Follow us on Twitter Friend us on Facebook Look for us on Google Plus Share with your Friends Print this Page
 
Friday 9:43 CST, October 24, 2014

State Recognition Details

State Recognition Contact Directory

Report a Complaint
800-994-6610

Jennifer Hoppe
Associate Director
630-792-5261

Karen Eberspacher
Government Relations Specialist
630- 792-5269


The Joint Commission actively monitors state legislative and regulatory activities for the purpose of identifying additional opportunities for state reliance on Joint Commission accreditation/certification.

The Joint Commission’s various accreditation/certification programs are recognized and relied on by many states in the states’ quality oversight activities. Recognition and reliance refers to the acceptance of, requirement for, or other reference to the use of Joint Commission accreditation, in whole or in part, by one or more governmental agencies in exercising regulatory authority. Recognition and reliance may include use of accreditation for licensing, certification or contracting purposes by various state agencies. 
 

STATE: PROGRAM:


State: Arizona
Program: Ambulatory Health Care
Agency: Department of Health Services
State Reference: R9-10-107
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

If a licensee submits a health care institution’s current accreditation report from a nationally recognized accrediting organization, the Department shall not conduct an onsite inspection of the health care institution as part of the substantive review for a renewal license.


State: Arkansas
Program: Ambulatory Health Care
Agency: Arkansas Board of Podiatric Medicine
State Reference: A.C.A. § 17-96-101 (2011)
Setting/Service: Ambulatory Surgery Center
Type of Recognition: Certification

 (3) "Podiatrist" means a physician legally licensed to practice podiatric medicine. However, no podiatrist shall amputate the human foot or perform nerve or vascular grafting or administer any anesthetic other than a local anesthetic. All ankle surgery performed above the level of the foot other than skin and skin structures shall be performed in a facility accredited by either Medicare or by the Joint Commission on Accreditation of Healthcare Organizations.
 


State: California
Program: Ambulatory Health Care
Agency: Department of Public Health
State Reference: Section 1228 of Health and Safety Code
Setting/Service: Health Facilities, Primary Clinics
Type of Recognition: Licensure

(a) Except as provided in subdivision (c), every clinic for which a license or special permit has been issued shall be periodically inspected. The frequency of inspections shall depend upon the type and complexity of the clinic or special service to be inspected. Inspections shall be conducted no less often than once every three years and as often as necessary to ensure the quality of care being provided.

(c) This section shall not apply to any of the following:

(1) A rural health clinic.
(2) A primary care clinic accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Accreditation Association for Ambulatory Health Care (AAAHC), or any other accrediting organization recognized by the department.
(3) An ambulatory surgical center.
(4) An end stage renal disease facility.
(5) A comprehensive outpatient rehabilitation facility that is certified to participate either in the Medicare program under Title XVIII (42 U.S.C. Sec. 1395 et seq.) of the federal Social Security Act, or the Medicaid program under Title XIX (42 U.S.C. Sec. 1396 et seq.) of the federal Social Security Act, or both.


State: California
Program: Ambulatory Health Care
Agency: Medical Board
State Reference: Bus. & Prof.Code § 2216 and Health & Safety Code Section 1248.1.
Setting/Service: Outpatient settings using anesthesia
Type of Recognition: Criteria for Operation

On or after July 1, 1996, no physician and surgeon shall perform procedures in an outpatient setting using anesthesia, except local anesthesia or peripheral nerve blocks, or both, complying with the community standard of practice, in doses that, when administered, have the probability of placing a patient at risk for loss of the patient's life-preserving protective reflexes, unless the setting is specified in Section 1248.1.

§ 1248.1. Operation and maintenance of outpatient setting; restrictions, firm, partnership, or person shall operate, manage, conduct, or maintain an outpatient setting in this state, unless the setting is one of the following:

(a) An ambulatory surgical center that is certified to participate in the Medicare program under Title XVIII (42 U.S.C. Sec. 1395 et seq.) of the federal Social Security Act.

(b) Any clinic conducted, maintained, or operated by a federally recognized Indian tribe or tribal organization, as defined in Section 450 or 1601 of Title 25 of the United States Code, and located on land recognized as tribal land by the federal government.

(c) Any clinic directly conducted, maintained, or operated by the United States or by any of its departments, officers, or agencies.

