No. Organizations coming through for NCQA HIP or WHP Certification may not use a vendor or delegate for any functions or activities required by the HIP/WHP certification standards and guidelines.
WHP 2013
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The CVO must provide NCQA with evidence of current or continuous enrollment of the practitioner in the NPDB-PDS, and of review and reporting of NPDB-PDS activity within 120 calendar days to the organizations client. If no sanction information is reported by the NPDB-PDS, the CVO must provide documentation of this in the file and must report to clients that no sanctions were reported. The organization determines its method of documentation.
No. The review of work history may be documented on the application, CV or a checklist. Documentation must include the signature or initials of the staff person who reviewed the history and the date of the review.It must be clear that the signature or initials and date apply to the work history review.
No. With the exception of ABMS or AOA sponsored boards, NCQA requires organizations to determine and list specialty boards they accept within their credentialing policies and procedures. At a minimum, at least annually, organizations must obtain confirmation from specialty boards that they perform primary-source verification of education and training. A specialty board that provides annual written confirmation that it conducts primary source verification of education and training can be used as an acceptable source for verification of education and training if the organization names the specialty board in its policies and procedures.
The organization must verify board certification status for any practitioner claiming to be certified by an ABMS or AOA sponsored boards, or by a specialty board recognized by the organization.