State Recognition Details | Joint Commission
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Sunday 1:23 CST, October 22, 2017

State Recognition Details

State Recognition Contact Directory


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:
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State: Alabama
Program: Office-Based Surgery
Agency: Alabama Board of Medical Examiners
State Reference: 540-X-10-.01 (i)540-X-10-.02(4)540-X-10-.02 (5)
Setting/Service: Any Setting Where Levels 4 and 5 Anesthesia are Provided
Type of Recognition: Guideline

(i) Facility accreditation is encouraged for those settings where deep sedation/analgesia (level 4) and general anesthesia (level 5) are provided.

(4) Deep Sedation/Analgesia. A drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. Reflex withdrawal from painful stimulation is NOT considered a purposeful response. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.

(5) General Anesthesia. A drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired. Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Cardiovascular function may be impaired.


State: Alabama
Program: Behavioral Health Care
Agency: Alabama Medicaid Agency
State Reference: AL ADC 560-X-41-.02
Setting/Service: Hospital: Inpatient Psychiatric Treatment for Individuals Under 21 and Residential Psychiatric Treatment Facilities for Individuals Under 21
Type of Recognition: Medicaid

(1) Hospitals: In order to participate in the Title XIX Medicaid program and to receive Medicaid payment for inpatient psychiatric services for individuals under age 21, a provider must meet the following conditions:

(a) Be certified for participation in the Medicare/ Medicaid program;

(b) Be licensed as an Alabama psychiatric hospital in accordance with current rules contained in the Alabama Administrative Code Chapter 420-5-7. State hospitals which do not require licensing as per state law are exempt from this provision (Code of Ala. 1975, Section 22-50-1, et seq.);

(c) Be accredited by the Joint Commission on Accreditation of Healthcare Organizations;

(4) Residential Treatment Facilities (RTFs): In order to participate in the Title XIX Medicaid program and to receive payment for residential psychiatric treatment services for individuals under age 21, RTFs must meet the following conditions:

(a) Be accredited by JCAHO, CARF, COA, or be certified as an Alabama RTF in accordance with standards promulgated by the Alabama Department of Human Resources (DHR), the Department of Mental Health/Mental Retardation (DMH/MH)or the Department of Youth Services (DYS), or the Department of Children's Affairs (DCA) Upon enrollment and each time the RTF is recertified a copy of the certification letter must be sent to Medicaid within forty-five business days


State: Alabama
Program: Behavioral Health Care
Agency: Alabama Medicaid Agency
State Reference: AL ADC 560-X-52-.02 
Setting/Service: Out-of-Home Respite Care for Individuals Under 21
Type of Recognition: Medicaid

(9) Respite Care

(e) Out-of-home respite care may be provided in a certified group home or ICF/MR. In addition, if the recipient is less than 21 years of age, out-of-home respite care may be provided in a JCAHO Accredited Hospital or Residential Treatment Facility (RTF). While a recipient is receiving out-of-home respite, no additional Medicaid reimbursement will be made for other services in the institution.


State: Alabama
Program: Behavioral Health Care
Agency: Department of Mental Health and Mental Retardation
State Reference: L ADC 580-3-23-.05
Setting/Service: Mental Health and Substance Abuse Services Providers
Type of Recognition: Licensure

(2) DMH/MR in its sole discretion may choose to accept wholly or partially a certificate/license/accreditation issued by any other state or national regulatory or other body for services and providers that would otherwise be reviewed through the DMH/MR certification process.

State: Alabama
Program: Behavioral Health Care
Agency: Department of Mental Health and Mental Retardation
State Reference: AL ADC 580-2-13-.15
Setting/Service: Designated Mental Health Facilities
Type of Recognition: Licensure

(2) For a hospital to be a Designated Mental Health Facility for purposes of inpatient commitment and/or detaining a person in accordance with the Community Mental Health Officer Act, it must operate psychiatric beds that have the ability to receive persons for evaluation, examination, admission, detention, or treatment pursuant to the provisions of the Commitment Law and meet the following criteria:

(a) Be accredited for psychiatric inpatient services by the Joint Commission on Accreditation of Healthcare Organizations and acknowledge that by being a DMHF, the Office of Advocacy Services will investigate and review complaints using the Consumer Protection standards or be certified by Medicare and acknowledge that by being a DMHF, the Office of Advocacy Services will investigate and review complaints using the Consumer Protection standards and Adult Seclusion and Restraint standards.

