State Recognition Details | Joint Commission
Follow us on Twitter Friend us on Facebook Vimeo linkedIn Share with your Friends Print this Page
 
Sunday 2:08 CST, January 21, 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: Kentucky
Program: Office-Based Surgery
Agency: Board of Medical Licensure
State Reference: Board of Medical Licensure – Guidelines for Office-Based Surgery
Setting/Service: Practices Performing Office-Based Surgery That Require the Administration of Moderate or Deep Sedation, or General Anesthesia
Type of Recognition: Licensure

Practices performing office-based surgery or procedures that require the administration of moderate or deep sedation, or general anesthesia (Level II and III facilities as defined below) should be accredited by an accreditation agency, including the American Association of Ambulatory Surgical Facilities (AAAASF), Accreditation Association for Ambulatory Health Care (AAAHC) or the Joint Commission on Accreditation of HealthCare Organizations (JCAHO), or any other agency approved by the Board within the first year of operation. The accrediting agency must submit a yearly summary report for each facility to the Board. Any licensee performing Level II or Level III office surgery should register with the Board. Such registration should include each address at which Level II or Level III office surgery is performed and identification of the accreditation agency that accredits each location (when applicable). Rule of Thumb: The capacity of the patient at all times to retain his/her life-protective reflexes and to respond to verbal command (i.e., the depth of sedation or anesthesia) – rather than the specific procedure performed.


State: Kentucky
Program: Disease-Specific Care
Agency: Cabinet for Health & Family Services
State Reference: KRS 216B.0425
Setting/Service: Comprehensive Stroke Certification Acute Stroke Readiness Certification
Type of Recognition: Certification

(b) "Primary stroke center certification, " "acute stroke ready hospital certification," and "comprehensive stroke center certification" mean[ means] certification for acute care hospitals issued by the Joint Commission, the American Heart Association,[ on Accreditation of Healthcare Organizations (JCAHO)] or another cabinet-approved nationally recognized organization that provides disease-specific certification for stroke care, that:

1. Complies with census-based national standards and safety goals;
2. Effectively uses evidence-based clinical practice guidelines to manage and optimize care; and
3. Uses an organized approach to measure performance.

(2) The secretary of the Cabinet for Health and Family Services shall designate as a primary stroke center any acute care hospital which has received an acute stroke ready hospital certification, a comprehensive stroke center certification, or a primary stroke center certification.
Joint Commission is recognized.


State: Kentucky
Program: Behavioral Health Care
Agency: Cabinet for Health and Family Services
State Reference: 922 KAR 1:310
Setting/Service: Child Placing Agency - 922:KAR 1:305
Type of Recognition: L/C

 Section 2. Administration and Operation. (1) Licensing procedures.

      (a) Licensing procedures for a child-placing agency shall be administered pursuant to 922 KAR 1:305.

      (b) An independent living program shall be an optional component of the child-placing agency's license in accordance with 922 KAR 1:340.

      (c) A child-placing agency shall obtain accreditation within two (2) years of initial licensure or within two (2) years of acquiring an agreement with the cabinet to provide private child care services, whichever is later. Accreditation shall be from a nationally-recognized accreditation organization, such as:

      1. The Council on Accreditation; or

      2. The Joint Commission on Accreditation for Healthcare Organizations.

      (d) The cabinet shall revoke a license if a child-placing agency fails to:

      1. Become accredited in accordance with paragraph (c) of this subsection; or

      2. Maintain accreditation.

      (e) The child-placing agency shall provide proof of accreditation to the Office of Inspector General, Division of Regulated Child Care:

      1. Upon receiving initial accreditation; and

      2. At the time of annual inspection for re-licensure.


State: Kentucky
Program: Laboratory
Agency: Cabinet for Health Services
State Reference: 902 KY ADC 11:020
Setting/Service: Laboratory
Type of Recognition: Licensure

Section 3. Provisions for Acceptance by National Licensing or other Accrediting Bodies. With the exception of 902 KAR 11:030 and Section 1 of this administrative regulation, medical laboratories inspected and certified pursuant to 42 USC 263a, Public Health Service Act, and medical laboratories which have been inspected and accredited by the commission on inspection and accreditation of the College of American Pathologists or by any other national accreditation body approved by the cabinet, shall be deemed to meet all of the requirements for licensure, if the standards applied by the commission or body in determining accreditation of the medical laboratory are equal to, or more stringent than, the provisions of KRS Chapter 333 and the rules and regulations issued pursuant to KRS Chapter 333; and there is adequate provision for assuring the standards continue to be met by the laboratory.

State: Kentucky
Program: Behavioral Health Care
Agency: Department for Community Based Services, Protection, and Per
State Reference: 922 KY ADC 1:460
Setting/Service: Private Child-Caring Facility With an Operational Youth Wilderness Camp
Type of Recognition: Licensure

Section 1. Definitions.

