Personal Health Accelerator (PHA) Wellness Data & Referral Program

Requirements Checklist

• Applicants must submit a single, integrated application covering program operations and technology scope. The State will contract with a single accountable entity responsible for program design, provider and CBO onboarding, closed-loop referral technology, evidence-based referral tracking, county-level operational and reporting capacity, and rapid platform launch within 60 days of contract execution. Required attachments include: Detailed Line-Item Budget Worksheet, Budget Narrative, Grantee Contact Information Form, Commitment Letters (for technology partnerships), Technical Demonstration (supported standards, APIs, interface details), Outcomes and Reporting Plan. Applications must align with RHTP/CMS requirements, demonstrate non-duplication of services, comply with privacy/security/data integration standards (including HIPAA and 42 CFR Part 2 where applicable), and support State performance measurement and reporting. Minimum 60-day platform functionality includes live referral initiation, CBO receipt and disposition, time-stamped status/audit log, State-visible dashboard/reporting, and readiness for real-time State access. Milestone-based performance management is required. Distinction between healthcare provider payments (subject to 15% cap) and programmatic/infrastructure costs must be explicitly justified in budget documentation; all reimbursement is contingent on milestone achievement and verification of incurred costs.

Required attachments

• Detailed Line-Item Budget Worksheet
• Budget Narrative
• Grantee Contact Information Form
• Commitment Letters (if partnering with platform/vendor)
• Technical Demonstration (documentation of readiness: standards, APIs, interface details)
• Outcomes/Reporting Plan

Submission Instructions

Online via the WV Oasis Vendor Self Service portal

Source Documents