(b) Apply for designation.

(c) Be approved.

(d) Agree to forward reports of renewals of JCAHO or Medicare accreditation immediately upon receipt as well as copies of any other JCAHO or Medicare action that affects their accreditation status in any way.


State: Alabama
Program: Home Care
Agency: Department of Public Health
State Reference: AL ADC 420-5-17-.09
Setting/Service: Hospice Contracted Services
Type of Recognition: Licensure

(2) When a provider of a hospice care program arranges for a hospital, a home providing nursing care, or home health agency to furnish a component or components of the hospice care program to its patient, the care shall be provided by a licensed, certified, or accredited hospital, inpatient hospice, home providing nursing care, or home health agency pursuant to a written contract under which:

(a) The provider of a hospice care program furnishes to the contractor a copy of the hospice patient's interdisciplinary plan of care which specifies the care that is to be furnished by the contractor.

(b) The regimen described in the established plan of care is continued while the hospice patient receives care from the contractor, subject to the patient's needs, and with approval of the coordinator of the interdisciplinary team.

(c) All care, treatment, and services furnished by the contractor are entered into the patient's medical record.

(d) The designated coordinator of the interdisciplinary team ensures conformance with the established plan of care.

(e) The contractor complies with the requirements of these rules.

(f) Those hospices not providing inpatient care shall encourage any hospital contracting for inpatient care to offer temporary limited privileges to the hospice patient's attending physician while the hospice patient is receiving inpatient care from the hospital.


State: Alabama
Program: Hospitals
Agency: Department of Public Health
State Reference: Alabama Code § 22-21-24
Setting/Service: Hospital
Type of Recognition: Licensure

All hospitals which are accredited by the joint commission on accreditation of hospitals shall be deemed by the State Health Department to be licensable without further inspection or survey by the personnel of the State Department of Health. Further accreditation by the joint commission on accreditation of hospitals shall in no way relieve that hospital of the responsibility of applying for licensure and remitting the appropriate licensure fee as specified in this article.

State: Alabama
Program: Nursing Care Center
Agency: Department of Public Health
State Reference: AL ADC 420-5-4, App. A
Setting/Service: Long-Term Care Facilities
Type of Recognition: Licensure

22-21-20. Definitions. For the purpose of this article, the following terms shall have the meanings respectively ascribed to them by this section:

(1) HOSPITALS. General and specialized hospitals, including ancillary services; independent clinical laboratories; rehabilitation centers; ambulatory surgical treatment facilities for patients not requiring hospitalization; end stage renal disease treatment and transplant centers, including free-standing hemodialysis units; abortion or reproductive health centers; hospices; health maintenance organizations; and other related health care institutions when such institution is primarily engaged in offering to the public generally, facilities and services for the diagnosis and/or treatment of injury, deformity, disease, surgical or obstetrical care. Also included within the term are long term care facilities such as, but not limited to, skilled nursing facilities, intermediate care facilities, homes for the aged, domiciliary care facilities and related health care institutions when such institution is primarily engaged in offering room, board, laundry and personal assistance with activities of daily living and incidentals thereto. The term “hospitals” relates to health care institutions and shall not include the private offices of physicians or dentists, whether in individual, group, professional corporation or professional association practice. This section shall not apply to county or district health departments.