(d) Any primary care clinic licensed under subdivision (a) and any surgical clinic licensed under subdivision (b) of Section 1204. (e) Any health facility licensed as a general acute care hospital under Chapter 2 (commencing with Section 1250).

(f) Any outpatient setting to the extent that it is used by a dentist or physician and surgeon in compliance with Article 2.7 (commencing with Section 1646) or Article 2.8 (commencing with Section 1647) of Chapter 4 of Division 2 of the Business and Professions Code.

(g) An outpatient setting accredited by an accreditation agency approved by the division pursuant to this chapter. (The Joint Commission has been approved by the Medical Board)


State: Colorado
Program: Ambulatory Health Care
Agency: Department of Public Health and Environment
State Reference: C.R.S.A. § 25-3-102.1
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

1) In the licensing of an ambulatory surgical center following the issuance of initial licensure by the department, the voluntary submission of satisfactory evidence that the applicant is accredited by the Joint Commission, the American association for accreditation of ambulatory surgery facilities, inc., the accreditation association for ambulatory health care, the American osteopathic association, or any successor entities shall be deemed to meet certain requirements for license renewal so long as the standards for accreditation applied by the accrediting organization are at least as stringent as the licensure requirements otherwise specified by the department. Upon submission of a completed application for license renewal, the department shall accept proof of the accreditation in lieu of licensing inspections or other requirements.


State: District of Columbia
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: 44-505. Inspections
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

(b) After initial licensure the Mayor shall conduct an on-site inspection as a precondition to licensure renewal, except that the Mayor may accept accreditation by a private accrediting body, federal certification for participation in a health-insurance or medical assistance program, or federal qualification of a health maintenance organization as evidence of, and in lieu of inspecting for, compliance with any or all of the provisions of this subchapter and rules adopted pursuant to this subchapter that incorporate or are substantially similar to applicable standards or conditions of participation established by that body or the federal government. Acceptance of private accreditation by the Mayor shall be contingent on the facility's or agency's:

(1) Notifying the Mayor of all survey and resurvey dates no later than 5 days after it receives notice of these dates;
(2) Permitting authorized government officials to accompany the survey team; and
(3) Submitting to the Mayor a copy of the certificate of accreditation, all survey findings, recommendations, and reports, plans of correction, interim self-survey reports, notices of noncompliance, progress reports on correction of noncompliances, preliminary decisions to deny or limit accreditation, and all other similar documents relevant to the accreditation process, no later than 5 days after their receipt by the facility or agency or submission to the accrediting body.


State: Florida
Program: Ambulatory Health Care
Agency: AHCA
State Reference: F.S.A. § 400.9935  
Setting/Service: MRI Centers
Type of Recognition: Licensure

(7)(a) Each clinic engaged in magnetic resonance imaging services must be accredited by the Joint Commission on Accreditation of Healthcare Organizations, the American College of Radiology, or the Accreditation Association for Ambulatory Health Care, within 1 year after licensure.

State: Florida
Program: Ambulatory Health Care
Agency: AHCA
State Reference: 59 FL ADC 59A-5.004  
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

(1) INSPECTIONS. The Agency for Health Care Administration shall conduct periodic inspections of Ambulatory Surgical Centers in order to ensure compliance with all licensure requirements in accordance with s. 395.0161, F.S.

(2) NON-ACCREDITED AMBULATORY SURGICAL CENTERS. Those ambulatory surgical centers which are not accredited by JCAHO or AAAHC shall be subject to a scheduled annual licensure inspection survey by the agency.

3) ACCREDITED AMBULATORY SURGICAL CENTERS. The agency shall accept the survey report of an accrediting organization pursuant to s. 395.0161, F.S., provided that the standards included in the survey report of the accrediting organization are determined by the agency to document that the ambulatory surgical center is in substantial compliance with state licensure requirements, and the center does not meet the criteria specified under sub-paragraphs (e)1. and 2


State: Florida
Program: Ambulatory Health Care
Agency: Blue Cross and Blue Shield of Florida
State Reference: N/A
Setting/Service: Primary Care Medical Home
Type of Recognition: Payment Incentive

The BCBSF PCMH program consists of three main categories:

 

 PCMH recognition through a nationally recognized third party such National Committee for Quality Assurance (NCQA), URAC, The Joint Commission or Bridges to Excellence®. Physician groups will have a maximum of 24 months to complete the recognition process with their chosen entity.  Your medical societies, NCQA, URAC, as well as multiple other web-based sources offer information for obtaining PCMH recognition. 