(1) “Accrediting body” means the:

(a) Joint Commission on Accreditation of Healthcare Organizations;

and

(b) Association for Experiential Education;

or

(c) Council on Accreditation for Children and Family Services.

(2) A licensed private child-caring facility with an operational youth wilderness camp shall:

(a) Obtain accreditation on the youth wilderness camp component from an accrediting body, within one year of the effective date of this administrative regulation;

and

(b) Apply for a youth wilderness camp component license with the OIG, DLCC, upon receipt of youth wilderness camp accreditation.

(3) Prior to operating a youth wilderness camp program, a licensed private child-caring facility without an operational youth wilderness camp shall:

(a) Obtain a provisional accreditation from an accrediting body which includes:

1. Review by the accrediting body of the private child-caring facility's plan to operate a youth wilderness camp program, including review of proposed policy and procedure;

and

2. Standards and timeframes for performance, established by the accrediting body;

(b) Achieve full accreditation from an accrediting body;

and

(c) Apply for a youth wilderness camp component license, as specified in subsection (2)(b) of this section.


State: Kentucky
Program: Behavioral Health Care
Agency: Department for Community Based Services, Protection, and Per
State Reference: 922 KY ADC 1:360
Setting/Service: Child-Caring Facility or Child-Placing Agency
Type of Recognition: Licensure

3. To the gatekeeper and designated cabinet staff, a copy of the following completed forms:

a. On a quarterly basis, for a private child care residential placement, CRP-001, Children's Review Program Residential Application for Level of Care Payment;

or

b. On a semiannual basis for a foster care placement, CRP-003, Children's Review Program Foster Care Application for Level of Care Payment;

(d) Provide outcomes data and information as requested by the gatekeeper;

and

(e) Obtain accreditation within two (2) years of initial licensure or within two (2) years of acquiring an agreement with the cabinet, whichever is later, from a nationally-recognized accreditation organization, such as:

1. The Council on Accreditation;

or

2. The Joint Commission on Accreditation for Healthcare Organizations.


State: Kentucky
Program: Behavioral Health Care
Agency: Department for Medicaid Services
State Reference: 907 KY ADC 3:030 
Setting/Service: Behavioral Health Organization
Type of Recognition: Medicaid

Section 1. Definitions.

(1) “Behavioral health organization” means:

(a) A hospital licensed and operating in accordance with: 1. 902 KAR 20:009, 902 KAR 20:012 and 902 KAR 20:016; or 2. 902 KAR 20:170 and 902 KAR 20:180;

(b) A community mental health center;

(c) A child-caring facility licensed in accordance with 922 KAR 1:305 and operating in accordance with 922 KAR 1:300, 902 KAR 1:380 and 902 KAR 1:390;

(d) A child-placing facility licensed in accordance with 922 KAR 1:305 and operating in accordance with 922 KAR 1:310;

(e) An organization accredited by the Joint Commission on Accreditation of Healthcare Organizations, the Commission on Accreditation of Rehabilitative Facilities or the Council on Accreditation for Children and Family Services


State: Kentucky
Program: Behavioral Health Care
Agency: Department of Medicaid Services
State Reference: 907 KY ADC 1:710
Setting/Service: Community Mental Health Centers
Type of Recognition: Medicaid

(10) A behavioral health care provider authorized by the MBHO to provide rehabilitation or a support service covered under 907 KAR Chapters 1 and 3 or which may be covered as an early and periodic screening, diagnosis and treatment (EPSDT) service in accordance with 907 KAR 1:034, shall be a community mental health center licensed in accordance with 902 KAR 20:091, or an organization that shall be: (

a) Accredited by a national accrediting organization for agencies that provide behavioral health services;

or

(b) Assessed on site prior to providing an MBHO service and at least every three (3) years thereafter by the MBHO using standards of participation approved by the MBHO's board of directors.


State: Kentucky
Program: Home Care
Agency: Department of Medicaid Services
State Reference: 907 KY ADC 1:330
Setting/Service: Hospice Organizations
Type of Recognition: Medicaid

Section 1. Definition of Hospice Care. Hospice care means the care described in Section 1905(o) of the Social Security Act. Summarized, hospice care may be described as a package of palliative and supportive services provided by a hospice program to a terminally ill Medicaid recipient and his family to alleviate the patient's pain and suffering and assist the patient and his family to cope with dying and the circumstances surrounding terminal illness. The hospice package of services is provided in lieu of certain benefits described in Section 1812(d)(2)(A) of the Social Security Act and intermediate care facility services. The patient must voluntarily elect the hospice care. Hospice care may be provided an individual in a skilled nursing or intermediate care facility but in that circumstance coverage does not exist under the program for skilled nursing and intermediate care facility services, i.e., a payment may be made for only the hospice care. Hospice care must be provided by an appropriately licensed, accredited and certified hospice program (as defined in Section 1861(dd)(2) of the Social Security Act) participating in both Medicare and Medicaid.

