Frequently Asked Questions

Some common questions and answers about BHCOE Accreditation.
If my organization was accredited prior to 2022, is my organization held to the new accreditation standards?

BHCOE’s expectation is that organizations accredited under previous versions of the Standards of Excellence for Applied Behavior Analysis Services work towards compliance with the new standards beginning July 1, 2022.

With regard to compliance complaints, all organizations will be held to the 2021 Standards of Excellence unless they have been evaluated under the 2022 Standards. Areas of non-compliance with the 2022 Standards will be addressed on an individual basis for those organizations accredited under previous Standards.

How is an accreditation score calculated?

faqTo calculate accreditation scores, BHCOE conducts an evaluation that reviews areas of your practice related to: Ethics and Professionalism; Equitable and Inclusive Employment Practices; Overall Business Practices, Recruitment, Hiring and Retention Practices; Patient Intake Practices; Service Delivery; Clinical Documentation, Family Involvement and Coordination of Care; Creating a Safe Working Environment; Ethical Marketing Practices; and Ensuring the Safety of Patient Information.

An organization must show conformance with the BHCOE Standards of Excellence through a variety of verification methods including interviews, direct observation of service delivery, attestation, documentation review and survey results. Depending on the Accreditation you are seeking, each verification method is weighted accordingly and contributes to the final accreditation score.

To earn an accreditation, an organization must score at least 80% on the evaluation for the accreditation they are seeking and meet all “must pass” standards.

How are BHCOE standards developed?

Behavioral Health Center of Excellence Accreditation is an Accredited Standards Developer by the American National Standards Institute (ANSI). As such, we are required to comply with the essential requirements and policies of ANSI in our standards development activities.

BHCOE’s standards development policies are outlined in our “POLICIES & PROCEDURES FOR THE DEVELOPMENT OF AN AMERICAN NATIONAL
STANDARD” (found on our website at: development/) in line with the “ANSI Essential Requirements: Due process requirements for American National Standards.” Where the BHCOE operating principles and procedures are silent on an issue, ANSI’s Essential Requirements document shall serve as the precedent document.

BHCOE established the BHCOE Standards of Excellence to reflect best practices in applied behavior analysis service delivery and were developed via review of available peer-reviewed literature, best-practice literature, and state and federal law as well as review by subject matter experts and relevant stakeholders.

The BHCOE Commission oversees the development of the BHCOE Standards of Excellence and other standards and is responsible for approving the improvement and revision language for the BHCOE Standards of Excellence. The BHCOE Standards Coordinator coordinates the activities of the BHCOE Commission and coordinates subcommittees when needed. The BHCOE Commission maintains the process, appeals, interpretations, self-assessment guidance, and other training and education activities relevant to the BHCOE Standards of Excellence. The BHCOE Standards Coordinator, BHCOE Commission and subcommittees must comply with the ANSI requirement for openness, balance and due process. The BHCOE Commission will also serve as the “consensus body” for the purpose of documenting consensus on all American National Standards developed by BHCOE.

BHCOE’s exhaustive policies and procedures for the development of the American National Standard can be found on BHCOE’s website. BHCOE’s accreditation policies and procedures are continuously reviewed and updated. Accordingly, this manual may contain outdated information. To receive the most current information, please visit the BHCOE website,, or contact BHCOE directly at

How much does accreditation cost?

faqThe BHCOE evaluation is like going to the doctor. You pay for the check-up, NOT for the diagnosis. Payment does not impact whether an organization will become a Behavioral Health Center of Excellence. The cost is a flat fee for the evaluation based on the size of the agency and the number of locations. To learn more about the cost for your organization, you may email or schedule a call to discuss.

Who completes the evaluation?

faqThe evaluation is conducted via the Accreditation Gateway, our online platform that guides you through each stage of the evaluation process, covering each verification method including attestations, document review, survey, observation, and interview. Your responses to each of these verifications are evaluated by our clinical evaluators. Clinical evaluators area Board Certified Behavior Analysts who have at least 5 years of experience in a leadership position at an ABA organization and/or have providedOrganizational Behavior Management consultation services. All evaluators are trained by BHCOE to provide impartial and constructive feedback throughout the evaluation process.

