State Recognition Details | Joint Commission
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Thursday 3:43 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: Indiana
Program: Behavioral Health Care
Agency: Advisory Board of the Division of Professional Standards
State Reference: 515 IN ADC 2-1-3
Setting/Service: Rehabilitation Centers
Type of Recognition: Insurance

(2) “Rehabilitation center” means:

(A) a state or privately owned and accredited institution, hospital, or facility offering diagnostic, rehabilitative, or habilitative services to children or adults who are cognitively impaired, developmentally delayed, head injured, or learning disabled that is located in Indiana or supported by a hospital located in Indiana and accredited by the joint commission on accreditation of healthcare organizations (JCAHO);

(B) a penal or correctional facility operated by the department of corrections;

(C) an institution operated by the department of health under IC 16-19-6;

or

(D) a private facility offering vocational or diagnostic services to the mentally retarded, developmentally delayed, brain injured, or physically handicapped that is accredited by the council on accreditation of rehabilitation facilities (CARF), JCAHO, or certified by the state.


State: Indiana
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: Information found on Indiana State Department of Health Website
Setting/Service: Ambulatory Surgical Center
Type of Recognition: Licensure

Many ASCs voluntarily submit themselves for accreditation by an ASC accreditation association. If an ASC is accredited, the ASC may substitute the accreditation survey for the state licensure on-site survey. In years when an accreditation survey is performed, there may not be a state licensure survey conducted by the ISDH

Section 1865 (b)(2) of the U.S. Social Security Act allows institutions accredited as ASCs by the AAAHC, JCAHO, AAAASF, and AOA to be deemed to meet the Conditions of Coverage for ASCs. The ISDH also accepts the AAAHC, AAAASF, JCAHO, or AOA inspection report in lieu of a state licensure on-site survey. In years when an accreditation survey is performed, there may not be a state licensure survey conducted by the ISDH.


State: Indiana
Program: Home Care
Agency: Department of Health
State Reference: 410 IN ADC 17-10-1
Setting/Service: Home Health Agencies
Type of Recognition: Licensure

(r) In the years that a home health agency has an accreditation survey by a body recognized as a home health accrediting agency, the home health agency may submit the accreditation survey report to the department for review and action as follows:

(1) If the department determines that the agency was found to substantially comply with the accreditation standards, the department will accept the report instead of a licensing survey.

(2) If the department determines that the agency failed to significantly comply with the accreditation standards, the department may conduct a licensing survey.


State: Indiana
Program: Hospitals
Agency: Department of Health
State Reference: Not Codified
Setting/Service: Hospital
Type of Recognition: Licensure

The Department will accept proof of accreditation in  lieu of conducting a licensure survey only in the year in which the accreditation survey is completed


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

CLIA Certification

State: Indiana
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: IC 12-7-2-39
Setting/Service: Community Mental Retardation and Other Developmental Disabilities Centers
Type of Recognition: Insurance

Sec. 39. “Community mental retardation and other developmental disabilities centers”, for purposes of IC 12-29 (except as provided in IC 12-29-3-6), means a program of services that meets the following conditions:

(4) Is accredited for the services provided by one (1) of the following organizations:

(A) The Commission on Accreditation of Rehabilitation Facilities (CARF), or its successor.

(B) The Council on Quality and Leadership in Supports for People with Disabilities, or its successor.

(C) The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), or its successor.

(D) The National Commission on Quality Assurance, or its successor.

(E) An independent national accreditation organization approved by the secretary.


State: Indiana
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: IC 12-12-1-4.1
Setting/Service: Vocational and Community Rehabilitation Centers
Type of Recognition: Licensure

(b) When entering into contracts for job development, placement, or retention services, the bureau shall contract with governmental units and other public or private organizations or individuals that are accredited by one (1) of the following organizations:

(1) The Commission on Accreditation of Rehabilitation Facilities (CARF), or its successor.

(2) The Council on Quality and Leadership in Supports for People with Disabilities, or its successor.

(3) The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), or its successor.

(4) The National Commission on Quality Assurance, or its successor.

(5) An independent national accreditation organization approved by the secretary.

(c) To the extent that the accreditation requirements of an accrediting organization listed in subsection


State: Indiana
Program: Behavioral Health Care
Agency: Division of Disability and Rehabilitative Services
State Reference: IC 12-11-1.1
Setting/Service: Home and community based services waivers
Type of Recognition: Licensure

(1) Beginning July 1, 2011, the bureau shall ensure that an entity approved to provide day services, identified day habilitation, including facility based or community based habilitation, prevocational services, or employment services under home and community based services waivers is accredited by an approved national accrediting body (The Joint Commission has been named as an approved accrediting body)
(2) Beginning July 1, 2012, the bureau shall ensure that an entity approved to provide residential habilitation and support services under home and community based services waivers is accredited by an approved national accrediting body. However, if an entity is accredited to provide home and community based services under subdivision (1) other than residential habilitation and support services, the bureau may extend the time that the entity has to comply with this subdivision until the earlier of the following: (A) The completion of the entity's next scheduled accreditation survey (B) July 1, 2015.

Please see the chart below for a description of the Indiana service categories compared to the Joint Commission service categories: 
 Capture


State: Indiana
Program: Behavioral Health Care
Agency: Division of Mental Health and Addiction
State Reference: 440 IN ADC 1.5-2-3
Setting/Service: Private Mental Health Facility
Type of Recognition: Licensure

Sec. 3. (a) An entity seeking a license as a private mental health institution shall file an application with the division.

(c) An applicant that is accredited shall submit the following to the division:

(1) Proof of accreditation in all services provided by the applicant.

(2) Site survey recommendations from the accrediting agency.

(3) The applicant's responses to the site survey recommendations.

