to main content State or Payor Recognitions for Nursing Care Center Accreditation | The Joint Commission

National Payor Recognitions

Large national payors increasingly use Joint Commission Nursing Care Center Accreditation as a quality metric to allow network participation, contract eligibility or higher rates of reimbursement.

Joint Commission Accreditation can effectively boost reimbursement for plan participants meeting various quality measures in the following states: CA, CO, GA, IN, ME, MO, NH, NV, NY, OH, VA and WI.

Curious if your payor(s) recognize Joint Commission accreditation? Contact us!

State-Based Recognitions

Florida – Medicaid Reimbursement for Florida’s Prospective Payment System (PPS)

Joint Commission Nursing Care Center Accreditation is a recognized “Quality Credential” helping nursing homes boost their score effectively and efficiently towards greater reimbursement.

Georgia – Medicaid Quality Improvement Initiative Program

Georgia-based nursing homes that have achieved Joint Commission accreditation can earn the maximum, 2% quality incentive adjustment under the recently updated Quality Improvement Initiative Program.

Illinois - Network Participation

Certain payors require accreditation of nursing homes for network participation in Illinois.

Massachusetts - Network Participation

Certain payors require accreditation of nursing homes for network participation in Massachusetts.

Michigan - Accreditation Requirements for Neurological Rehabilitation Facilities

Joint Commission accreditation is required for Michigan-based neurological rehabilitation clinics providing post-acute brain and spinal rehabilitation care and seeking to bill for the treatment of patients entitled to no-fault personal protection insurance benefits.

Tennessee – Points for TennCare Quality Improvement in Long Term Services and Supports (QuILTSS) 

Nursing homes can earn 10 bonus points by achieving Joint Commission Nursing Care Center Accreditation, placing the facility into one of three quality tiers with escalating reimbursement.

Ohio – Quality Improvement Project for Ohio Department of Aging State Medicaid

The Ohio Department of Aging recognizes Joint Commission Nursing Care Center Accreditation for its quality initiative that requires licensed nursing homes to participate in a quality improvement project every two years.

State/Payor Outreach

Learn how we collaborate with states and third-party payors to recognize Joint Commission accreditation/certification for value-based performance initiatives.