 

  • Clinical quality and efficiency process measures. These metrics are obtained through administrative data and are approved by sources such as HEDIS and the National Quality Forum (NQF).  
  • Outcome performance as determined through nationally recognized tools such as TREO Solutions, a partner of 3M™ Health Information Systems and PROMETHEUS Payment®
  • Physicians will receive quarterly scorecards reporting their results for clinical quality process measures as well as their cost and utilization. 

During the first year of the program, BCBSF will compensate physicians for participation as practices implement the requirements to obtain PCMH recognition. In program year two, physicians participating in the PCMH model will have the potential to earn up to 16 percent on applicable services performed based on their outcome scores. In addition, a medical home initial assessment fee will be paid annually for the management of patients with chronic diseases such as diabetes, chronic obstructive pulmonary disease (COPD), coronary artery disease (CAD), asthma, congestive heart failure (CHF).  PCMH physicians will also receive the management fee for well visits of children newborn to age seven. 

 


State: Georgia
Program: Ambulatory Health Care
Agency: Department of Human Resources
State Reference: Ga. Code Ann., § 31-7-3 
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

b) The department may accept the certification or accreditation of an institution by the Joint Commission on the Accreditation of Hospitals, the American Osteopathy Association, or other accreditation body, in accordance with specific standards, as evidence of that institution's compliance with the substantially equivalent departmental requirements for issuance or renewal of a permit or provisional permit, provided that such certification or accreditation is established prior to the issuance or renewal of such permits. The department may not require an additional departmental inspection of any institution whose certification or accreditation has been accepted by the department, except to the extent that such specific standards are less rigorous or less comprehensive than departmental requirements.

State: Illinois
Program: Ambulatory Health Care
Agency: Department of Healthcare and Family Services
State Reference: 89 IL ADC 140.438 
Setting/Service: Imaging Centers
Type of Recognition: Medical Assistance Program

Participation Requirements for Imaging Centers To participate in the Illinois Medical Assistance program, an imaging center must, in addition to any other Department requirements, be licensed or certified:

A) for participation in the Medicare program; or
B) by the Joint Commission on Accreditation of Health Care Organizations (JCAHO); or
C) by a local or public health department; or
D) by any government agency having jurisdiction over the services provided and/or the equipment being used.


State: Illinois
Program: Ambulatory Health Care
Agency: Department of Public Health
State Reference: 210 ILCS 3/1
Setting/Service: Birthing Center
Type of Recognition: Licensure/Certification

In adopting rules for birth centers, the Department shall consider: the American Association of Birth Centers' Standards for Freestanding Birth Centers; the American Academy of Pediatrics/American College of Obstetricians and Gynecologists Guidelines for Perinatal Care; and the Regionalized Perinatal Health Care Code. The Department's rules shall stipulate the eligibility criteria for birth center admission. The Department's rules shall stipulate the necessary equipment for emergency care according to the American Association of Birth Centers' standards and any additional equipment deemed necessary by the Department. The Department's rules shall provide for a time period within which each birth center not part of a hospital must become accredited by either the Commission for the Accreditation of Freestanding Birth Centers or The Joint Commission.


State: Indiana
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: Information found on Indiana State Department of Health Website
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

Many ASCs voluntarily submit themselves for accreditation by an ASC accreditation association. If an ASC is accredited, the ASC may substitute the accreditation survey for the state licensure on-site survey. In years when an accreditation survey is performed, there may not be a state licensure survey conducted by the ISDH

Section 1865 (b)(2) of the U.S. Social Security Act allows institutions accredited as ASCs by the AAAHC, JCAHO, AAAASF, and AOA to be deemed to meet the Conditions of Coverage for ASCs. The ISDH also accepts the AAAHC, AAAASF, JCAHO, or AOA inspection report in lieu of a state licensure on-site survey. In years when an accreditation survey is performed, there may not be a state licensure survey conducted by the ISDH.