How does BHCOE maintain HIPAA compliance?

faqAs part of the evaluation process, evaluators and necessary BHCOE personnel have access to confidential information such as patient records, collectively referred to as protected health information (PHI). As a Business Associate as defined in the Health Insurance Portability and Accountability Act (HIPAA), BHCOE will ensure that its personnel fully comply with requirements under HIPAA. Further, every agent, employee, subsidiary, and affiliate of BHCOE to whom PHI is disclosed will be required to fully comply with HIPAA and will be bound by written agreement to the same restrictions and terms and conditions.

The service recipients of organizations who are subject to HIPAA enforcement are protected under section 45 CFR 164.506 of the HIPAA Privacy Rule in which health care operations for certain administrative, financial, legal, and quality improvement activities of a covered entity are necessary to run its business and to support the core functions of treatment and payment. These activities, which are limited to the activities listed in the definition of health care operations at 45 CFR 164.501, include:

  • Conducting quality assessment and improvement activities, population-based activities relating to improving health or reducing health care costs, and case management and care coordination;
  • Reviewing the competence or qualifications of healthcare professionals, evaluating provider and health plan performance, training health care and non-healthcare professionals, accreditation, certification, licensing, or credentialing activities”
  • “Health care operations” are certain administrative, financial, legal, and quality improvement activities of a covered entity that are necessary to run its business and to support the core functions of treatment and payment.

In addition, consumers are notified prior to survey administration that the response to the survey is voluntary and will not affect their services in any way. They are also provided with an “opt-out” option at the initial point of contact.

What is the difference between the BACB and BHCOE?

faqThe Behavior Analyst Certification Board® (BACB®) certifies individual practitioners of applied behavior analysis services whereas BHCOE accredits organizations that provide applied behavior analysis services. These organizations may employ BACB certified individuals.

Does BHCOE provide any help in preparing for an evaluation?

faqBHCOE provides ample resources for organizations to prepare prior to their evaluation. The BHCOE Learning Hub includes many valuable resources for meeting our Standards. Organizations gain access to the BHCOE Learning Hub upon signing their letter of engagement. Additionally, the Knowledge section of the Accreditation Gateway offers many resources regarding the evaluation process, the Standards of Excellence, and ways to get support during the evaluation process.

BHCOE is not able to provide consultation or coaching services for organizations hoping to pursue accreditation in the future.

Do we have to submit all our programs for accreditation?

faqNo. Accreditation is specific to the applied behavior analysis component of your organization. If your organization provides additional services such as occupational therapy, speech and language therapy, physical therapy, etc. The BHCOE evaluation will review only those practices in your ABA service delivery branch and only the ABA services will be accredited. Additionally, separate offices or clinic locations are evaluated independently. An organization can choose to accredit all locations or select locations.

Can BHCOE accredit services provided by an individual?

faqWhile the Standards of Excellence were developed to guide ABA services delivered in a tiered service delivery model, organization’s using a professional behavior analyst only model (e.g., BCBA only) may be eligible for accreditation. To find out more, please contact

Why are evaluation interviews recorded?

faqRecording interviews is an important component of BHCOE’s internal quality assurance process. BHCOE regularly conducts inter-observer agreement (IOA) on evaluations to ensure that findings are scored fairly and appropriately. This helps our organization maintain a high standard of reliability in our accreditation scoring process.

What are the financial benefits of BHCOE Accreditation?


  1. Liability Reduction: accreditation reduces the risk of allegations of negligence, professional misconduct, and breach of confidentiality — the costs of which can far exceed the cost spent on accreditation.