State: Kentucky
Program: Behavioral Health Care
Agency: Department of Public Health
State Reference: KRS § 216B.455
Setting/Service: Psychiatric Residential Treatment Facilities
Type of Recognition: Licensure

(4) All psychiatric residential treatment facilities shall be certified by the Joint Commission on Accreditation of Healthcare Organizations, or the Council on Accreditation, or any other accrediting body with comparable standards that is recognized by the state.

State: Kentucky
Program: Behavioral Health Care
Agency: Department of Public Health
State Reference: 902 KY ADC 20:091
Setting/Service: Health Services and Facilities – Mental Health Treatment Facilities
Type of Recognition: Licensure

3. The requirement for completion of a training course approved by the Department of Mental Health and Mental Retardation, prior to using therapeutic holds.

(f) The requirement that a licensed psychiatrist shall be available to evaluate, provide treatment and participate in treatment planning on a regular basis.

(g) The procedure for proper management of Pharmaceuticals, consistent with the requirements of Section 4(6) of this administrative regulation.

(h) Except for a program accredited by the Joint Commission for Accreditation of Health Organizations or the Commission on Accreditation of Rehabilitation Facilities


State: Kentucky
Program: Home Care
Agency: KY Public Protection Department
State Reference: 201 KAR 47:010E (Emergency)
Setting/Service: DME EFFECTIVE:August 25, 2016
Type of Recognition: L/C

Section 2. Initial License. (1) An applicant for licensure that does not currently holdor that has not previously held a license in the commonwealth shall submit:

      (a)An Application for Home Medical Equipment License or Renewal;

      (b)A license fee of $350; and

      (c)Evidence of the ability to comply with KRS 309.400 through KRS 309.422 and 201KAR Chapter 47. To demonstrate the ability to comply with those provisions, theapplicant shall:

      1.At the time of application, submit proof of accreditation by a nationalaccreditation organization approved by the Centers for Medicare and MedicaidServices that accredits suppliers of durable medical equipment; or

      2.Within sixty (60) days of application, submit to an inspection by the board toensure the applicant’s ability to comply with the provisions of KRS 309.400through KRS 309.422 and 201 KAR Chapter 47. The board shall not consider alicense application, a license shall not be issued, and the applicant shall notengage in the business of providing home medical equipment or services untilthe board is provided a final report from the inspector demonstrating theapplicant’s ability to comply with the provisions of KRS 309.400 through KRS309.422 and 201 KAR Chapter 47.

      (2)(a)An applicant issued a license based on proof of accreditation by a nationalaccreditation organization approved by the Centers for Medicare and MedicaidServices shall maintain accreditation during the license period.

      1.Each licensee shall advise the board in writing of any change in accreditation, including if the accreditation is revoked, suspended, not renewed, or expires.

  2.If the accreditation is revoked, suspended, not renewed, or expires, the licensee shall request and submit to an inspection by the board to ensure the applicant’s ability to comply with the provisions of KRS 309.400 through KRS309.422 and 201 KAR Chapter 47.

      (b)An applicant that does not maintain an accreditation by a national accreditation organization approved by the Centers for Medicare and Medicaid Services and is issued a license based upon an inspection by the board to ensure the applicant’s ability to comply with the provisions of KRS 309.400through KRS 309.422 and 201 KAR Chapter 47 shall submit to an annual inspection by the board.

      (c)If the notification required by paragraph (a) of this subsection is not submitted within thirty (30) days of the date on which the licensee’s accreditation is revoked, suspended, not renewed, or otherwise expires, the license shall be deemed suspended.


State: Kentucky
Program: Hospitals
Agency: Office of the Inspector General
State Reference: KRS § 216B.185
Setting/Service: Hospital
Type of Recognition: Licensure

The Office of the Inspector General shall accept accreditation by the Joint Commission on Accreditation of Healthcare Organizations or another nationally recognized accrediting organization with comparable standards and survey processes, that has been approved by the United States Centers on Medicare and Medicaid Services, as evidence that a hospital demonstrates compliance with all licensure requirements under this chapter. An annual on-site licensing inspection of a hospital shall not be conducted if the Office of the Inspector General receives from the hospital:

(a) A copy of the accreditation report within thirty (30) days of the initial accreditation and all subsequent reports; or

(b) Documentation from a hospital that holds full accreditation from an approved accrediting organization on or before the effective date of this act.

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.