State Recognition Details | Joint Commission
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Tuesday 3:09 CST, January 16, 2018

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:


State: California
Program: Home Care
Agency: Board of Pharmacy
State Reference: Cal.Bus. & Prof.Code § 4127.1
Setting/Service: Pharmaceuticals – Compounding of Sterile Drug Products
Type of Recognition: Licensure

(a) A pharmacy shall not compound injectable sterile drug products in this state unless the pharmacy has obtained a license from the board pursuant to this section. The license shall be renewed annually and is not transferable.

(d) Pharmacies operated by entities that are licensed by either the board or the State Department of Health Services and that have current accreditation from the Joint Commission on Accreditation of Healthcare Organizations, or other private accreditation agencies approved by the board, are exempt from the requirement to obtain a license pursuant to this section.

(e) The reconstitution of a sterile powder shall not require a license pursuant to this section if both of the following are met:

(1) The sterile powder was obtained from a manufacturer.

(2) The drug is reconstituted for administration to patients by a health care professional licensed to administer drugs by injection pursuant to this division.


State: California
Program: Home Care
Agency: Department of Health
State Reference: Cal.Health & Safety Code § 1339.33
Setting/Service: Hospice
Type of Recognition: Licensure

Notwithstanding any other provisions of law, in order to be licensed as a special hospital: hospice, each project facility shall meet the requirements of Sections 70101 to 70137, inclusive, 70201 to 70219, inclusive, 70241 to 70279, inclusive, 70701 to 70707, inclusive, and 70708 to 70765, inclusive, of Title 22 of the California Code of Regulations; Sections 2-1001A to 2-1015A, inclusive, Section 2-1018A, Sections 2-1020A to 2-1024A, inclusive, Sections 2-1026A to 2-1028A, inclusive, Section 2-1040A, Section 2-1044A, and Section 2-1051A of Title 24 of the California Code of Regulations. In addition to complying with these regulations in Titles 22 and 24 of the California Code of Regulations, each facility shall meet, for the duration of the project, the hospice standards used by the Medicare program (42 C.F.R., Part 418, Sections 418.1 to 418.405, inclusive) the Medi-Cal program (subdivision (e) of Sections 51003 to 51543, inclusive, of Title 22, California Code of Regulations), and the Joint Commission on the Accreditation of Healthcare Organizations' “Hospice Standards Manual.”

State: California
Program: Home Care
Agency: Department of Health
State Reference: Cal.Health & Safety Code § 1728.7
Setting/Service: Home Health Agencies
Type of Recognition: Licensure

(a) Notwithstanding any other provision of this chapter, the state department shall issue a license to a home health agency that applies to the state department for a home health agency license and meets all of the following requirements:

(1) Is accredited as a home health agency by either the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the Community Health Accreditation Program (CHAP), and the accrediting organization forwards to the state department copies of all initial and subsequent survey and other accreditation reports or findings.

(2) Files an application with fees pursuant to this chapter.

(3) Meets any other additional licensure requirements of, or regulations adopted pursuant to, this chapter that the state department identifies, after consulting with either the JCAHO or the CHAP, as more stringent than the accreditation requirements of either JCAHO or CHAP.

(b) The state department may require a survey of an accredited home health agency to ensure the accreditation requirements are met. These surveys shall be conducted using a selective sample basis.

(c) The state department may require a survey of an accredited home health agency to investigate complaints against an accredited home health agency for substantial noncompliance, as determined by the state department, with these accreditation standards.

(d) Notwithstanding subdivisions (a), (b), and (c), the state department shall retain its full range of authority over accredited home health agencies to ensure the licensure and accreditation requirements are met. This authority shall include the entire scope of enforcement sanctions and options available for unaccredited home health agencies.


State: California
Program: Home Care
Agency: Department of Public Health
State Reference: Letter
Setting/Service: Home Health Agency
Type of Recognition: L/C

Beginning October 1, 2017, HHAs have the option to hire a Centers for Medicare and Medicaid Services (CMS) approved accreditation organization (AO) to obtain an initial licensing survey. 

Due to the high volume of HHA initial licensing applications, there is currently a delay of between 3 months to 2 years for HHA initial application surveys depending on the workload of the district office (DO) where the HHA is located. HHAs seeking to expedite their licensing approval process are encouraged to take advantage of this new option.

A new HHA that is beginning the application process and wants an initial licensing survey conducted by an AO must:

  1. file an application with the Centralized Applications Unit (CAU) and include a cover letter indicating they intend to hire an AO, specifying which AO they have selected, 
  2. contact and hire an AO, 
  3. await an application approval letter from CAU, and
  4. contact the AO to schedule the initial survey.

Once the survey is complete, the AO will send the findings to the HHA and a copy to CAU. If the HHA passes the AO initial survey, CAU will issue a six-month provisional license. The DO will inform new HHAs awaiting survey of the option to have the AO conduct the survey.

A new HHA that has an approved application but is awaiting initial survey and wants a survey conducted by an AO must:

  1. inform the local DO of intent to use the AO option and specify an AO,
  2. hire the AO, and
  3. schedule the initial survey.

Once the survey is complete, the AO will send the findings to the HHA with a copy to CAU. If the HHA passes the AO initial survey, CAU will issue a six-month provisional license.

HHAs may use the following CMS-approved AOs for this new licensing process:

1. The Joint Commission

2.  ACHC

3.  CHAP

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.