State Recognition Details | Joint Commission

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Thursday 2:15 CST, December 13, 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: Office-Based Surgery
Agency: Dental Board
State Reference: Section 1638.1 of the Business and Professions Code
Setting/Service: Elective Facial Cosmetic Surgery
Type of Recognition: Licensure

(f) A licensee may not perform any elective, facial cosmetic surgical procedure except at a general acute care hospital, a licensed outpatient surgical facility, or an outpatient surgical facility accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the American Association for Ambulatory Health Care (AAAHC), the Medicare program, or an accreditation agency approved by the Medical Board of California pursuant to subdivision (g) of Section 1248.1 of the Health and Safety Code.


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

1728.7. (a) Notwithstanding any other provision of this chapter, the department shall issue a license to a home health agency that applies to the department for a home health agency license and meets all of the following requirements:
(1) Is accredited as a home health agency by an entity approved by the federal Centers for Medicare and Medicaid Services as a national accreditation organization, and the national accreditation organization forwards to the department copies of all initial and subsequent survey and other accreditation reports or findings.


State: California
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: Cal.Welf. & Inst.Code § 4080
Setting/Service: Private Psychiatric Facilities
Type of Recognition: Licensure

(3)(A) When a private facility is accredited by a nationally recognized commission that accredits health care facilities, the department shall review and may approve the program aspects only if the average per diem charges or costs of service provided in the facility do not exceed approximately 75 percent of the average per diem charges or costs of similar psychiatric service provided in a psychiatric or general hospital.

State: California
Program: Ambulatory Health Care
Agency: Department of Public Health
State Reference: Section 1228 of Health and Safety Code
Setting/Service: Health Facilities, Primary Clinics
Type of Recognition: Licensure

(a) Except as provided in subdivision (c), every clinic for which a license or special permit has been issued shall be periodically inspected. The frequency of inspections shall depend upon the type and complexity of the clinic or special service to be inspected. Inspections shall be conducted no less often than once every three years and as often as necessary to ensure the quality of care being provided.

(c) This section shall not apply to any of the following:

(1) A rural health clinic.
(2) A primary care clinic accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Accreditation Association for Ambulatory Health Care (AAAHC), or any other accrediting organization recognized by the department.
(3) An ambulatory surgical center.
(4) An end stage renal disease facility.
(5) A comprehensive outpatient rehabilitation facility that is certified to participate either in the Medicare program under Title XVIII (42 U.S.C. Sec. 1395 et seq.) of the federal Social Security Act, or the Medicaid program under Title XIX (42 U.S.C. Sec. 1396 et seq.) of the federal Social Security Act, or both.


State: California
Program: Laboratory
Agency: Department of Public Health
State Reference: ACLL 16-01; Letter 5/23/2016
Setting/Service: Clinical Laboratories
Type of Recognition: L/C

Section 1223 of the California Business & Professions Code (BPC) requires the Department to approve accrediting organizations to inspect laboratories for the purpose of deeming them in compliance with California clinical laboratory law.  Laboratories licensed by the Department have to choose licensure or registration by the Department or certification of deemed status by an accrediting organization approved by the Department.  All laboratories seeking California licensure must apply to LFS.

Joint Commission approved in letter May 26, 2016.

 

 


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

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


State: California
Program: Home Care
Agency: Department of Public Health
State Reference: Cal.Health & Safety Code § 1751.5
Setting/Service: Hospice
Type of Recognition: Licensure

1751.5. (a) Notwithstanding any other provision of this chapter, the department shall issue a license to a hospice that applies to the department for a hospice license and meets all of the following requirements:
(1) Is accredited as a hospice by an entity approved by the federal Centers for Medicare and Medicaid Services as a national accreditation organization, and the national accreditation organization forwards to the department copies of all initial and subsequent survey and other accreditation reports or findings.


