Health Information Products (HIP) Certification

The health information products (HIP) certification program highlights organizations that provide services to health plans related to NCQA standards addressing member connections, the care management and health improvement standards addressing wellness and provider directories.

HIP certification focuses on an organization’s role as a delegate to provide services for NCQA-Accredited Health Plans that meet the standards and is specifically designed to help streamline the survey process for both the delegates and the health plans.

An organization may seek certification in any or all of the following certification options:

• Health Appraisals
• Self-Management Tools
• Pharmacy Benefits
• Health Information Line
• Encouraging Wellness and Prevention
• Physician and Hospital Directories

For elements where the activities are performed by another entity, health plans that use the services of organizations that hold NCQA certification are relieved from the responsibility of performing formal oversight reviews of the standards for which the HIP program has been certified. 

HIP certification reduces oversight by organizations seeking NCQA accreditation or distinction and takes the place of the annual organization review of performance on NCQA requirements that are delegated to an organization certified in HIP. In addition, those health plans receive automatic credit for these standards when undergoing an NCQA Accreditation survey.