State: Iowa
Program: Ambulatory Health Care
Agency: Medicaid Department of Human Services
State Reference: IowaCare (11-W-00189/7)
Setting/Service: Primary Care Medical Home
Type of Recognition: Medicaid Reimbursement

Medical homes in the IowaCare Medical Home Pilot must:

The provider shall meet Medical Home standards. If the Iowa Department of Public Health adopts rules that provide statewide medical home standards or provide for a statewide medical home certification process, those rules shall apply to the Medical Home Provider and shall take precedence over the requirements in this paragraph.

At a minimum, the Medical Home Provider will:

a. Have National Committee for Quality Assurance (NCQA) Patient Centered Medical Home (PCMH) Level 1 recognition/certification or equivalent within 18 months of start of this contract. Medical homes recognition/certification status shall be designated as such for purposes of payment.

i. Practices must complete NCQA PCMH Level 1 recognition (or the equivalent, as determined by the Department), transitioning to permanent recognition, as determined by the Medical Home Reform Committee.

NOTE:  The Joint Commission's PCMH certification option has been determined to be equivalent

 


State: Kansas
Program: Ambulatory Health Care
Agency: Department of Health and Environment
State Reference: K.S.A. 65-429
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

A medical care facility which has been licensed by the licensing agency and which has received certification for participation in federal reimbursement programs and which has been accredited by the joint commission on accreditation of health care organizations or the American osteopathic association may be granted a license renewal based on such certification and accreditation.

"Medical care facility" means a hospital, ambulatory surgical center or recuperation center, but shall not include a hospice which is certified to participate in the Medicare program


State: Louisiana
Program: Ambulatory Health Care
Agency: Public Health - Medical Assistance
State Reference: LAC 50:I.2901, 2903, 2905, 2907, 2911, 2913, 2917, 2919
Setting/Service: Primary Care Medical Home
Type of Recognition: Additional Reimbursement

Community Care 2.0

B. Pay-for-Performance Measures and Reimbursement


1. P4P payments will be based on a pre-determined PMPM in accordance with PCP compliance with the following performance measures and shall be reimbursed on a quarterly basis. The PCP must attest to meeting certain performance standards and the department will monitor the PCPs for program compliance.


a. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Screenings. A payment of $0.25 PMPM for recipients under the age of 21 will be made if all screenings are performed in the PCP's office.


b. National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home Level 1 Recognition or Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Primary Care Home Accreditation. A payment of $0.50 PMPM will be made if the PCP provides verification of NCQA patient centered medical home Level 1 or higher status recognition, or JCAHO primary care home accreditation.


State: Massachusetts
Program: Ambulatory Health Care
Agency: Department of Public Health
State Reference: 105 CMR 140.102
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

(C) Deemed-by-accreditation Licensure for Ambulatory Surgery Centers. Consistent with M.G.L. c. 111, § 53G, the Department may deem the conditions of original or renewal licensure in 105 CMR 140.000 to be satisfied for an ambulatory surgery center (ASC) that meets the requirements of 105 CMR 140.102(C).

(1) Deemed-by-accreditation Original License.
An ASC that meets the following criteria shall be eligible to apply for a deemed-by-accreditation original license from the Department.


(a) on the date of application, the entity is accredited to provide ambulatory surgery services by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), the Joint Commission, the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) or any other national accrediting body as determined by the Department; and
(b) on the date of application, the entity is certified or has applied for certification as an ASC by the Centers for Medicare and Medicaid Services for participation in the Medicare program;

(2) Deemed-by-accreditation Renewal License.
An ASC that meets the following criteria shall be eligible to apply for a deemed-by-accreditation renewal license from the Department:

(a) on the date of application, the entity is accredited to provide ambulatory surgery services by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), the Joint Commission, the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) or any other national accrediting body as determined by the Department; and
(b) on the date of application, the entity is certified as an ASC by the Centers for Medicare and Medicaid Services for participation in the Medicare program


State: Mississippi
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: MS ADC 50 008 001: Ch. 21
Setting/Service: Ambulatory Center/Chiropractic Services
Type of Recognition: Licensure

A chiropractic physician may not engage in the practice of chiropractic while the consumer of the chiropractic services is under anesthesia unless:

1. The manipulation under anesthesia/joint anesthesia (MUA/JA) is performed at a facility that is licensed by the Mississippi Department of Health and approved by one (1) of the following:

a. Joint Commission on Accreditation of Healthcare Organizations (JCAHO),
b. American Osteopathy Association (AOA), or
c. Accreditation Association of Ambulatory Healthcare (AAAHC) or
Medicare