State: California
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: WIC 9.3.2.6.11462
Setting/Service: Short-term residential therapeutic program
Type of Recognition: Medicaid

(b)The department shall develop a rate system that includes consideration of all the following factors:(6) Accreditation that includes:

(A) Provision for all licensed short-term residential therapeutic programs to obtain and maintain in good standing accreditation from a nationally recognized accreditation agency, as identified by the department, with expertise in programs for children or youth group care facilities, as determined by the department.

(B) Promulgation by the department of information identifying that agency or agencies from which accreditation shall be required.

(C) Provision for timely reporting to the department of any change in accreditation status.


State: California
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: Section 4094.2 Welfare and Institutions Code
Setting/Service: Community treatment facility, foster care program
Type of Recognition: Reimbursement

Community treatment facility must be accredited by a "nationally recognized accrediting entity", such as The Joint Commission. It is anticipated that community treatment programs will offer the level of care and services required to receive the highest foster care rate provided for under the current rate-setting system. 

 


State: California
Program: Ambulatory Health Care
Agency: Medical Board
State Reference: Bus. & Prof.Code § 2216 and Health & Safety Code Section 1248.1.
Setting/Service: Outpatient settings using anesthesia
Type of Recognition: Criteria for Operation

On or after July 1, 1996, no physician and surgeon shall perform procedures in an outpatient setting using anesthesia, except local anesthesia or peripheral nerve blocks, or both, complying with the community standard of practice, in doses that, when administered, have the probability of placing a patient at risk for loss of the patient's life-preserving protective reflexes, unless the setting is specified in Section 1248.1.

§ 1248.1. Operation and maintenance of outpatient setting; restrictions, firm, partnership, or person shall operate, manage, conduct, or maintain an outpatient setting in this state, unless the setting is one of the following:

(a) An ambulatory surgical center that is certified to participate in the Medicare program under Title XVIII (42 U.S.C. Sec. 1395 et seq.) of the federal Social Security Act.

(b) Any clinic conducted, maintained, or operated by a federally recognized Indian tribe or tribal organization, as defined in Section 450 or 1601 of Title 25 of the United States Code, and located on land recognized as tribal land by the federal government.

(c) Any clinic directly conducted, maintained, or operated by the United States or by any of its departments, officers, or agencies.

(d) Any primary care clinic licensed under subdivision (a) and any surgical clinic licensed under subdivision (b) of Section 1204. (e) Any health facility licensed as a general acute care hospital under Chapter 2 (commencing with Section 1250).

(f) Any outpatient setting to the extent that it is used by a dentist or physician and surgeon in compliance with Article 2.7 (commencing with Section 1646) or Article 2.8 (commencing with Section 1647) of Chapter 4 of Division 2 of the Business and Professions Code.

(g) An outpatient setting accredited by an accreditation agency approved by the division pursuant to this chapter. (The Joint Commission has been approved by the Medical Board)


State: California
Program: Office-Based Surgery
Agency: Medical Board
State Reference: C.G.S.A. § 19a-691
Setting/Service: Outpatient Surgery Settings
Type of Recognition: Requirement for Anesthesia Use

California law prohibits physicians from performing some outpatient surgery, unless it is performed in a licensed or accredited setting. Section 2216 of the Business and Professions Code (B&P) reads: "On or after, July 1, 1996, no physician and surgeon shall perform procedures in an outpatient setting using anesthesia, except local anesthesia or peripheral nerve blocks, or both, complying with the community standard of practice, in doses that, when administered, have the probability of placing a patient at risk for loss of the patient's life-preserving protective reflexes, unless the setting is specified in Section 1248.1. Outpatient settings where anxiolytics and analgesics are administered are excluded when administered, in compliance with the community standard of practice, in doses that do not have the probability of placing the patient at risk for loss of the patient's life-preserving protective reflexes." (Accrediting organizations cited by the California Medical Board include: AAAASF, AAAHC, TJC and IMQ)

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.