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Friday 10:49 CST, September 19, 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: Florida
Program: Disease-Specific Care
Agency: Agency for Health Care Administration
State Reference: 59 FL ADC 59A-3.2085 
Setting/Service: Primary Stroke Centers
Type of Recognition: Licensure/Designation

(a) Primary Stroke Centers.

A hospital program will be designated as a primary stroke center on the basis of that hospital providing to the Agency for Health Care Administration an affidavit on AHCA Form 3130-8009, December 2005, which is incorporated by reference, signed by the Chief Executive Officer of the hospital, attesting that the program has been certified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as a primary stroke center, or that the program meets the criteria applicable to primary stroke centers as outlined in the Joint Commission on Accreditation of Healthcare Organizations: Disease-Specific Care Certification Manual, 2nd Edition, Oakbrook Terrace, IL; x Joint Commission Resources, 2005. Reprinted with permission.

Attestation must also indicate that the program meets requirements outlined in the “Updated Primary Stroke Center Certification Appendix for the Disease-Specific Care Manual,” which are incorporated by reference. Copies of these standards are available from the Agency for Health Care Administration Hospital and Outpatient Services Unit, or from the Joint Commission on the Accreditation of Healthcare Organizations at One Renaissance Boulevard, Oak Terrace, IL 60181.

Hospitals shall ensure that stroke centers establish specific procedures for screening patients that recognize that numerous conditions, including cardiac disorders, often mimic stroke in children. Stroke centers should ensure that transfer to an appropriate facility for specialized care is provided to children and young adults with known childhood diagnoses.


State: Florida
Program: Behavioral Health Care
Agency: Agency for Health Care Administration
State Reference: 59 FL ADC 59A-3.300 
Setting/Service: Intensive Residential Treatment Programs for Children and Adolescents
Type of Recognition: Licensure

Programs desiring licensure under this rule shall follow the procedure as described in Rule 59A-3.066, F.A.C., and shall comply with the provisions of Rules 59A-3.301 through 59A-3.312, F.A.C., which establishes the minimum standards for the voluntary licensure as a special hospital of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accredited Intensive Residential Treatment Programs for Children and Adolescents. These rules emphasize the programmatic requirements designed to meet the needs of the patient in a safe therapeutic environment and are intended to be used in licensing intensive residential treatment facilities for children and adolescents as specialty hospitals pursuant to Section 395.002(16), F.S. Unless otherwise specified, Rules 59A-3.301 through 59A-3.312, F.A.C., supersede the requirements of Rules 59A-3.300 through 59A-3.312, F.A.C., for the purpose of licensing intensive treatment facilities for children and adolescents as specialty hospitals.

State: Florida
Program: Hospitals
Agency: Agency for Health Care Administration
State Reference: 59 FL ADC 59A-3.253
Setting/Service: Hospital
Type of Recognition: Licensure

(2) NON-ACCREDITED HOSPITALS. -- Hospitals which are not accredited by a hospital accrediting organization will be subject to a scheduled annual licensure inspection survey.

3) ACCREDITED HOSPITALS. -- The agency shall accept the survey report of an accrediting organization in lieu of an annual licensure inspection for accredited hospitals and for hospitals seeking accreditation by a hospital accrediting organization, provided that the standards included in the survey report of the accrediting organization are determined by the agency to document that the hospital is in substantial compliance with state licensure requirements, and the hospital does not meet the criteria specified under subparagraphs (e)1. and 2.


State: Florida
Program: Laboratory Services
Agency: Agency for Health Care Administration
State Reference: F.S.A. § 483.061
Setting/Service: Laboratory
Type of Recognition: Licensure

(4) The agency shall accept, in lieu of its own periodic inspections for licensure, the survey of or inspection by private accrediting organizations that perform inspections of clinical laboratories accredited by such organizations, including postinspection activities required by the agency.

State: Florida
Program: Nursing Care Center
Agency: Agency for Healthcare Administration
State Reference: 59 FL ADC 59A-4.107
Setting/Service: Nursing Homes: Minimum Standards
Type of Recognition: Licensure

(1) Each facility will have only one physician who is designated as Medical Director.

(2)

(a) The Medical Director must be a physician licensed under Chapter 458 or 459, F.S. The nursing home administrator may require that the Medical Director be certified or credentialed through a recognized certifying or credentialing organization.