State: Montana
Program: Ambulatory Health Care
Agency: Department of Public Health and Human Services
State Reference: MT ST 50-5-103
Setting/Service: All healthcare facilities outside of hospitals
Type of Recognition: Licensure

(5) The department may consider as eligible for licensure during the accreditation period any health care facility located in this state, other than a hospital, that furnishes written evidence, including the recommendation for future compliance statements, of its accreditation by the joint commission on accreditation of healthcare organizations. The department may inspect a health care facility considered eligible for licensure under this section to ensure compliance with state licensure standards.

State: Montana
Program: Ambulatory Health Care
Agency: Office of the Commissioner of Securities and Insurance
State Reference: Febraury 13, 2014 approval letter from Commissioner
Setting/Service: Primary Care Medical Home
Type of Recognition: Requirement to qualify as PCMH

Montana law provides that the Commissioner of Securities and Insurance office shall qualify a medical practice as a patient centered Medical Home if has been accredited by a nationally recognized accrediting organization. In its approval, the Montana Commissioner has approved the Joint Commission's PCMH certification option as evidence that a medical practice has transformed and is functioning as a Medical Home.

State: Nebraska
Program: Ambulatory Health Care
Agency: Department of Health and Human Services
State Reference: 175 NE ADC Ch. 7, § 004
Setting/Service: Health clinics, Ambulatory surgical centers, Providers of hemodialysis services, or Providers of labor and delivery services
Type of Recognition: Licensure

7-004.08A Accreditation or Certification: The Department may deem an applicant or licensee in compliance with 175 NAC 7-006 based on its accreditation or certification as a health clinic, ambulatory surgical center, provider of hemodialysis services, or provider of labor and delivery services by the:

1. Joint Commission on Accreditation of Healthcare Organizations;
2. Accreditation Association of Ambulatory Health Care; or
3. Medicare or Medicaid certification program.


State: Nebraska
Program: Ambulatory Health Care
Agency: Multi-Payer Patient-Centered Medical Home Pilot
State Reference: N/A
Setting/Service: Primary Care Medical Home (PCMH)

Multi-Payer Patient-Centered Medical Home Pilot
In January 2014, Nebraska’s major commercial insurers and Medicaid managed care plans voluntarily launched a two-year multi-payer medical home pilot. The pilot aims to align participation requirements and measures across participating payers and practices, and requires payers to contract with an average of ten practices per pilot year. The pilot participation agreement describes expectations for participating payers and practices. Representatives of the following individuals and groups signed the pilot participation agreement:
  • Nebraska State Senators Mike Gloor and John Wightman
  • Blue Cross Blue Shield of Nebraska
  • Nebraska Academy of Family Physicians
  • Coventry Health Care of Nebraska
  • Nebraska Medical Association
  • Arbor Health Plan
  • Nebraska Chapter of the American Academy of Pediatrics
  • CoOportunity Health
  • UnitedHealthcare
In Nebraska, a medical home is defined as a health care delivery model in which a patient establishes an ongoing relationship with a physician in a physician-directed team, to provide comprehensive, accessible, and continuous evidence-based primary and preventive care, and to coordinate the patient’s health care needs across the health care system in order to improve quality, safety, access, and health outcomes in a cost effective manner. For further information, see the Medical Home Pilot Program Act (LB 396).
 
The Nebraska developed two tiers of recognition. Tier 1 practices were required to meet 29 standards in five “core competencies,” with eight additional standards required to meet Tier 2 recognition standards.
 
Payers participating in the pilot are not required to use certification or recognition standards. The pilot participation agreement specifies that if participating insurers do require practices be certified or recognized as medical homes, they will accept NCQA PCMH recognition, Joint Commission PCMH certification, URAC achievement, or Nebraska Medicaid PCMH Pilot Program standards.
 

 


State: Nevada
Program: Ambulatory Health Care
Agency: STATE BOARD OF HEALTH
State Reference: NAC 449.9745
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

The operator of an ambulatory surgical center shall

(a) Not later than 6 months after obtaining a license, submit proof to the Division of accreditation by:
 
(1) The Joint Commission;
(2) The Accreditation Association for Ambulatory Health Care;
(3) The American Association for Accreditation for Ambulatory Surgery Facilities; or
(4) Any other nationally recognized organization approved by the State Board of Health pursuant to subsection 3; and
 
(b) Maintain current accreditation during the term of licensure.
 
