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Friday 8:04 CST, July 25, 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: Ohio
Program: Behavioral Health Care
Agency: Alcohol and Drug Addiction Services Department
State Reference: OH ADC 3793:2-3-01 
Setting/Service: Opioid Agonist Programs
Type of Recognition: Licensure

(F) Each site applying for or maintaining a license to conduct an opioid agonist program shall:

(1) Be owned and operated by an agency that has owned and operated an alcohol and drug addiction treatment program that has been certified by the Ohio Department of Alcohol and Drug Addiction Services for a minimum of two years.

(2) Be accredited as an opioid treatment program by an accreditation body that has been approved by the substance abuse and mental health services administration.


State: Ohio
Program: Behavioral Health Care
Agency: Alcohol and Drug Addiction Services Department
State Reference: OH ADC 3793:2-6-01
Setting/Service: Alcohol and Drug Addiction Hospital Detoxification Program
Type of Recognition: Licensure

(D) A facility that operates an alcohol and drug addiction hospital detoxification program shall be registered as a hospital with the Ohio department of health in accordance with section 3701.07 of the Revised Code and be accredited by one or more of the following:

(1) Joint commission on accreditation of healthcare organizations


State: Ohio
Program: Behavioral Health Care
Agency: Alcohol and Drug Addiction Services Program
State Reference: OH ADC 3793:2-1-03
Setting/Service: Alcohol and Drug Addiction Outpatient Treatment Programs; Alcohol and Drug Addiction Residential Treatment Programs; Opioid Agonist Programs; Alcohol and Drug Addiction Ambulatory Detoxification Programs.
Type of Recognition: Licensure

(C) Deemed status shall be granted to waive paragraphs of the Administrative Code if the program:

(1) Has achieved national accreditation from joint commission on accreditation of healthcare organizations the commission on accreditation of rehabilitation facilities or the council on accreditation for children and family services.


State: Ohio
Program: Home Care
Agency: Board of Respiratory Care
State Reference: OH ADC 4761:1-6-01
Setting/Service: HME (Home Medical Equipment) Service Provider
Type of Recognition: Insurance

(A) An applicant applying for registration as an HME service provider must file an application with the board, on forms provided by the board.

(B) The applicant shall pay a fee prescribed by the board in accordance with rule 4761:1-8-01 of the Administrative Code.

(C) The applicant shall be accredited by the joint commission on accreditation of healthcare organizations or another national accrediting body recognized by the board in accordance with rule 4761:1-4-01 of the Administrative Code.


State: Ohio
Program: Behavioral Health Care
Agency: Dental Board
State Reference: OH ADC 4715-21-01
Setting/Service: Substance Abuse Treatment Program or Center
Type of Recognition: Licensure

(C) The Ohio state dental board shall approve outpatient and inpatient facilities and subsequent post treatment services which meet the following criteria, unless the board determines that the facility is not providing substance abuse services acceptable to the board:

(1) The facility has provided adequate evidence that it is capable of making an initial in-patient examination to determine the type of treatment required for board licensees and/or permit holders with substance abuse problems;

and,

(2) The facility is fully accredited by the “Joint Commission on Accreditation of Healthcare Organizations” (JCAHO), or the “American Osteopathic Association” (AOA), in the area of substance abuse services.


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: Home Care
Agency: Department of Health
State Reference: OH ADC 3701-19-24
Setting/Service: Hospice Care Programs
Type of Recognition: Insurance

(B) Inpatient care for pain control and symptom management shall be provided in a hospice inpatient facility, hospital or a skilled nursing facility. Any such facility used by a hospice care program shall be certified under Title XVIII of the Social Security Act, 49 Stat. 620 (1935), 42 U.S.C. 301, as amended, accredited by an organization that the United States centers for Medicare and Medicaid services (CMS) has given deeming authority.

State: Ohio
Program: Hospitals
Agency: Department of Health
State Reference: OH ADC 3701-59-03  
Setting/Service: Hospital
Type of Recognition: Licensure

3701-59-03 Operation of hospitals (A) No person and no political subdivision, agency, or instrumentality of this state shall operate a hospital as defined in section 3727.01 of the Revised Code unless it is certified under Title XVIII of the "Social Security Act" 49 Stat. 620 (1935) 42 U.S.C. 301, as amended or is accredited by a national accrediting organization approved by the centers for Medicare and Medicaid services.

State: Ohio
Program: Laboratory Services
Agency: Department of Health
State Reference:
Setting/Service: Laboratory
Type of Recognition: Licensure

CLIA Certification

State: Ohio
Program: Behavioral Health Care
Agency: Department of Insurance
State Reference: R.C. § 3923.28 
Setting/Service: Services for Mental Disorders to be Provided on an Outpatient Basis
Type of Recognition: Insurance