§ 22-21-24. Same -- Fees; term; form; nontransferable; posting; renewal; hospital licensable when accredited by joint commission. The application for a license to operate a hospital shall be accompanied by a standard fee of $200.00, plus a fee of $5.00 per bed for each bed over 10 beds to be licensed in accordance with regulations promulgated under Section 22-21-28. Increase in a hospital's bed capacity during the calendar year is assessed at the standard fee of $200.00 plus $5.00 each for the net gain in beds. No fee shall be refunded. All fees received by the State Board of Health under the provision of this article shall be paid into the State Treasury to the credit of the State Board of Health and shall be used for carrying out the provisions of this article. All licenses issued under this article shall expire on December 31 of the year in which it was issued. All licenses shall be on a form prescribed by said department, shall not be transferable or assignable, shall be issued only for the premises named in the application, shall be posted in a conspicuous place on the licensed premises and may be renewed from year to year upon application, investigation and payment of the required license fee, as in the case of procurement of the original license. All fees collected under this article are hereby appropriated for expenditure by the State Health Department. All hospitals which are accredited by the joint commission on accreditation of hospitals shall be deemed by the State Health Department to be licensable without further inspection or survey by the personnel of the State Department of Health. Further accreditation by the joint commission on accreditation of hospitals shall in no way relieve that hospital of the responsibility of applying for licensure and remitting the appropriate licensure fee as specified in this article.


State: Alaska
Program: Laboratory
Agency: Department of Health
State Reference: 7 AK ADC 12.990 
Setting/Service: Laboratory
Type of Recognition: Licensure

(7) “approved laboratory” means a laboratory that is (A) certified by the (i) federal government under the Clinical Laboratories Improvement Act of 1967, 42 U.S.C. 263(a) or Title XVIII of the Social Security Act, as amended, 42 U.S.C. 1395 et seq.; (ii) College of American Pathologists; or (iii) Joint Commission on Accreditation of Hospitals; or

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

CLIA Certification

State: Alaska
Program: Hospitals
Agency: Department of Health and Public Services
State Reference: AS §18.20.080
Setting/Service: Hospital
Type of Recognition: Licensure

The department shall make annual inspections and investigations of hospital facilities. The department may accept accreditation by the Joint Commission on the Accreditation of Hospitals in lieu of an annual inspection by the department for the year in which the accreditation was granted if the accreditation standards of the commission are substantially similar to the inspection standards of the department.

State: Alaska
Program: Behavioral Health Care
Agency: Department of Public Health
State Reference: 7 AAC 70.030; 70.150
Setting/Service: Behavioral health clinic services; Behavioral health rehabilitation services; Detoxification services; Residential substance use treatment services
Type of Recognition: Licensure

7 AAC 70.030. Department approval of a provider of behavioral health services. (a)

The department will approve an organization to provide behavioral health services in this state only if that organization(1) meets the requirements for

  (A) a community behavioral health services provider under 7 AAC 70.100 that is providing one or more of the following:

      (i) behavioral health clinic services;

     (ii) behavioral health rehabilitation services;

     (iii) detoxification services;

     (iv) residential substance use treatment services in accordance with 7 AAC 70.120; or

  (B) a substance use treatment provider under 7 AAC 70.130; and

(2) is accredited or working toward accreditation in accordance with 7 AAC 70.150.

7 AAC 70.150. Behavioral health services provider accreditation. (a) Except as provided in (b) of this section, to receive a department approval under 7 AAC 70.030, a behavioral health services provider must

   (1) be accredited to provide behavioral health services by

       (A) The Joint Commission;

       (B) the Commission on Accreditation of Rehabilitation Facilities(CARF); or

       (C) the Council on Accreditation (COA);

   (2) be accredited by an alternative accreditation agency approved by the department under 7 AAC 70.160; or

   (3) meet the interim standards for operation under 7 AAC 70.200 - 7 AAC 70.265.

(b) After June 30, 2015, a behavioral health services provider must

   (1) be accredited to provide behavioral health services by

       (A) The Joint Commission;

       (B) the Commission on Accreditation of Rehabilitation Facilities (CARF);

       (C) the Council on Accreditation (COA); or

       (D) an alternative accreditation agency approved by the department under 7 AAC 70.160; or

  (2) be issued a provisional department approval under 7 AAC 70.030(d).


