State Recognition Details | Joint Commission
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Thursday 3:45 CST, January 18, 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: Colorado
Program: Office-Based Surgery
Agency: Board of Medical Examiners
State Reference: Board of Medical Examiners Policy 40-12
Setting/Service: Office-Based Surgery and Anesthesia
Type of Recognition: Guideline

It is not recommended that a patient stay overnight in an office setting following a surgical procedure unless that facility is appropriately accredited. "Accredited ambulatory surgical centers" are accredited as a Class B or Class C facility by one of the following organizations: Joint Commission on Accreditation of Healthcare Organizations (JCAHO); American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF); Accreditation Association for Ambulatory Health Care, Inc. (AAHC); or the Colorado Department of Public Health and the Environment. If a patient does not meet discharge criteria and is not in a Class B or Class C facility, the patient should be transferred to an appropriately accredited ambulatory care center or a licensed hospital within reasonable proximity.


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

CLIA Certification

State: Colorado
Program: Behavioral Health Care
Agency: Department of Healthcare Policy and Financing
State Reference: 10 CO ADC 2505-10:8.373
Setting/Service: Inpatient Psychiatric Care for Individuals Under 21
Type of Recognition: Medicaid

Inpatient psychiatric care is a benefit of the Medicaid Program for individuals eligible for Medicaid benefits under the age of 21 only when

(A) provided in an institution which is accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals, or in a facility or program accredited by the Joint Commission of Accreditation of Hospitals;

(B) services are provided under the direction of a physician and involve active treatment which a team, consisting of physicians and other personnel qualified to make determinations with respect to mental health conditions and the treatment thereof, has determined are necessary on an inpatient basis and can reasonably be expected to improve the condition, by reason of which such services are necessary, or prevent further regression so that the services will no longer be needed;

and

(C) are provided prior to the date such individual attains age 21, or, in the case of an individual who was receiving such services in the period immediately preceding the date on which he/she attained age 21,

(i) the date such individual no longer requires such services

or

(ii) if earlier, the date such individual attains 22.


State: Colorado
Program: Hospitals
Agency: Department of Healthcare Policy and Financing
State Reference: 10 CO ADC 2505-10:8.373
Setting/Service: Inpatient Psychiatric Care for Individuals Under 21
Type of Recognition: Medicaid

Inpatient psychiatric care is a benefit of the Medicaid Program for individuals eligible for Medicaid benefits under the age of 21 only when

(A) provided in an institution which is accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals, or in a facility or program accredited by the Joint Commission of Accreditation of Hospitals;

(B) services are provided under the direction of a physician and involve active treatment which a team, consisting of physicians and other personnel qualified to make determinations with respect to mental health conditions and the treatment thereof, has determined are necessary on an inpatient basis and can reasonably be expected to improve the condition, by reason of which such services are necessary, or prevent further regression so that the services will no longer be needed; and

(C) are provided prior to the date such individual attains age 21, or, in the case of an individual who was receiving such services in the period immediately preceding the date on which he/she attained age 21,

(i) the date such individual no longer requires such services or

(ii) if earlier, the date such individual attains 22.


State: Colorado
Program: Behavioral Health Care
Agency: Department of Labor and Employment
State Reference: 7 CO ADC 1101-3:17 EXHIBIT 10
Setting/Service: Acute Rehabilitation, Comprehensive Integrated Inpatient Rehabilitation, Outpatient Rehabilitation Services, Residential Rehabilitation, Home and Community-Based Rehabilitation, and Behavioral Programs
Type of Recognition: Insurance

b. Acute Rehabilitation: Acute rehabilitation hospitals should be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and have components consistent with the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF eligibility implies that programs meet specific care standards of design and efficacy.

a. Comprehensive Integrated Inpatient Rehabilitation: Inpatient programs should be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and have components consistent with the Commission on the Accreditation of Rehabilitation Facilities (CARF). CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

b. Outpatient Rehabilitation Services: Outpatient rehabilitation programs should be accredited by JCAHO and have components consistent with certification by CARF. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

c. Residential Rehabilitation: Residential programs should be accredited by JCAHO and have components consistent with CARF certification. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

d. Home and Community-Based Rehabilitation: Programs should preferably be accredited by JCAHO and have components consistent with CARF certification. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

e. Behavioral Programs: Behavioral programs generally use an interdisciplinary approach that may include behavior modification, medications, socialization skills training, substance abuse treatment, family therapy and physical management programs, as well as traditional interdisciplinary treatment. Length of stay may greatly vary depending on etiology and severity of the behavioral disorders and may typically range from one to six months or longer. Upon discharge from behavioral programs, disposition is either back to inpatient acute rehabilitation, inpatient programs, supported living programs or home and community-based programs. Use of psychiatric hospitals that are not experienced in brain injury rehabilitation is not recommended. Behavioral programs are also appropriate for severe behavioral problems due to other concomitant diagnoses, such as alcohol or substance abuse. Categorical adolescent inpatient hospital and residential programs may be appropriate for adolescent behavioral disorders due to TBI. Programs should be accredited by JCAHO.