(A) Every policy of group sickness and accident insurance providing hospital, surgical, or medical expense coverage for other than specific diseases or accidents only, and delivered, issued for delivery, or renewed in this state on or after January 1, 1979, and that provides coverage for mental or emotional disorders, shall provide benefits for services on an outpatient basis for each eligible person under the policy who resides in this state for mental or emotional disorders, or for evaluations, that are at least equal to five hundred fifty dollars in any calendar year or twelve-month period. The services shall be legally performed by or under the clinical supervision of a physician authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery; a psychologist licensed under Chapter 4732. of the Revised Code; a professional clinical counselor, professional counselor, or independent social worker licensed under Chapter 4757. of the Revised Code; or a clinical nurse specialist licensed under Chapter 4723. of the Revised Code whose nursing specialty is mental health, whether performed in an office, in a hospital, or in a community mental health facility so long as the hospital or community mental health facility is approved by the joint commission on accreditation of healthcare organizations, the council on accreditation for children and family services, the rehabilitation accreditation commission, or, until two years after June 6, 2001, certified by the department of mental health as being in compliance with standards established under division (H) of section 5119.01 of the Revised Code.

State: Ohio
Program: Behavioral Health Care
Agency: Department of Insurance
State Reference:  R.C. § 3923.29 
Setting/Service: Services for Alcoholism
Type of Recognition: Insurance

(A) Every policy of group sickness and accident insurance providing hospital, surgical, or medical expense coverage for other than specific diseases or accidents only, and delivered, issued for delivery, or renewed in this state on or after January 1, 1979, shall provide for each eligible person under the policy who resides in this state, outpatient, inpatient, and intermediate primary care benefits for alcoholism that are at least equal to five hundred fifty dollars in any calendar year or twelve month period. The services shall be legally performed by or under the clinical supervision of a licensed physician or a licensed psychologist, whether performed in an office, in a hospital, in a community mental health facility, or in an alcoholism treatment facility so long as the hospital, community mental health facility, or alcoholism treatment facility is approved by the joint commission on accreditation of hospitals or certified by the department of health.

State: Ohio
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: OH ADC 5122-29-33
Setting/Service: Health Home provider
Type of Recognition: Medicaid Reimbursement

 

 (F) A health home provider shall demonstrate integration of physical and behavioral health care by achieving one of the following:

(1) Successful implementation of accrediting body integrated physical health/primary care standards during the next accreditation survey process following Ohio department of mental health and addiction services certification as a health home provider in which the provider is eligible in 5122-29-33 10 accordance with its accrediting body policies and procedures to undergo a review of its integrated physical health/primary care services:

(a) Integrated behavioral health/primary care or health home core program accreditation by the commission on accreditation of rehabilitative facilities; or
(b) Primary physical health care standards by the joint commission behavioral health health home certification program, or primary care medical home certification by the joint commission; or
(c) Integrated behavioral health and primary care supplement standards by the council on accreditation; or
(d) Equivalent accreditation or certification approved by the Ohio department of mental health and addiction services; or

(2) Within eighteen months:

(a) Level one patient-centered medical home recognition by the national committee for quality assurance; or
(b) Patient-centered specialty practice recognition by the national committee for quality assurance; or
(c) Equivalent recognition approved by the Ohio department of mental health and addiction services.


State: Ohio
Program: Behavioral Health Care
Agency: Job and Family Services Department
State Reference: OH ADC 5101:3-3-06.01
Setting/Service: Institutions for Mental Diseases
Type of Recognition: Licensure

(b) IMD (Institution for Mental Diseases) review criteria. The following criteria shall be used to evaluate the overall character of a NF:

(i) Whether the NF is licensed as a psychiatric facility. For purposes of this rule, this includes licensure as a mental nursing home in accordance with rule 3701-17-01 of the Administrative Code;

(ii) Whether the NF is accredited as a psychiatric facility by the “Joint Commission on the Accreditation of Healthcare Organizations” (JCAHO)


State: Ohio
Program: Behavioral Health Care
Agency: Mental Health Department
State Reference: OH ADC 5122-25-02
Setting/Service: Mental Health Services Providers
Type of Recognition: Licensure

(A) An agency seeking certification for one or more of the following services shall attain appropriate behavioral health accreditation by prior to submitting an application for certification:

(1) Behavioral health counseling and therapy service as defined in rule 5122-29-03 of the Administrative Code;

(2) Mental health assessment service as defined in rule 5122-29-04 of the Administrative Code;

(3) Pharmacologic management service as defined in rule 5122-29-05 of the Administrative Code;

(4) Partial hospitalization service as defined in rule 5122-29-06 of the Administrative Code;

(5) Crisis intervention mental health service as defined in rule 5122-29-10 of the Administrative Code;

(6) Community psychiatric supportive treatment (CPST) service as defined in rule 5122-29-17 of the Administrative Code;

(B) Behavioral health accreditation referenced in paragraph (A) of this rule shall be obtained from one or more of the following accrediting bodies:

(1) “The Joint Commission;”

(2) “The Commission on Accreditation of Rehabilitation Facilities;”

and/or

(3) “The Council on Accreditation for Children and Family Services.”


