submissions Only: All data must be submitted via Q-PASS, NCQA’s online platform.
Expanded Eligibility: Any care setting treating diabetes patients can now apply.
**Annual Submissions**: Recognition will be based on yearly data uploads.
Demographic Data Required: Practices must include patient demographics to support equity in care.
25-Patient Sample: Each clinician’s performance will be evaluated using a random sample of 25 patients.
These changes aim to make the program more inclusive, data-driven, and aligned with modern care standards.
## 🎯 Why Recognition Matters
Clinicians who earn NCQA recognition gain more than a badge—they unlock real benefits:
Improved Care Quality: Aligns your practice with national benchmarks.
Support for Value-Based Models: Recognition can strengthen your position in payer negotiations.
Increased Visibility: Your name appears on NCQA’s public Report Cards.
MOC Credits: Eligible clinicians may earn Maintenance of Certification credits.
## 💸 Cost & Grant Opportunity
The standard fee is **$257 per clinician**, but there’s good news:
- Thanks to the Helmsley Charitable Trust, up to 5 clinicians per organization** can apply for free.
- Just register in Q-PASS and use the code DPPS24 during your application.
## 📊 Performance Measures: Current & Future
### ✅ Current Measures
- Glycemic control: A1c <8.0% and >9.0%
- Blood pressure control: <140/90 mmHg
- Eye exams
- Foot exams
- Kidney health evaluation
- Tobacco use screening and follow-up
🔄 New Measures Starting January 2026
**Statin Therapy Prescription**: Ensuring cardiovascular protection.
**Depression Screening & Follow-Up**: Addressing mental health in diabetes care.
**Continuous Glucose Monitoring (CGM) Utilization**: Supporting tech-enabled management.
These additions reflect a more holistic, tech-savvy approach to diabetes care—one that recognizes the full spectrum of patient needs.
## ✨ Final Thoughts
The NCQA Diabetes Recognition Program is more than a credential—it’s a statement of excellence. With new measures and digital tools on the horizon, now’s the time to prepare your practice, align your workflows, and seize the opportunity to lead in diabetes care.