State Recognition Details | Joint Commission
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Friday 1:43 CST, April 20, 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: Missouri
Program: Behavioral Health Care
Agency: Business and Financial Institutions
State Reference: V.A.M.S. 376.811
Setting/Service: Residential Treatment Programs and Mental Health Services Delivery Entities
Type of Recognition: Insurance

(c) May deliver covered services through a system of contractual arrangements with one or more providers, hospitals, nonresidential or residential treatment programs, or other mental health service delivery entities certified by the department of mental health, or accredited by a nationally recognized organization, or licensed by the State of Missouri.

State: Missouri
Program: Behavioral Health Care
Agency: Department of Elementary and Secondary Education
State Reference: 5 MO ADC 90-4.120
Setting/Service: Vocational Rehabilitation Services
Type of Recognition: Insurance

(1) A service provider is an individual or organization which provides services to applicants or eligible individuals.

(A) A vocational service provider may provide one (1) or more of the following client interventions: personal and work adjustment training; job readiness training; supported employment; work stations in industry; and vocational evaluation.

1. The vocational service provider must demonstrate the ability to deliver appropriate case management services including counseling, psychological services, and vocational assessment services, and shall maintain service delivery personnel who possess substantial academic credentials appropriate to the proposed service.

2. Accreditation must be obtained from recognized professional accreditation organizations who have developed commonly accepted processes for accreditation of the specific service. This would include but is not limited to the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Hospitals (JCAHO).


State: Missouri
Program: Behavioral Health Care
Agency: Department of Elementary and Secondary Education
State Reference: 5 MO ADC 90-5.430
Setting/Service: Vocational Rehabilitation Services
Type of Recognition: Insurance

(1) The following physical and/or mental restoration services as defined in the federal act and/or applicable regulations may be provided to applicants or eligible individuals based upon financial need:

(A) Hospital services for eligible individuals shall be provided from an instate hospital accredited by the Joint Commission on Accreditation of Hospitals (JCAHO) or by the American Osteopathic Association and licensed by the Missouri Department of Health. Preference will be given to hospitals having fifty (50) or more beds and well developed surgical and specialty services.


State: Missouri
Program: Hospitals
Agency: Department of Health
State Reference: MO ST 197.100
Setting/Service: Hospital
Type of Recognition: Licensure

The department of health and senior services shall annually inspect each licensed hospital and shall make any other inspections and investigations as it deems necessary for good cause shown. The department of health and senior services shall accept reports of hospital inspections from governmental agencies and recognized accrediting organizations in whole or in part for licensure purposes if:

(1) The inspection is comparable to an inspection performed by the department of health and senior services;

(2) The hospital meets minimum licensure standards; and

(3) The inspection was conducted within one year of the date of license renewal.

The department of health and senior services shall attempt to schedule inspections and evaluations required by this section so as not to cause a hospital to be subject to more than one inspection in any twelve-month period from the department of health and senior services or any agency or accreditation organization the reports of which are accepted for licensure purposes pursuant to this section, except for good cause shown.


State: Missouri
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: V.A.M.S. 630.705
Setting/Service: Facilities and Programs for Persons Affected by Mental Disorder, Illness, Retardation or Developmental Disability(ies)
Type of Recognition: Licensure

(6) Any facility or program accredited by the Joint Commission on Accreditation of Hospitals, the American Osteopathic Association, Accreditation Council for Services for Mentally Retarded or other Developmentally Disabled Persons, Council on Accreditation of Services for Children and Families, Inc., or the Commission on Accreditation of Rehabilitation Facilities;

State: Missouri
Program: Disease-Specific Care
Agency: Department of Public Health and Welfare
State Reference: Emergency Regulations 19 CSR 30-40.720
Setting/Service: Comprehensive Stroke Centers,Primary Stroke Centers, Acute Stroke Ready Hospitals
Type of Recognition: Licensure/Designation

1. The department shall designate a hospital a level I stroke center if such hospital has been certified as a comprehensive stroke center by the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program;

2. The department shall designate a hospital a level II stroke center if such hospital has been certified as a primary stroke center by either the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program; or

3. The department shall designate a hospital a level III stroke center if such hospital has been certified as an acute stroke-ready center by the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program;

(C) Annually from the date of designation by the department, submit to the department proof of certification as a stroke center by the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program and the names and contact information of the medical director of the stroke center and the program manager of the stroke center;


State: Missouri
Program: Home Care
Agency: Department of Public Health and Welfare
State Reference: V.A.M.S. 197.415
Setting/Service: Home Health Agency
Type of Recognition: Licensure

4. In lieu of any survey required by sections 197.400 to 197.475, the department may accept in whole or in part written reports of the survey of any state or federal agency, or of any professional accrediting agency, if such survey:

(1) I comparable in scope and method to the department's surveys; and

(2) Is conducted within one year of initial application or within thirty-six months for the renewal of the home health license as required by subdivision(2) of subsection 2 of this section.