(b) A Medical Director who does not have hospital privileges shall be certified or credentialed through a recognized certifying or credentialing body, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the American Medical Directors Association, the Healthcare Facilities Accreditation Program of the American Osteopathic Association, the Bureau of Osteopathic Specialists of the American Osteopathic Association, the Florida Medical Directors Association or a health maintenance organization licensed in Florida.


State: Florida
Program: Home Care
Agency: Agency for Healthcare Administration
State Reference: F.S.A. § 400.933
Setting/Service: Home Medical Equipment Providers
Type of Recognition: Licensure

(2) The agency shall accept, in lieu of its own periodic inspections for licensure, submission of the following:

(a) The survey or inspection of an accrediting organization, provided the accreditation of the licensed home medical equipment provider is not provisional and provided the licensed home medical equipment provider authorizes release of, and the agency receives the report of, the accrediting organization; or

(b) A copy of a valid medical oxygen retail establishment permit issued by the Department of Health, pursuant to chapter 499.

Note:  AHCA requires all sites to have onsite survey to accept accreditation in lieu of its own periodic inspections for licensure


State: Florida
Program: Home Care
Agency: Agency for Healthcare Administration
State Reference: F.S.A. § 400.471
Setting/Service: Home Health Agencies
Type of Recognition: Initial Licensure

(h) In the case of an application for initial licensure, documentation of accreditation, or an application for accreditation, from an accrediting organization that is recognized by the agency as having standards comparable to those required by this part and part II of chapter 408. Notwithstanding s. 408.806, an applicant that has applied for accreditation must provide proof of accreditation that is not conditional or provisional within 120 days after the date of the agency's receipt of the application for licensure or the application shall be withdrawn from further consideration. Such accreditation must be maintained by the home health agency to maintain licensure. The agency shall accept, in lieu of its own periodic licensure survey, the submission of the survey of an accrediting organization that is recognized by the agency if the accreditation of the licensed home health agency is not provisional and if the licensed home health agency authorizes releases of, and the agency receives the report of, the accrediting organization.


State: Florida
Program: Home Care
Agency: Agency for Healthcare Administration
State Reference: 59 FL ADC 59A-8.003
Setting/Service: Home Health Agencies
Type of Recognition: Licensure

(3) Surveys of Accredited Home Health Agencies:

(a) It is the responsibility of the home health agency to request exemption from state licensure surveys pursuant to Section 400.471(9), F.S., by submitting documentation of accreditation by an approved accrediting organization and the most recent survey from the accrediting organization to the AHCA Licensed Home Health Programs Unit.

(b) Home health agencies that complete paragraph (a) will not be subject to licensure surveys by AHCA except under the following circumstances:

1. The HHA has been denied accreditation or has received a provisional accreditation report from the accrediting organization on its most recent survey, or

2. The HHA has received full accreditation but has not authorized the release of the report to the AHCA, or has not ensured that AHCA has received the accrediting organization's report.


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: Florida
Program: Behavioral Health Care
Agency: Department of Children and Family Services
State Reference: 65 FL ADC 65E-11.005 
Setting/Service: Behavioral Health Services
Type of Recognition: Insurance

(1) Lead Agencies shall adopt and distribute to their network members and subcontracted Providers of Behavioral Health Services, clinical practice guidelines and practice parameters for providing behavioral health services to enrolled children and their families that are based on the service standards and clinical guidelines described in this rule and Section 65E-11.006, F.A.C.

(a) The clinical practice guidelines and practice parameters, shall be in writing and available to the department upon request and shall be based on national behavioral health standards developed by the American Academy of Child and Adolescent Psychiatry, or the American Managed Behavioral HealthCare Association, or the treatment improvement protocols developed by the Federal Center for Substance Abuse Treatment (CSAT) of the Substance Abuse and Mental Health Services Administration (SAMHSA), or on behavioral health standards reviewed and accepted by national accrediting bodies such as the Rehabilitation Accreditation Commission (CARF), or the National Committee for Quality Assurance (NCQA), or the Council on Accreditation (COA), or the Joint Commission on Accreditation of Health Care Organizations (JCAHO), or based on any combination of the standards developed by the organizations described in this chapter.

