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Thursday 3:44 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: Maryland
Program: Behavioral Health Care
Agency: Alcohol and Drug Abuse Administration
State Reference: MD Code, Health - General, § 8-403 
Setting/Service: Alcohol and Drug Abuse Programs and Facilities
Type of Recognition: Insurance

Certification requirement exclusions

(d) Unless requested, the certification requirements of this section do not apply to a hospital as defined in § 19-301 of this article accredited by the Joint Commission on Accreditation of Hospitals with a separately accredited alcohol and drug abuse program.


State: Maryland
Program: Home Care
Agency: Department of Health & Mental Hygiene
State Reference: COMAR 10.09.12.03
Setting/Service: DME - Disposable Medical Supplies and Durable Medical Equipment
Type of Recognition: Certification

*COMAR 10.09.12.03 Conditions for Participation.*


To participate in the Program, the provider:

A. Shall, unless exempt from Medicare accreditation requirements:

(1) Be an accredited Medicare provider of disposable medical supplies and durable equipment;

(2) Effective November 1, 2011, provide documentation of:

(a) Accreditation; or

(b) Having submitted an application for accreditation; and

(3) Effective April 1, 2012, be accredited or terminated from the Program;
 


State: Maryland
Program: Home Care
Agency: Department of Health & Mental Hygiene
State Reference: COMAR 10.09.18.03
Setting/Service: DME - Oxygen & Related Respiratory Equipment Services
Type of Recognition: Certification

*COMAR 10.09.18.03 Conditions for Participation.*


To participate in the Program, the provider shall:

A. Unless exempt from Medicare accreditation requirements:

(1) Be an accredited Medicare provider of oxygen;

(2) Effective November 1, 2011, provide documentation of:

(a) Accreditation; or

(b) Having submitted an application for accreditation; and

(3) Effective April 1, 2012, be accredited or terminated from the Program;
 


State: Maryland
Program: Behavioral Health Care
Agency: Department of Health & Mental Hygiene
State Reference: COMAR 10.63.06, COMAR 10.63.05, COMAR 10.63.04, COMAR 10.63.03, COMAR 10.63.02, COMAR 10.63.01
Setting/Service: 1) Group Homes for Adults with Mental Illness program(s; (2) Integrated Behavioral Health programs; (3) Intensive Outpatient Treatment Level 2.1 programs; (4) Mobile Treatment Services (MTS) programs; (5) Outpatient Mental Health Center (OMHC) programs; (6) Outpatient Treatment Level 1 programs; (7) Partial Hospitalization Treatment Level 2.5 programs; (8) Psychiatric Day Treatment Program (PDTP) programs; (9) Psychiatric Rehabilitation Program for Adults (PRP-A) programs; (10) Psychiatric Rehabilitation Program for Minors (PRP-M) programs; (11) Residential Crisis Services (RCS) programs; (12) Residential: Low Intensity Level 3.1 programs; (13) Residential: Medium Intensity Level 3.3 programs; (14) Residential: High Intensity Level 3.5 programs; (15) Residential: Intensive Level 3.7 programs; (16) Residential Rehabilitation Program (RRP) programs; (17) Respite Care Services (RPCS) programs; and (18) Supported Employment Program (SEP) programs.
Type of Recognition: L/C

New Integrated Behavioral Health Regulations.  All programs are required to be Accredited in order to be licensed to provide community-based behavioral health.  Effective date: April 1, 2018 

21 Deadlines and Effective Dates of this Chapter.

A. Accreditation-based Licenses. The following shall apply for programs that are required by law and this chapter to be accredited to be licensed:

(1) A program may not operate on or after April 1, 2018 without a license;

(2) To be licensed on or before April 1, 2018, a program shall submit a completed and accurate application to the Department’s designated approval unit before January 1, 2018;

(3) An accreditation-based license may be issued on or after, and not before, January 1, 2017;

(4) The Department’s designated approval unit shall begin accepting applications for accreditation-based licenses on October 1, 2016;

(5) As of October 1, 2016, applications for an accreditation-based license shall include evidence that the program is accredited by an approved accreditation organization;

(6) The Department’s designated approval unit may not accept an application for initial certification or approval under COMAR Title 10, Subtitles 21 or 47 after September 30, 2016;

(7) A program with a certification or approval under COMAR Title 10, Subtitles 21 or 47:

(a) May apply for renewal of the certification or approval before January 1, 2018;

(b) If eligible for renewal, shall receive a certification or approval, valid until April 1, 2018; and

(c) May not operate under the certification or approval after March 31, 2018.