State: Alaska
Program: Hospitals
Agency: Health and Social Services
State Reference: 7 AK ADC 43.560  
Setting/Service: Inpatient Psychiatric Services
Type of Recognition: Medicaid

(a) To receive payment under Medicaid for inpatient psychiatric services, an enrolled inpatient psychiatric hospital facility must (1) be licensed under AS 18.20, and accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

State: Alaska
Program: Behavioral Health Care
Agency: Health and Social Services
State Reference: 7 AK ADC 43.560  
Setting/Service: Inpatient Psychiatric Services
Type of Recognition: Medicaid

(a) To receive payment under Medicaid for inpatient psychiatric services, an enrolled inpatient psychiatric hospital facility must

 (1) be licensed under AS 18.20, and accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)


State: Alaska
Program: Behavioral Health Care
Agency: Health and Social Services
State Reference: 7 AK ADC 43.1164  
Setting/Service: Residential Psychiatric Treatment Center
Type of Recognition: Medicaid

(b) To be endorsed by the department to provide FASD/SED waiver services a provider must attest that the provider has participated in FASD/SED waiver services training, if training is available through the department. In addition, the provider must be enrolled as

(1) a community mental health clinic under 7 AAC 43.725(a)(1) that

(A) is accredited as a children's service provider by

(i) the Council on Accreditation (COA);

(ii) the Commission on Accreditation of Rehabilitation Facilities (CARF); or

(iii) The Joint Commission


State: Arizona
Program: Behavioral Health Care
Agency: Arizona Health Care Cost Containment Administration
State Reference: AZ ADC R9-22-1205
Setting/Service: Residential Treatment Center Services
Type of Recognition: Insurance

B. Level 1 residential treatment center services. Services provided in a Level 1 residential treatment center as defined in A.A.C. R9-20-101 are covered subject to the limitations and exclusions under this Article.

1. Level 1 residential treatment center services are not covered unless provided under the direction of a licensed physician in a licensed Level 1 residential treatment center accredited by an AHCCCS-approved accrediting body as specified in contract


State: Arizona
Program: Hospitals
Agency: Arizona Health Care Cost Containment System Administration
State Reference: AZ ADC R9-22-505  
Setting/Service: Hospital
Type of Recognition: Licensure

An Indian Health Service (IHS) hospital and a Veterans Administration hospital shall not provide services to a member unless accredited by the Joint Commission on Accreditation of Healthcare Organizations.

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

CLIA Certification

State: Arizona
Program: Behavioral Health Care
Agency: Department of Health Services
State Reference: AZ ADC R9-33-103
Setting/Service: Group Homes for the Developmentally Disabled
Type of Recognition: Licensure

A. At least 30 days before the anticipated date of opening a group home, an applicant shall submit to the Department a completed application packet that contains:

2. A copy of the applicant's accreditation report issued by a nationally recognized accreditation organization, if applicable.

3. The substantive review time-frame described in A.R.S. § 41-1072(3) is 60 days and begins on the date the Department provides written notice of administrative completeness to the applicant; e. If an applicant meets the requirements of this Section and Chapter, the Department shall issue to the applicant:

i. A two-year regular license to operate a group home;

or

ii. If the applicant is accredited, a regular license to operate a group home for the duration of the accreditation period, not to exceed three years;


State: Arizona
Program: Behavioral Health Care
Agency: Department of Health Services
State Reference: AZ ADC R9-20-103 AZ ADC R9-20-104
Setting/Service: Behavioral Health Services Agencies
Type of Recognition: Licensure

A. According to A.R.S. § 36-422, a person applying for an initial license to operate an agency shall submit:

o. Whether the agency is accredited by a nationally recognized accreditation organization, and if so:

i. The name of nationally recognized accreditation organization that accredited the agency;

ii. If accredited by the Joint Commission on Accreditation of Health Care Organizations, whether the agency was accredited under the inpatient standards or community behavioral health standards;

iii. If the applicant is submitting an accreditation report in lieu of all licensing inspections conducted by the Department, a copy of the accreditation report;

iv. The dates of the accreditation period;

and

v. If an agency is seeking licensure as a Level 1 RTC or a Level 1 sub-acute agency and the agency is also seeking Title XIX certification, whether the agency is accredited by the Joint Commission on Accreditation of Health Care Organizations, the Council on Accreditation for Children and Family Service, or the Commission on Accreditation of Rehabilitation Facilities

B. Unless the licensee submits a copy of the agency's accreditation report from a nationally recognized accreditation organization, the Department shall conduct an onsite inspection of the agency to determine if the licensee and the agency are in substantial compliance with the applicable statutes and this Chapter.