(b) A Deemed Status Provider of Behavioral Health Services that becomes unconditionally accredited to provide behavioral health services either through The Joint Commission on Accreditation of Healthcare Organizations, or the Commission on Accreditation of Rehabilitation Facilities, or the Council on Accreditation, shall be deemed to have complied with all minimal clinical practice guidelines, practice parameters, and credentialing standards required by this rule for so long as the accreditation is maintained in good standing. Notwithstanding this requirement, Providers of Behavioral Health Services who provide services for the treatment and prevention of substance dependence shall have met the minimum standards for licensure as set forth in Chapter 397, Florida Statutes.


State: Florida
Program: Behavioral Health Care
Agency: Department of Children and Family Services
State Reference: 65 FL ADC 65E-10.021  
Setting/Service: Psychiatric Treatment Programs for Children and Adolescents
Type of Recognition: Licensure

(1) Program Exceptions. Programs which hold current accreditation as a psychiatric residential program for children and adolescents from the Joint Commission on Accreditation of Hospitals (JCAHO) are exempt from the general programmatic Rule 65E-10.021, F.A.C. Notwithstanding the previous statement, no program shall be exempted from any requirements specific to the State of Florida which may be referenced in Rule 65E-10.021, F.A.C.

State: Florida
Program: Behavioral Health Care
Agency: Department of Children and Family Services
State Reference: 65 FL ADC 65D-30.003
Setting/Service: Substance Abuse Services
Type of Recognition: Licensure

(d) Special Information Displayed on Licenses. In the case of addictions receiving facilities, detoxification, intensive inpatient treatment, and residential treatment, each license shall include the licensed bed capacity. The department shall identify on the license those components provided in each facility that are accredited by a department recognized accrediting organization such as the Commission on Accreditation of Rehabilitation Facilities (CARF), the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), and Council on Accreditation (COA). In the case of providers or components of providers that are accredited, licenses shall also include the statement, “THIS LICENSE WAS ISSUED BASED, IN PART, ON THE SURVEY REPORT OF A DEPARTMENT RECOGNIZED ACCREDITING ORGANIZATION.” This statement would not be included on the license when issuance is also based on the results of the department's licensing inspections.

(7) Accredited Providers. This subsection implements Section 394.741, F.S. This subsection applies to licensing inspections of providers or components of providers that are accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF), Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), Council on Accreditation (COA), or other department approved accrediting organizations.


State: Florida
Program: Hospitals
Agency: DEPARTMENT OF HEALTH
State Reference: 64C-4.002.
Setting/Service: Diagnostic and Treatment Facilities or Services - General.
Type of Recognition: Licensure

(1) Each chronic care hospital and skilled nursing care facility approved by the Department for the provision of health services to CMS participants must have or meet the following:

(a) An active, valid State of Florida license.
(b) Accreditation from the Joint Commission on Accreditation of Health Organizations (JCAHO).
(c) A physically definable hospital unit or ward to which only children are admitted. The entire pediatric unit or ward must maintain an annual average daily census of fifteen children or more, excluding normal newborns and those in neonatal intensive care units. In making the selection and designation of approved facilities, CMS will give priority to those facilities that demonstrate an emphasis on quality children’s medical services, including the presence of an adolescent unit or ward, a neonatal (level two or level three) intensive care unit, and a pediatric intensive care unit.
(d) Applicable national specialty standards, when available, commensurate with any specialty health care services provided by the facility that will be available to CMS participants.

(2) Each primary care hospital, approved by the CMS area office for the provision of health care to CMS participants, must have or meet the following:

(a) An active, valid State of Florida license;
(b) Accreditation from the Joint Commission on Accreditation of Health Organizations (JCAHO);
(c) A separate pediatric unit, which has at least five rooms available;
(d) A designated chief of pediatrics;
(e) Board certified pediatricians following the patients and available 24 hours a day;
(f) A qualified and experienced pediatric nursing staff with at least one RN on duty in the unit 24 hours a day;
(g) A pediatric code cart on the unit along with appropriate pediatric resuscitation equipment; and
(h) The capability for rapid transfer to pediatric intensive care units.