State: Ohio
Program: Home Care
Agency: Occupations and Professions Code
State Reference: R.C. § 4719.01
Setting/Service: Home Health Agencies
Type of Recognition: Licensure

(26) An institution defined as a home health agency in section 3701.881 of the Revised Code, that conducts all telephone solicitation activities according to sections 310.3, 310.4, and 310.5 of the telemarketing sales rules adopted by the federal trade commission in 16 C.F.R. part 310, and engages in telephone solicitation only within the scope of the institution's certification, accreditation, contract with the department of aging, or status as a home health agency; and that meets one of the following requirements:

(a) The institution is certified as a provider of home health services under Title XVIII of the Social Security Act, 49 Stat. 620, 42 U.S.C. 301, as amended;

(b) The institution is accredited by either the joint commission on accreditation of health care organizations or the community health accreditation program;

(c) The institution is providing passport services under the direction of the Ohio department of aging under section 173.40 of the Revised Code;

(d) An affiliate of an institution that meets the requirements of division (B)(26)(a), (b), or (c) of this section when offering for sale substantially the same goods and services as those that are offered by the institution that meets the requirements of division (B)(26)(a), (b), or (c) of this section.


State: Ohio
Program: Behavioral Health Care
Agency: Rehabilitation Service Commission
State Reference: OH ADC 3304-1-12
Setting/Service: Community Rehabilitation Programs – Vocational Rehabilitation
Type of Recognition: Licensure

(B) Additional credentialing bodies for VR services include the national accreditation council (NAC) for agencies serving people with blindness or visual impairment, national blindness professional certification board (NBPCB) certification for center-based adjustment to blindness training and the joint commission (TJC) for accreditation in behavioral health care.

(1) If the community rehabilitation program subcontracts any of its VR services through other providers, it must obtain preliminary accreditation or accreditation in all VR services in which it subcontracts unless the credentialing body identified in paragraph (B) of this rule routinely surveys all services, including subcontracted services, in the course of the accreditation process.

(2) The community rehabilitation program approved and listed on the RSC vocational rehabilitation service provider fee schedule as of the effective date of this rule must obtain preliminary accreditation, accreditation or, if already accredited, maintain accreditation according to the resurvey process established by the appropriate credentialing body listed in paragraph (B) of this rule.


State: Ohio
Program: Office-Based Surgery
Agency: State Medical Board of Ohio
State Reference: OH ADC 4731-25-07
Setting/Service: Office-Based Surgery
Type of Recognition: Requirement for Anesthesia Use

(A) No physician or podiatric physician shall perform procedures or surgery using moderate sedation/analgesia or anesthesia services in an office setting unless that office setting is accredited by an accrediting agency approved by the board, except that physicians and podiatric physicians who are performing such procedures or surgeries in office settings that are not accredited on the effective date of this rule shall apply for accreditation within eighteen months of the effective date of this rule and shall receive accreditation within three years of the effective date of this rule.

(B) Accrediting agencies approved by the board include the following:

(1) The joint commission on accreditation of healthcare organizations;
(2) The accreditation association for ambulatory health care, inc.;
(3) The American association for accreditation of ambulatory surgery facilities, inc.;
(4) The healthcare facilities accreditation program of the American osteopathic association; or,


State: Ohio
Program: Hospitals
Agency: Workers' Compensation Bureau
State Reference: OH ADC 4123-6-02.2
Setting/Service: Comprehensive Pain Management
Type of Recognition: Required

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

(12)  Comprenesive pain management services program:...(hospital based) CARF or Joint Commission Accreditation.


State: Ohio
Program: Hospitals
Agency: Workers' Compensation Bureau
State Reference: OH ADC 4125-6-02.2
Setting/Service: Short-term general & specialty hospitals, long term care hospitals, Psychiatric hospitals, hospital (provider) based urgent care facilities or clinics as designated on hospital's medicare cost report
Type of Recognition: Minimum requirements

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

(19) Hospital:  approved by CMS for medicare or obtained national accreditation (Joint Commission, HFAP or CARF (rehabilitation hospitals).  The following facility types shall be credentialed and certified as hospitals:  Short-term general & specialty hospitals, long term care hospitals, rehabilitation hospitals, psychiatric hospitals, hospital (provider) based urgent care facilities or clinics as designated on hospital's medicare cost report.


State: Ohio
Program: Home Care
Agency: Workers' Compensation Bureau
State Reference: OH ADC 4123-6-02.2
Setting/Service: DME (excludes orthotics, prosthetics and pedorthics)
Type of Recognition: Minimum requirement

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

(15)  Durable medical equipment supplier (excludes orthotics, prosthetics and pedorthics):  state venders license; approved by CMS for medicare; and Ohio respiratory care board home medical equipment certificate of registration.


State: Ohio
Program: Laboratory Services
Agency: Workers' Compensation Bureau
State Reference: OH ADC 4123-6-02.2
Setting/Service: Laboratory
Type of Recognition: Minimum requirement

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

(22)  Laboratory:  valid licensing from clinical laboratory improvement amendment (CLIA)


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: Ohio
Program: Home Care
Agency: Workers' Compenstation Bureau
State Reference: Oh ADC 4123-6-02.2
Setting/Service: Home Health Agency
Type of Recognition: Minimum requirement

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

(18) Home health agency:  approved by CMS for medicare, Joint Commission  accreditation, or CHAP accreditation or accreditation through an organization that has been granted deeming authority by CMS.

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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