(8) (proposed text unchanged)

(9) If the Department’s designated approval unit cannot issue a license by April 1, 2018 for a program that submits a completed, accurate application for a license before January 1, 2018, the Department’s designated approval unit shall extend the expiration date of the existing approval or certification to complete the license application process.

B. Non-Accreditation-Based Licenses. The following shall apply for programs that are not required by law and this chapter to be accredited to be licensed:

(1) A program may not operate on or after April 1, 2018 without a license;

(2) A program that is certified or approved under COMAR Title 10, Subtitles 21 or 47, may operate under those subtitles until the expiration of the term of its current certification or approval, but not after March 31, 2018;

(3) The Department’s designated approval unit may not accept an application for initial certification or approval under COMAR Title 10, Subtitles 21 or 47, after September 30, 2016;

(4) A program with a current certification or approval under COMAR Title 10, Subtitles 21 or 47:

(a) May apply for renewal of the certification or approval under COMAR Title 10, Subtitles 21 or 47, before January 1, 2018; and

(b) May not operate after March 31, 2018 without a license.

(5) To be licensed on or before April 1, 2018, a program shall submit a completed and accurate application to the Department’s designated approval unit before January 1, 2018;

(6) A license may be issued on or after, and not before, January 1, 2017; and

(7) If the Department’s designated approval unit cannot issue a license by April 1, 2018 for a program that submits a completed accurate application for licensure before January 1, 2018, the Department’s designated approval unit shall extend that expiration date of the existing approval or certification to complete the license application process.

C. Applicability Dates of Regulations. Current chapters of regulations under COMAR 10.21 and 10.47 shall remain in effect concurrently with the regulations in this chapter until April 1, 2018


State: Maryland
Program: Behavioral Health Care
Agency: Department of Health & Mental Hygiene/Medicaid
State Reference: Health Home Provider Manual
Setting/Service: Behavioral Health Home Certiifcation: psychiatric rehabilitation programs (PRP), mobile treatment services (MTS) providers, and Opioid Treatment Programs (OTP)
Type of Recognition: Requirement for Medicaid Health Home Providers

Health Home providers must obtain accreditation from an accrediting body approved by the Department. This currently includes the Commission on Accreditation of Rehabilitation Facilities’ (CARF) Health Homes Standards, and The Joint Commission’s Behavioral Health Homes Certification.

Upon submitting a Health Home provider application to the Department, the provider must demonstrate that they have obtained, or have begun the process of obtaining, this accreditation by submitting one of the following:
 
1) Certificate of Accreditation, or
2) Evidence that accreditation process has been initiated:
a. CARF: Letter of Intent to Survey
b. The Joint Commission: Copy of submitted application and proof of payment.
 
Providers must complete the accreditation process within 18 months of becoming Health Homes. If not completed within the allotted time, the State will review the circumstances on a case by case basis and reserves the right to halt payment or reconsider Health Home status.

State: Maryland
Program: Hospitals
Agency: Department of Health and Mental Hygiene
State Reference: MD Code, Health - General, § 19-2302
Setting/Service: Hospital
Type of Recognition: Licensure

(c)(1) When an approved accreditation organization has issued a final report finding a health care facility to be in substantial compliance with the accreditation organization's standards, the Department shall accept the report as evidence that the health care facility has met State licensure requirements and shall grant the health care facility deemed status.

State: Maryland
Program: Home Care
Agency: Department of Health and Mental Hygiene
State Reference: General Article § 19-2302
Setting/Service: Home Health
Type of Recognition: Licensure

(1) When an approved accreditation organization has issued a final report finding a health care facility to be in substantial compliance with the accreditation organization's standards, the Department shall accept the report as evidence that the health care facility has met State licensure requirements and shall grant the health care facility deemed status. 

(2) A health care facility that fails to achieve substantial compliance with the standards of an approved accreditation organization may be subject to the provisions of § 19-360 of this title. 