2. The operator of an ambulatory surgical center shall provide to the Division each report provided by the accrediting organization, including, without limitation, the initial report, each report issued upon renewal of an accreditation and any other report issued by the accrediting organization.

State: New Hampshire
Program: Ambulatory Health Care
Agency: Bureau of Health Facilities Administration
State Reference: N.H. Rev. Stat. § 151:5-b
Setting/Service: Health Facilities
Type of Recognition: Licensure

Any facility certified under Title XVIII or XIX of the Social Security Act, as amended, shall submit a completed license application, or license renewal form, together with the appropriate fee. Such facility or agency shall be deemed licensed under this chapter and shall be exempt from inspections carried out under RSA 151:6-a.

State: New Jersey
Program: Ambulatory Health Care
Agency: Department of Health and Senior Services
State Reference: NJ ADC 8:43A-3.12
Setting/Service: Ambulatory Surgery Facilities
Type of Recognition: Licensure

(b) As of July 15, 1996, each newly licensed ambulatory surgery facility shall submit to the Department the report of a survey of the facility performed by an independent accreditation organization approved by the Department. Such organizations shall be approved on the basis of their demonstrated ability to perform an operational survey using standards substantially equivalent to or exceeding the Federal Conditions for Coverage at 42 CFR Part 416. The survey shall be performed, and the report shall be submitted to the Department, within the 12 months immediately following receipt of a 12-month temporary license from the Department. A full license shall not be issued upon expiration of the temporary license unless the report of the independent survey is submitted in accordance with this rule. Ambulatory surgery facilities licensed prior to July 15, 1996 shall have until July 15, 1999 in which to be surveyed by an independent accreditation organization. Following submission of the initial report, each licensed facility shall submit a report of the most recent survey by an independent accreditation organization as part of the annual licensure renewal process. Such survey shall have been performed within three years of licensure renewal. The survey report shall include, but not be limited to, corrective actions recommended and/or undertaken.

State: New Mexico
Program: Ambulatory Health Care
Agency: Department of Health and Safety
State Reference: N. M. S. A. 1978, § 24-1-5
Setting/Service: All health facilities
Type of Recognition: Licensure

F. A health facility that has been inspected and licensed by the department and that has received certification for participation in federal reimbursement programs and that has been fully accredited by the joint commission on accreditation of health care organizations or the American osteopathic association shall be granted a license renewal based on that accreditation. Health facilities receiving less than full accreditation by the joint commission on the accreditation of health care organizations or by the American osteopathic association may be granted a license renewal based on that accreditation. License renewals shall be issued upon application submitted by the health facility upon forms prescribed by the department. This subsection does not limit in any way the department's various duties and responsibilities under other provisions of the Public Health Act or under any other subsection of this section, including any of the department's responsibilities for the health and safety of the public.

State: New York
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: 10 NY ADC 755.2 
Setting/Service: Free-Standing Ambulatory Surgery Services
Type of Recognition: Licensure

(f) accreditation is obtained from either the Accreditation Association for Ambulatory Health Care (AAAHC) or the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

New facilities shall obtain accreditation within two full years of operation. Facilities operational upon the effective date hereof shall obtain accreditation within one full year of such effective date.


State: North Carolina
Program: Ambulatory Health Care
Agency: Department of Health and Human Services
State Reference: 10A NC ADC 13C.0202
Setting/Service: Ambulatory Surgery Facility
Type of Recognition: Licensure

(a) Upon application for a license from a facility never before licensed, a representative of the Department shall make an inspection of that facility. Every building, institution or establishment for which a license has been issued shall be inspected for compliance with the rules found in this Subchapter. An ambulatory surgery facility shall be deemed to meet licensure requirements if the ambulatory surgery facility is accredited by JCAHO, AAAHC or AAAASF. Accreditation does not exempt a facility from statutory or rule requirements for licensure nor does it prohibit the Department from conducting inspections as provided in this Rule to determine compliance with all requirements.