State: Arizona
Program: Hospitals
Agency: Department of Health Services
State Reference: A.R.S. § 36-424 
Setting/Service: Hospital
Type of Recognition: Licensure

The director shall accept proof that a health care institution is an accredited hospital or is an accredited health care institution in lieu of all compliance inspections required by this chapter if the director receives a copy of the institution's accreditation report for the licensure period. If the health care institution's accreditation report is not valid for the entire licensure period, the department may conduct a compliance inspection of the health care institution during the time period the department does not have a valid accreditation report for the health care institution.

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: Arizona
Program: Disease-Specific Care
Agency: Department of Health Services, Emergency Medical Services
State Reference: R9-25-601,ff
Setting/Service: Primary Stroke Center
Type of Recognition: Certification

1. “Acute stroke-ready hospital” means a hospital that is certified by a national stroke center certification organization as meeting national stroke care standards for the initial assessment, diagnosis, stabilization, and either: a. Transfer of a stroke patient to a primary stroke center or comprehensive stroke center, or b. Care of a stroke patient with input from the staff of a primary stroke center or comprehensive stroke center.

2. “Comprehensive stroke center” means a hospital that is certified by a national stroke center certification organization as meeting national stroke care standards for the assessment, diagnosis using advanced imaging devices, and treatment of stroke patients with complex cases of ischemic stroke, caused by the loss of the blood supply to a part of the brain, or hemorrhagic stroke, caused by bleeding into a part of the brain.


7. “National stroke center certification organization” means an entity:

a. Such as:

i. The Joint Commission;

ii. The Healthcare Facilities Accreditation Program;

iii. Det Norske Veritas Healthcare, Inc.; or

iv. The American Heart Association/American Stroke Association;

     b. That assesses the compliance of a hospital with
        national stroke care standards; and
     c. That documents hospitals that meet national stroke
         care standards.
8. “Primary stroke center” means a hospital that is certified by a national stroke center certification organization as meeting national stroke care standards for the assessment, diagnosis, and treatment of stroke patients.

d. Location of emergency receiving facilities that:

i. Are:

(1) Acute stroke-ready hospitals,

(2) Primary stroke centers, or

(3) Comprehensive stroke centers; and

ii. Participate in quality improvement activities, including the submission of data on stroke care provided by the emergency receiving facility that may be compiled on a statewide basis;

 


State: Arizona
Program: Critical Access Hospitals
Agency: Department of Public Health and Safety
State Reference: A.R.S. § 36-424
Setting/Service: Hospitals and Health Care Institutions
Type of Recognition: Licensure

C. The director shall accept proof that a health care institution is an accredited hospital or is an accredited health care institution in lieu of all compliance inspections required by this chapter if the director receives a copy of the institution's accreditation report for the licensure period. If the health care institution's accreditation report is not valid for the entire licensure period, the department may conduct a compliance inspection of the health care institution during the time period the department does not have a valid accreditation report for the health care institution.

State: Arizona
Program: Home Care
Agency: Department of Public Health and Safety
State Reference: A.R.S. § 36-424
Setting/Service: Healthcare Institutions
Type of Recognition: Licensure

C. The director shall accept proof that a health care institution is an accredited hospital or is an accredited health care institution in lieu of all compliance inspections required by this chapter if the director receives a copy of the institution's accreditation report for the licensure period. If the health care institution's accreditation report is not valid for the entire licensure period, the department may conduct a compliance inspection of the health care institution during the time period the department does not have a valid accreditation report for the health care institution.

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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.