State: Missouri
Program: Home Care
Agency: Department of Public Health and Welfare
State Reference: V.A.M.S. 197.258
Setting/Service: Hospice
Type of Recognition: Licensure

3. In lieu of any survey required by sections 197.250 to 197.280, the department may accept in whole or in part the survey of any state or federal agency, or of any professional accrediting agency, if such survey:

(1) Is comparable in scope and method to the department's surveys; and

(2) Is conducted within one year of initial application for or renewal of the hospice's certificate.


State: Missouri
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: 13 MO ADC 70-15.070 
Setting/Service: Inpatient Hospital Psychiatric Services for Individuals Under 21
Type of Recognition: Medicaid

(1) Pursuant to provisions of section 208.161, RSMo, Medicaid program coverage will be afforded eligible individuals under age twenty-one (21) for inpatient psychiatric hospital services provided under the following conditions:

(A) Under the direction of a physician;

(B) In a psychiatric hospital facility or an inpatient program in a psychiatric facility, either of which is accredited by the Joint Commission on Accreditation of Hospitals and meets the qualification definition in section

(2) For purposes of administration of inpatient psychiatric hospital services coverage for individuals under age twenty-one (21), the Division of Family Services defines a qualified psychiatric hospital facility or inpatient program in a psychiatric facility as follows:

(A) The facility or program within the facility is currently accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals

(3) Inpatient psychiatric hospital services which are provided within a licensed acute care general hospital are not subject to the provisions and conditions of coverage as expressed in this rule, even though provided within an inpatient program or a part of the general hospital facility which is separately accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals. These inpatient psychiatric services shall be subject to the same provisions of coverage and the same benefits and limitations for inpatient hospital services as apply to all Medicaid-eligible recipients.


State: Missouri
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: 13 MO ADC 35-50.010
Setting/Service: Child Placing, Maternity, Infant/Toddler, Residential Treatment, and Intensive Residential Treatment in Residential Child Care
Type of Recognition: Licensure

(1) The Children's Division shall accept accreditation by Council on Accreditation of Services for Children and Families, Inc., the Joint Commission on Accreditation of Healthcare Organizations, or the Commission on Accreditation of Rehabilitation Facilities, as specified in section (2) of this rule, as prima facie evidence that the organization meets licensing requirements under sections 210.481 through 210.511, RSMo.

State: Missouri
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: 13 CSR 35:32.020
Setting/Service: Foster Care Case Management Contracts
Type of Recognition: Certification

(C)  The contractor's case management program must be accredited by one (1) or more of the following national accrediting bodies:  the Council on Accreditation (COA); the Joint Commission; or the Commission on Accreditation of Rehabilitation Facilities.  The Children's Division shall accept as prima facie evidence of completion of the requirements for licensure under sections 210.481 and 210.511, RSMo, proof that an agency is accredited.  The Children's Division shall not require any further evidence of qualification for licensure if such proof of voluntary accreditation is submitted.


State: Missouri
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: CMHCs Mediaid regulations
Setting/Service: Behavioral Health Home Certification
Type of Recognition: Medicaid Reimbursement

CMHCs will also be required to obtain Healthcare Home accreditation by the National Committee for Quality Assurance (NCQA), the Commission on Accreditation of Rehabilitation Facilities (CARF), the Joint Commission (formally the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)) or other nationally recognized Healthcare Home accrediting organization. DMH may also develop Missouri interpretive standards for Healthcare Homes to use in lieu of a national accreditation, which may be aligned with NCQA, CARF or the Joint Commission.


State: Missouri
Program: Primary Care Medical Home
Agency: Missouri Department of Social Services MO HealthNet Division
State Reference: 13 CSR 70-3.240
Setting/Service: Primary Care Medical Home
Type of Recognition: reimbursement; medicaid

By the 18 month following the receipt of the first MHD Health Home payment, a practice site participating in the Health Home program shall demonstrate to MHD that the practice site has either—
1. Submitted to the National Committee of Quality Assurance (NCQA) an application for Health Home status and has obtained NCQA recognition of Health Home status of at least Level 1 under the most recent NCQA standard; or
2. Applied to The Joint Commission for certification as a Primary Care Medical Home.

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.