State: Ohio
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: OH ADC 3701-83-05
Setting/Service: Ambulatory Surgical Facilities; Freestanding Health Care Facilities
Type of Recognition: Licensure

(2) The director may renew an ASF license without conducting an onsite inspection when:

(a) The ASF has submitted an approval letter that indicates the ASF is duly accredited and deemed in compliance with federal Medicare program requirements at the time of licensure renewal. The ASF shall provide the accreditation inspection report if requested by the director. The director may conduct a validation inspection prior to issuing the renewal license. Such accreditation may be from the joint commission on accreditation of healthcare organizations (JCAHO), the accreditation association for ambulatory health care (AAAHC), the American osteopathic association (AOA), the American association for the accreditation of ambulatory surgical facilities (AAAASF), or any other national accrediting body approved for deeming authority by the centers for Medicare and Medicaid services, thereby indicating that the accrediting body's standards meet or exceed the applicable Medicare program requirements for health care facilities as set forth in this chapter; or

(b) The ASF has been determined to be in compliance with the Medicare program conditions of coverage for ambulatory surgical centers by virtue of a department conducted Medicare certification or recertification survey within ninety days prior to the licensure renewal date.


State: Ohio
Program: Ambulatory Health Care
Agency: Workers' Compensation Bureau
State Reference: OH ADC 4123-6-02.2
Setting/Service: Radiology Services - Free-standing
Type of Recognition: Minimum requirement

The following minimum credentials apply to the providers listed below as provided in this rule.

(37)  Rediology services (free-standing) state licensing, registration or accreditation; (mobile) state, county or city registration, or approved by CMS for medicare or medicaid certification.


State: Oregon
Program: Ambulatory Health Care
Agency: Department of Human Services, Public Health Division
State Reference: OR ADC 333-076-0114
Setting/Service: Ambulatory Surgical Centers
Type of Recognition: Licensure

(2) Inspections:

(a) The Division may, in addition to any inspections conducted pursuant to complaint investigations, conduct at least one general inspection of each HCF to determine compliance with HCF laws during each calendar year and at such other times as the Division deems necessary. The Division may accept certificates by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) or the Committee on Hospitals of the American Osteopathic Association as evidence of compliance with acceptable standards in lieu of health care facility inspections;

(b) Facilities providing Joint Commission on Accreditation of Health Care Organizations (JCAHO) or Committee on Hospitals of the American Osteopathic Association (CHAOA) certificates as evidence of compliance shall also be required to provide to the Division (or to have previously provided) with each license application (and license renewal application):

(A) All JCAHO (or CHAOA, as appropriate) survey and inspection reports; and
(B) Written evidence of all corrective actions underway, or completed, in response to JCAHO (or CHAOA, as appropriate) recommendations; including all progress reports


State: Pennsylvania
Program: Ambulatory Health Care
Agency: Department of Health and Safety
State Reference: 28 PA ADC § 551.31
Setting/Service: Ambulatory Surgical Facilities
Type of Recognition: Licensure

(1) A license is not required for the operation of a Class A ASF. The facility shall be accredited by the Accreditation Association for Ambulatory Health Care, the Joint Commission on the Accreditation of Health Care Organizations, the American Association for the Accreditation of Ambulatory Surgical Facilities or another Nationally recognized accrediting agency acknowledged by the Medicare Program in order to be identified as providing ambulatory surgery.

State: South Carolina
Program: Ambulatory Health Care
Agency: Department of Health and Environmental Control
State Reference: SC ADC 61-91 Sec. 202
Setting/Service: Ambulatory Surgical Facilities
Type of Recognition: Licensure

A. An inspection shall be conducted prior to initial licensing of a facility and subsequent inspections conducted as deemed appropriate by the Department. Other regulatory-related inspections may be considered in determining the appropriateness of Department inspections, e.g., Joint Commission on Accreditation of Health Care Organizations (JCAHO), Accreditation Association for Ambulatory Health Care (AAAHC) inspections.

State: Tennessee
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: T. C. A. § 68-11-210
Setting/Service: All healthcare facilities licensed by the Tenn. Dept. of Health
Type of Recognition: Licensure

(5)(A) All health care facilities licensed by the department that have obtained accreditation from a federally recognized accrediting health care organization shall be deemed to meet all applicable licensing requirements. Such facilities may be subject to an inspection by the department and shall continue to be subject to subdivisions (b)(3)(D), and (E), but may be exempt from subdivision (a)(1) so long as the facility remains accredited.