(3) When a hospital within a CMS Service area is the only facility available within that area to admit CMS participants, a provisional exception to the designation criteria shall be made by the Deputy Secretary for Children’s Medical Services, upon recommendation from the area CMS Medical Director, in order to provide participants access to health care not immediately available through CMS approved physician providers.


State: Florida
Program: Office-Based Surgery
Agency: Department of Health – Board of Medicine
State Reference: F.S.A. § 458.309
Setting/Service: Office-Based Surgery
Type of Recognition: Licensure

(3) All physicians who perform level 2 procedures lasting more than 5 minutes and all level 3 surgical procedures in an office setting must register the office with the department unless that office is licensed as a facility pursuant to chapter 395. The department shall inspect the physician's office annually unless the office is accredited by a nationally recognized accrediting agency or an accrediting organization subsequently approved by the Board of Medicine. The actual costs for registration and inspection or accreditation shall be paid by the person seeking to register and operate the office setting in which office surgery is performed.

State: Florida
Program: Office-Based Surgery
Agency: Department of Health – Board of Medicine
State Reference: 64 FL ADC 64B8-9.0091
Setting/Service: Office-Based Surgery
Type of Recognition: Licensure

(a) Unless the physician has previously provided written notification of current accreditation by a nationally recognized accrediting agency or an accrediting organization approved by the Board the physician shall submit to an annual inspection by the Department. Nationally recognized accrediting agencies are the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), Accreditation Association for Ambulatory Health Care (AAAHC) and Joint Commission on Accreditation of Healthcare Organizations (JCAHO). All nationally recognized and Board-approved accrediting organizations shall be held to the same Board-determined surgery and anesthesia standards for accrediting Florida office surgery sites.

State: Florida
Program: Office-Based Surgery
Agency: Department of Health – Board of Osteopathic Medicine
State Reference: 64 FL ADC 64B15-14.0076
Setting/Service: Office-Based Surgery
Type of Recognition: Licensure

(a) Unless the osteopathic physician has previously provided written notification of current accreditation by a nationally recognized accrediting agency or an accrediting organization approved by the Board the osteopathic physician shall submit to an annual inspection by the Department. Nationally recognized accrediting agencies are the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), Accreditation Association for Ambulatory Health Care (AAAHC), Joint Commission on Accreditation for Ambulatory Healthcare Organizations (JCAHO), American Osteopathic Association (AOA), and AOA Healthcare Facilities Accreditation Program (HFAP). All nationally recognized and Board-approved accrediting organizations shall be held to the same Board-determined surgery and anesthesia standards for accrediting Florida office surgery sites.

State: Florida
Program: Behavioral Health Care
Agency: Department of Public Health
State Reference: F.S.A. § 395.002
Setting/Service: Intensive Residential Treatment Programs
Type of Recognition: Licensure

(1) “Accrediting organizations” means the Joint Commission on Accreditation of Healthcare Organizations, the American Osteopathic Association, the Commission on Accreditation of Rehabilitation Facilities, and the Accreditation Association for Ambulatory Health Care, Inc.

(15) “Intensive residential treatment programs for children and adolescents” means a specialty hospital accredited by an accrediting organization as defined in subsection (1) which provides 24-hour care and which has the primary functions of diagnosis and treatment of patients under the age of 18 having psychiatric disorders in order to restore such patients to an optimal level of functioning.


State: Florida
Program: Nursing Care Center
Agency: Department of Social Welfare
State Reference: F.S.A. § 430.80
Setting/Service: Nursing Homes
Type of Recognition: Licensure

(3) To be designated as a teaching nursing home, a nursing home licensee must, at a minimum:

(a) Provide a comprehensive program of integrated senior services that include institutional services and community-based services;

(b) Participate in a nationally recognized accreditation program and hold a valid accreditation, such as the accreditation awarded by the Joint Commission on Accreditation of Healthcare Organizations;


State: Florida
Program: Behavioral Health Care
Agency: The Department of Public Health and The Agency for Health Ca
State Reference: F.S.A. § 394.90
Setting/Service: Community Substance Abuse and Mental Health Services
Type of Recognition: Licensure

(5) The agency shall accept, in lieu of its own inspections for licensure, the survey or inspection of an accrediting organization, if the provider is accredited according to the provisions of s. 394.741 and the agency receives the report of the accrediting organization.

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.
 

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