The Joint Commission's home health accreditation program has been approved by the Department of Health and Mental Hygiene


State: Maryland
Program: Behavioral Health Care
Agency: Department of Health and Mental Hygiene
State Reference: MD ADC 10.09.29.03 
Setting/Service: Inpatient Psychiatric Care for Individuals Under 21 (Residential Treatment Center Services)
Type of Recognition: Insurance

A. Meet the requirements for participation as defined in 42 CFR §440.160 (inpatient psychiatric services for individuals under 21 years old) and have acute psychiatric services that meet the requirements of 42 CFR Part 441, Subpart D (inpatient psychiatric services for individuals under 21 years old in psychiatric facilities or programs).

B. Be accredited by the Joint Commission on Accreditation of Healthcare Organizations.


State: Maryland
Program: Behavioral Health Care
Agency: Department of Health and Mental Hygiene
State Reference: MD ADC 10.21.16.10 
Setting/Service: Community Mental Health Programs
Type of Recognition: Licensure

A. Initial Request for Deemed Status. If a program is approved under Regulation .08 of this chapter and is accredited under relevant behavioral health care standards of the Joint Commission on the Accreditation of Health Care Organizations (JCAHO) or the Rehabilitation Accreditation Commission (CARF), the program director may request that the Secretary grant the program deemed status by submitting a written request to the Administration and the CSA at least 90 days before the expiration of the program's current approval status that includes the:

(1) Application for deemed status;

(2) Accreditation body's full report, including the program's status and any conditions placed on the program;

(3) Most recent report by the Department's designated approval unit;

and

(4) Program improvement plans, if any, required by the accreditation body or the Department's designated approval unit.


State: Maryland
Program: Behavioral Health Care
Agency: Department of Health and Mental Hygiene
State Reference: MD Code, Health - General, § 10-901 
Setting/Service: Community Mental Health Services
Type of Recognition: Licensure

(a)(1) The Secretary shall adopt rules and regulations that set standards for:

(i) Eligibility for State funding of local mental health programs under Part I of this subtitle;

(ii) Qualifications of staff and quality of professional services of eligible programs;

(iii) Eligibility for receiving services under eligible programs;

and

(iv) Accreditation of a facility as defined in § 10-101(e) of this title.

(2) The Secretary may consider accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the Commission on Accreditation of Rehabilitation Facilities (CARF), whichever is appropriate, as meeting the rules and regulations adopted under this subtitle.

(3) The rules and regulations shall ensure:

(i) That an individual is not discriminated against based on an inability to pay for services;

and

(ii) That an individual is not discriminated against or denied community-based mental health services based on the individual's lack of a fixed address or because the individual is homeless.


State: Maryland
Program: Disease-Specific Care
Agency: Institute for Emergency Medical Services Systems
State Reference: COMAR 30.08.17.19
Setting/Service: Comprehensive Stroke Certification
Type of Recognition: Certification


30.08.17.19. 19 On-Site Review by Means of Joint Commission Certification.. A. A hospital seeking to meet the on-site review requirements of this chapter by means of Joint Commission certification shall:1) Comply with the Joint Commission Disease-Specific Care Certification Program standards for certification as a comprehensive stroke center;2) Authorize the Joint Commission to provide MIEMSS with survey findings, certification reports, and other information related to the Joint Commission

State: Maryland
Program: Home Care
Agency: Maryland Health Care Commission
State Reference: COMAR 10.24.16
Setting/Service: For CON Purposes. Home Health Agencies
Type of Recognition: Certification

C. Qualifications for All Applicants.

The Commission will only accept a CON application submitted by an applicant that:

(4) Has maintained accreditation through a state-recognized deeming authority, as applicable, for at least the three most recent years;


State: Maryland
Program: Disease-Specific Care
Agency: Maryland Institute for Emergency Medical Services Systems (M
State Reference: MD ADC 30.08.11.02
Setting/Service: Primary Stroke Centers
Type of Recognition: Licensure/Designation

A designated primary stroke center hospital shall:

A. Be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located;

B. Be accredited by the Joint Commission;

C. If located in Maryland, be a base station approved under COMAR 30.03.06;

D. Have a stroke center director;

E. Meet the requirements of Regulations .03-.14 of this chapter; and F. Satisfy the requirement for an on-site review under COMAR 30.08.02.06 by means of:

(1) An on-site review by MIEMSS under COMAR 30.08.02.06;

or

(2) Both of the following:

(a) Certification by the Joint Commission as a primary stroke center;

and

(b) Meeting the requirements of Regulation .15 of this chapter.

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.