State: Texas
Program: Ambulatory Health Care
Agency: Department of State Health Services
State Reference: 25 TX ADC § 135.20
Setting/Service: Ambulatory Surgical Centers
Type of Recognition: Licensure

(4) The initial licensing survey may be waived if the ASC provides documented evidence of accreditation by the Joint Commission, the Accreditation Association for Ambulatory Health Care, or the American Association for Accreditation of Ambulatory Surgery Facilities and Medicare deemed status.

State: Utah
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: UT ADC R432-3
Setting/Service: All healthcare facilities
Type of Recognition: Licensure

The Department may grant licensing deemed status to facilities and agencies accredited by the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission), Accreditation Association for Ambulatory Health Care (AAAHC), Accreditation Commission for Health Care, or Community Health Accreditation Program in lieu of the licensing inspection by the Department upon completion of the following by the facility or agency:

(3) Upon receipt from the accrediting agency, the facility shall submit copies of the following:

(a) accreditation certificate;
(b) Joint Commission Statement of Construction;
(c) survey reports and recommendations;
(d) progress reports of all corrective actions underway or completed in response to accrediting body's action or Department recommendations.


State: Virginia
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: 12 VA ADC 5-410-50
Setting/Service: Outpatient Hospitals
Type of Recognition: Licensure

Hospitals to be licensed shall be classified as general hospitals, special hospitals or outpatient hospitals defined by 12 VAC 5-410-10.

“Outpatient hospital” means institutions as defined by § 32.1-123 of the Code of Virginia that primarily provide facilities for the performance of surgical procedures on outpatients. Such patients may require treatment in a medical environment exceeding the normal capability found in a physician's office, but do not require inpatient hospitalization. Outpatient abortion clinics are deemed a category of outpatient hospitals.

A. The OLC may presume that a hospital accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and certified for participation in Title XVIII of the Social Security Act (Medicare) generally meets the requirements of Part II (12 VAC 5-410-170 et seq.) of this chapter provided the following conditions are met:

1. The hospital provides to the OLC, upon request, a copy of the most current accreditation survey findings made by the Joint Commission on Accreditation of Healthcare Organizations; and

2. The hospital notifies the OLC within 10 days after receipt of any notice of revocation or denial of accreditation by the Joint Commission on Accreditation of Healthcare Organizations.


State: Washington
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: WA ADC 246-330-105
Setting/Service: Ambulatory Surgical Facility
Type of Recognition: Licensure

(2) An ambulatory surgical facility certified by the Centers for Medicare and Medicaid Services or accredited by the Joint Commission, Accreditation Association for Ambulatory Health Care or American Association for Accreditation of Ambulatory Surgery Facilities must:

(a) Notify the department of a certification or an accreditation survey within two business days following completion of the survey; and

(b) Notify the department in writing of the accreditation decision and any changes in accreditation status within thirty calendar days of receiving the accreditation report.


State: Wyoming
Program: Ambulatory Health Care
Agency: Department of Public Health
State Reference: W.S.1977 § 35-2-907
Setting/Service: All healthcare facilities
Type of Recognition: Licensure

(a) Except as otherwise provided in this section every licensed health care facility shall be periodically inspected by the division under rules and regulations promulgated by the department. A licensed health care facility which has been accredited by a nationally recognized accrediting body approved by federal regulations shall be granted a license renewal without further inspection. Inspection reports shall be prepared on forms prescribed by the division. Licensees accredited by the nationally recognized accrediting body shall submit the inspection report pursuant to its accreditation. If the standards of the nationally recognized accrediting body fail to meet or exceed the state standards for licensure, the division may inspect the licensed facility with regard to those matters which did not meet state standards.

The Joint Commission maintains a listing of state agencies that recognize accreditation/certification. These lists have been compiled from a variety of sources and are intended to identify state regulatory agencies that recognize and/or rely on accreditation in lieu of specific state licensure or certification requirements. The Joint Commission makes no claims about the accuracy of this list and it should be considered a reference document. Joint Commission accredited organizations are strongly encouraged to inquire with their state regulatory agency for a full description of the recognition and any additional requirements the state agency may have.
 

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.