  2. Compliance with Funders: Many funders are moving towards requiring health care providers to hold accreditation for their organization. BHCOE has seen this in some states. Organizations already accredited by BHCOE may be compliant and need not undergo any additional surveys or inspections. In addition, other accreditations are much more expensive. BHCOE is priced as the most affordable accreditation that reviews the clinical and administrative practices.
  1. Reimbursement Rate Negotiations: Accreditation is currently a voluntary peer review process. It’s a great way to approach your funder for a rate increase to show compliance with quality standards and efficiency of your services. Rate negotiations likely only occur during the re-credentialing period. Providers should think about what the insurance business wants and where your organization fits in. On top of that, ABA providers must prove they’re an asset to the network and show how their services are vital to the network’s survival (for instance, through cost savings). The trick is to convey this information with as much hard data and analyses as possible. A provider can’t simply approach an insurance payer and say, “Can we have an increase?” Instead, an organization needs to come to the negotiating table with numbers, figures, arguments, and, most importantly, strategy. Insurance payers have a much harder time saying no to numbers. The BHCOE Accreditation process is built to address this by providing your organization with sustainability data and client outcome. Most of the providers who have been successful in rate increases have taken their BHCOE Accreditation report to their negotiation meetings, along with other supporting documents (e.g. letters of support, etc.).
What happens if my organization does not agree with BHCOE's accreditation decision results?

faqOrganizations receiving a non-accreditation decision may appeal to re-score their accreditation review within 30 days of completion of the debrief call. If approved, the rescore is conducted by an alternate evaluator. All appeal decisions are final. Click here for the audit rescore form.

Does BHCOE have oversight committees? What are the BHCOE Commission, DRC, and ARC?

We are a neutral entity that ensures the interests of all applied ABA stakeholders are represented in the future of the profession and the definition of its standards and quality measures. Oversight committees aid our organization in collaborating across diverse stakeholders to develop benchmarks that help advance the field.

  • BHCOE Commission: Develops and evaluates ABA standards through a transparent, consensus-based process with diverse stakeholders.
  • Disciplinary Review Committee (DRC): Enforces Standards of Excellence, addressing compliance concerns
  • Appeal Review Committee (ARC): Ensures due process for compliance concerns, supporting providers in maintaining standards.

To find up-to-date information on the BHCOE Accreditation committees and their members, visit the Jade Health BHCOE Accreditation page.

How can I get involved?

faqBehavioral Health Center of Excellence (BHCOE) is always looking for new community members who are passionate about Applied Behavior Analysis and the implementation of quality standards within our community. To learn more, please send your CV or letter of interest to

Jade Health Rebrand FAQs

Some common questions about BHCOE’s rebrand to Jade Health.

Why is BHCOE rebranding to Jade Health?

The rebranding to Jade Health reflects our commitment to evolving and expanding our services while maintaining our dedication to excellence in healthcare delivery. We believe that the new identity better represents our values and vision for the future. Read our official press release.

Will BHCOE Accreditation still be offered under the same name?

Yes, at this time, BHCOE Accreditation will continue to be offered under the same name. BHCOE accreditation services remain unchanged. Learn more about the levels of BHCOE accreditation.

What changes can we expect with the rebrand?

Along with the new name, you can expect updates to our website, email signatures, social media handles, and branding materials. Our commitment to providing high-value guidance and supporting the ABA community through accreditation, education, and remains unchanged.

How will the rebrand affect existing partnerships and services?

Our team is dedicated to ensuring a seamless transition for all stakeholders, and we will continue to deliver the same level of excellence in our offerings. Some programs are being phased out, while others will be phased in over time subscribe to the jade health newsletter to stay up to date on important updates and new benefits to our members.

Will there be any changes to the BHCOE logo used by those who achieve accreditation?

At this time, the Jade Health rebrand does not affect any BHCOE Accreditation Logos. If this were to ever change, accredited members will be notified right away.

Where can I find more information about Jade Health and the rebrand?

For more information about Jade Health and the rebranding process, follow us on social media, subscribe to our newsletter, or contact us directly through the Jade Health Website.

Will there be any disruptions to services during the rebranding process?

We are committed to minimizing disruptions to our services during the rebranding process. The accreditation team is not affected in any way by the rebranding process, and we don’t expect delays to occur.

How can I provide feedback or ask additional questions about the rebrand?

We value your feedback and welcome any questions or concerns you may have about the rebranding process. Please feel free to reach out to and we will be happy to assist you.

Do you have other questions about our organization or becoming a BHCOE?

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