(d) The division may require the applicant to correct any deficiencies described in the site survey.

(e) If an applicant is not yet accredited in all services provided by the applicant, but provides proof of application to an accrediting agency approved by the division, the division may issue a temporary license for a period of six months.

(f) At the end of the six month period of a temporary license granted under subsection (e), the division may extend the temporary license for not longer than six additional months, if the nonaccredited applicant continues to meet all other requirements for a license except for accreditation.

(g) Prior to the expiration of an extended temporary license under subsection (f), the applicant shall provide the division with the following:

(1) Proof of accreditation.

(2) Site survey recommendations from the accrediting agency.

(3) The applicant's responses to the site survey recommendations.

(4) If required by the division, proof of the correction of any deficiency described in the site survey.

(5) Any other materials requested by the division as a part of the application process.

(h) If an applicant fails to achieve accreditation within a period of twelve months from the date of application, the applicant may not reapply for a license until twelve months after an extended temporary license expires.


State: Indiana
Program: Behavioral Health Care
Agency: Division of Mental Health and Addiction
State Reference: 440 IN ADC 4.1-2-4
Setting/Service: Community Mental Health Centers
Type of Recognition: Licensure

(f) At the time of application, the applicant shall be providing and have accreditation for all of the services that are required to be provided directly for each of the following populations:

(1) seriously emotionally disturbed children and adolescents;

(2) seriously mentally ill adults;

and

(3) individuals who abuse alcohol and other drugs; and all other services in the continuum of care that the center is providing directly.

(g) The applicant's accreditation must be by an accrediting agency approved by the division.

(h) The applicant must forward to the division proof of accreditation in all services provided by the applicant, site survey recommendations from the accrediting agency, and the applicant's responses to the site survey recommendations.

(i) The division may require the applicant to correct any deficiencies described in the site survey.

(j) The division shall issue regular certification as a community mental health center to the applicant after the division has determined that the applicant meets all criteria for a community mental health center set forth in federal and state law and in this article, (440 IAC 4.1) including the assignment of an exclusive geographic primary service area under 440 IAC 4.1-3.

(k) The certification shall expire ninety (90) days after the expiration of the center's accreditation from the accrediting agency designated by the center as its official accrediting agency.


State: Indiana
Program: Hospitals
Agency: Division of Mental Health and Addiction
State Reference: 440 IN ADC 1 through 1.5-2-8
Setting/Service: Private Mental Health Institutions
Type of Recognition: Licensure

440 IAC 1.5-2-2 (b) A private mental health institution shall be accredited by an accrediting agency approved by the division…. 440 IAC 1.5-2-3 (3)(h) If an applicant fails to achieve accreditation within a period of twelve (12) months from the date of application, the applicant may not reapply for a license until twelve (12) months after an extended temporary license expires. Private mental health institution defined: an inpatient hospital setting, including inpatient and outpatient services provided in that setting, for the treatment and care of individuals with psychiatric disorders or chronic addictive disorders, or both, that is physically, organizationally, and programmatically independent of any hospital or health facility licensed by the Indiana state department of health under IC 16

State: Indiana
Program: Behavioral Health Care
Agency: Division of Mental Health and Addiction
State Reference: 440 IN ADC 10-3-2
Setting/Service: Opioid Treatment Programs
Type of Recognition: Licensure

(4) Documentation showing that the applicant is accredited by an accreditation body approved by the division and by the United States Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), including a copy of the following:

(A) The accreditation report.

(B) Any response to the report required by the accreditation body.

(C) The final disposition issued by the accreditation body.


State: Indiana
Program: Behavioral Health Care
Agency: Division of Mental Health and Addictions
State Reference: 440 IN ADC 7.5-2-1
Setting/Service: Residential Treatment Facilities for Individuals With Psychiatric Disorders or Addictions
Type of Recognition: Licensure

Sec. 1. The following is a general overview of the requirements for residential facilities under this article:

Should be accredited.


State: Indiana
Program: Disease-Specific Care
Agency: Indiana Emergency Medical Services Commission
State Reference: IC 16-31-2-9.5 (HB 1145- 2017)
Setting/Service: Comprehensive Stroke, Primary Stroke, Acute Stroke Ready
Type of Recognition: L/C

Before July 1, 2018 -the commission will adopt rules for treatment of stroke patients.  A list of hospitals that are certified by national organizations, i.e.,   The Joint Commission, must be compiled. These hospitals must furnish a copy of the actual certification and the date of expiration.


State: Indiana
Program: Office-Based Surgery
Agency: Medical Licensing Board
State Reference: 844 IN ADC 5-5-20Economic Impact Statement: LSA Document #07-842
Setting/Service: Office-Based Surgery
Type of Recognition: Requirement for Anesthesia Use

Sec. 20. After January 1, 2010, a practitioner may not perform or supervise a procedure that requires anesthesia in an office-based setting unless the office-based setting is accredited by an accreditation agency approved by the board under this rule. Statement Concerning Rules Affecting Small Businesses: This proposed new rule adds 844 IAC 5-5 to establish standards for procedures performed in office-based settings that require moderate sedation/analgesia, deep sedation/analgesia, general anesthesia, or regional anesthesia. Beginning January 1, 2010, a practitioner may not perform or supervise a procedure that requires anesthesia in an office-based setting unless the office-based setting is accredited by an accreditation agency approved by the Board under this rule. Offices will have the ability to choose from one of the four Board recognized accreditation organizations that are also nationally recognized and follow the standards for accreditation of facilities: American Association for Accreditation of Ambulatory surgery Facilities, Inc. (AAAASF); Accreditation Association for Ambulatory Health Care, Inc. (AAAHC); Joint Commission on Healthcare Accreditation Organizations (JCHAO); Healthcare Facilities Accreditation Program.

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.