State: Colorado
Program: Nursing Care Center
Agency: Department of Labor and Employment
State Reference:  7 CO ADC 1101-3:17 EXHIBIT 10 
Setting/Service: Long-Term Care, Nursing Care Facilities, and Subacute Rehabilitation Programs
Type of Recognition: Insurance

d. Subacute Rehabilitation Programs:

These programs are located on separate and specially licensed units of hospitals or nursing homes. Individuals appropriate for subacute care typically are medically stable, require skilled nursing care, and have either completed comprehensive inpatient rehabilitation, or are judged to not be able to benefit from inpatient rehabilitation. Subacute rehabilitation is generally accepted, but should not be used in lieu of categorical inpatient rehabilitation for individuals who may benefit from a comprehensive inpatient rehabilitation program. Subacute rehabilitation programs should be accredited by the JCAHO.

f. Long-Term Care:

The range of long-term outcomes following TBI is diverse from virtually complete independence and function to severe and permanent disability. Therefore, the range of needed services is complex and individualized. Some individuals with moderate/severe brain injury will require significant care and supervision, either at home by family or attendant care, or in a nursing care facility, or long-term supported living program. (Refer to sections G.1.g Supported Living Programs or Long-Term Care Residential Services). Individuals may also benefit from periodic re-evaluations, based on condition and needs (Refer to section I, Maintenance Management). Long-term care programs should be accredited by the JCAHO and have components consistent with certification by CARF. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

f. Nursing Care Facilities: generally provide care in specialty-licensed units of nursing homes. Extended nursing facility care is generally accepted and widely used. Individuals appropriate for extended care are not able to be cared for in a private home, supported living program, group home or community setting. Individuals appropriate for this type of care do not generally require skilled nursing care, but require ongoing care that is supervised by RNs. Rehabilitation therapies may be necessary to supplement nursing care. Rehabilitation programs are established by appropriately licensed or certified therapists but may be delivered by paraprofessionals. The goal of care is to maintain and improve function if possible, this usually occurs at a slower rate over an extended period of time. Accreditation by JCAHO is recommended. g. Supported Living Programs (SLP) or Long-Term Care Residential Services: include licensed personal care boarding homes (group homes), supported apartment living programs, or supported inpatient programs designed for long-term living at the completion of the rehabilitation continuum. SLPs are designed for those who, due to their brain injury, are not able to safely and independently care of themselves in the community and for whom home placement is unavailable or inappropriate. Such programs are appropriate for individuals who are at risk for medical, physical and psychological complications, but who do not require a secured setting. Housing, food, supervision, activity programs, sheltered employment, transportation and case management are typical components of supported living programs. These programs are becoming more available and are generally accepted services for individuals with chronic brain injury who are moderately to severely disabled, and who require care, supervision and support services. Long-term residential services should be accredited by JCAHO and preferably have components consistent with CARF certification. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.


State: Colorado
Program: Disease-Specific Care
Agency: Department of Public Health & Environment
State Reference: 25-3-116
Setting/Service: Primary Stroke Center Comprehensive Stoke Center
Type of Recognition: L/C

(1) A hospital that has an accreditation, certification, or designation in stroke or stemi care from a nationally recognized accrediting body, including, but not limited to a certification as a Comprehensive Stroke Center or Primary Stroke Center by the Joint Commission or its successor organization...may send information and supporting documentation to the Department.  The Department shall make a hospital's national accreditation, certification, or designation availalbe to the public in a manner determined by the Department.

(2) The Department shall deem a hospital that is currently accredited, certified, or designated by a nationally recognizedaccrediting body as satisfying the requirements for recognition and publication by the Department,


State: Colorado
Program: Home Care
Agency: Department of Public Health and Environment
State Reference: 25-3-102.1
Setting/Service: Home Health, Hospice
Type of Recognition: Licensure

Deemed Status for certain facilities.

(b) (I) In the application for the renewal of a license for a health facility described in Section 25-3-101, other than an ambulatory surgical center, the Department of Public Health and Environment shall deem health facilities that are currently accredited by an accrediting organization recognized by the Federal Centers for Medicare and Medicaid Services as satisfying the requirements for renewal of the license.


State: Colorado
Program: Hospitals
Agency: Department of Public Health and Environment
State Reference: 25-3-102.1
Setting/Service: Hospital
Type of Recognition: Licensure

Deemed Status for certain facilities.

(b) (I) In the application for the renewal of a license for a health facility described in Section 25-3-101, other than an ambulatory surgical center, the Department of Public Health and Environment shall deem health facilities that are currently accredited by an accrediting organization recognized by the Federal Centers for Medicare and Medicaid Services as satisfying the requirements for renewal of the license.


State: Colorado
Program: Ambulatory Health Care
Agency: Department of Public Health and Environment
State Reference: C.R.S.A. § 25-3-102.1
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

1) In the licensing of an ambulatory surgical center following the issuance of initial licensure by the department, the voluntary submission of satisfactory evidence that the applicant is accredited by the Joint Commission, the American association for accreditation of ambulatory surgery facilities, inc., the accreditation association for ambulatory health care, the American osteopathic association, or any successor entities shall be deemed to meet certain requirements for license renewal so long as the standards for accreditation applied by the accrediting organization are at least as stringent as the licensure requirements otherwise specified by the department. Upon submission of a completed application for license renewal, the department shall accept proof of the accreditation in lieu of licensing inspections or other requirements.


State: Colorado
Program: Home Care
Agency: Secretary of State
State Reference: 24-21-115. Durable medical equipment supplier license - definition - rules
Setting/Service: DME Suppliers
Type of Recognition: L/C

(b) A durable medical equipment supplier license is not required as a condition of enrollment as a provider in the medical assistance program described in title 25.5, C.R.S.

(3) An applicant for a durable medical equipment supplier license must:

(a) Complete the license application as directed by the secretary of state;

(b) Submit to the secretary of state a notarized affidavit attesting that:

(I) The applicant has at least one accredited physical facility that is staffed during reasonable business hours and is within one hundred miles of any Colorado resident medicare beneficiary being served by the applicant.

(II) The applicant has sufficient inventory and staff to service or repair products; and

(III) The applicant is accredited by an accrediting organization recognized and accepted by the federal centers for medicare and medicaid services;

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.