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FAQ Directory: Wellness and Health Promotion

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8.24.2018 Are there any other documents or information that will help me get started with Accreditation/Certification?

8.24.2018 What are the Accreditation/Certification requirements?

The Accreditation/Certification assesses an organization’s performance in the following requirement areas:

  • Workplace program implementation.
  • Protection of private health information.
  • Ability of services to empower participants to improve their health.

WHP 2013

8.24.2018 How long will it take to earn Accreditation/Certification?

The typical evaluation timeframe, from application submission to decision, is 12 months. This depends on the organization’s readiness, as some organizations may already be working within NCQA guidelines.

WHP 2013

8.24.2018 What organizations are eligible Wellness and Health Promotion Accreditation/Certification?

Any organization that provides wellness and health promotion services can apply for accreditation/certification if it:

  • Provides wellness services, either directly or through a service agreement, and
  • Provides wellness services for at least three months before survey submission, and 
  • Has a process for monitoring, evaluating and improving the quality and safety of services provided to eligible participants.

WHP 2013

8.24.2018 What is the price for Wellness and Health Promotion Accreditation/Certification?

Pricing is based on multiple factors. Full pricing information can be obtained by submitting a request through My NCQA.

WHP 2013

8.24.2018 What is the process for earning Accreditation/Certification?

The first step to earning accreditation/certification is a discussion with an NCQA program expert. Purchase and review the program resources, conduct a gap analysis and submit your online application.

Align your organization’s processes with the standards. NCQA conducts the survey and determines your accreditation status within 30 days of the final review.

See a step-by-step process.

WHP 2013

8.24.2018 What other organizations have earned Wellness and Health Promotion Accreditation/Certification?

More than 40 organizations have earned Credentials Verification Organizations Certification. A directory of Certified organizations can be found at the NCQA Report Card.

WHP 2016

8.24.2018 Where can I find the Accreditation/Certification Standards and Guidelines?

8.24.2018 What is Wellness and Health Promotion Accreditation/Certification?

NCQA Wellness and Health Promotion Accreditation/Certification evaluates full and limited scope wellness program performance against the standards. Programs should appropriately address implementing a workplace program, protecting private health information and empowering participants to improve their health.

WHP 2013

8.24.2018 How do I get started with Wellness and Health Promotion Accreditation/Certification?

If you are not currently Accredited or Certified and are interested in learning more, contact NCQA. If you are currently Certified and want to talk to someone about your current status, renewing or adding Certifications, submit a question through My NCQA.

WHP 2016

8.24.2018 How does Accreditation/Certification help my organization?

NCQA Wellness and Health Promotion Accreditation/Certification focuses on services most desired by employers and health plans as well as expected by consumers. It provides a framework for organizations to implement industry best practices and apply evidence-based methods proven to support health and improve outcomes.

The standards help health and wellness organizations identify gaps for improvement and align their services with  those desired by potential contracting organizations.

 

WHP 2013

5.01.2015 Specific Regulatory Actions to be Reported What specific regulatory actions must be reported?

The organization must report the occurrence of any of the following actions by any federal or state regulatory authority:

  • Issuance of Intermediate Sanctions and/or suspension of enrollment by CMS or any other federal or state regulatory authority.
  • Issuance of any fine equal to or exceeding $50,000 related to Organization’s operations by CMS or any other federal or state regulatory authority.
  • Issuance of any request for a corrective action by any federal or state regulatory authority where the substance of such corrective action relates to the Organization’s handling of utilization management decisions, network adequacy, benefit denials, complaints, grievances, appeals or other important patient safety matters. 

The above actions are referred to as the “final determination” within the Agreement.

WHP 2010