State Recognition Details | Joint Commission
Follow us on Twitter Friend us on Facebook Vimeo linkedIn Share with your Friends Print this Page
 
Sunday 2:15 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: New Jersey
Program: Behavioral Health Care
Agency: Department of Banking and Insurance: Insurance Division
State Reference: NJ ADC T. 11, Ch. 20, 11:20 App. EXH. A
Setting/Service: Health Care Facilities, Mental Health Centers, Rehabilitation Centers, and Substance Abuse Centers
Type of Recognition: Medicaid

Facility means a place We are required by law to recognize which:

a) is properly licensed, certified, or accredited to provide health care under the laws of the state in which it operates;

and

b) provides health care services which are within the scope of its license, certificate or accreditation. Mental Health Center means a Facility which mainly provides treatment for people with mental health problems.

We will recognize such a place if it carries out its stated purpose under all relevant state and local laws, and it is either:

a) accredited for its stated purpose by the Joint Commission;

b) approved for its stated purpose by Medicare;

or

c) accredited or licensed by the state of New Jersey to provide mental health services. Rehabilitation Center means a Facility which mainly provides therapeutic and restorative services to Ill or Injured people.

We will recognize it if it carries out its stated purpose under all relevant state and local laws, and it is either:

a) accredited for its stated purpose by either the Joint Commission or the Commission on Accreditation for Rehabilitation Facilities;

or

b) approved for its stated purpose by Medicare. In some places a Rehabilitation Center is called a “rehabilitation hospital.” Substance Abuse Centers are Facilities that mainly provide treatment for people with substance abuse problems.

We will recognize such a place if it carries out its stated purpose under all relevant state and local laws, and it is either:

a) accredited for its stated purpose by the Joint Commission;

or

b) approved for its stated purpose by Medicare.


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

CLIA Certification

State: New Jersey
Program: Ambulatory Health Care
Agency: Department of Health and Senior Services
State Reference: NJ ADC 8:43A-3.12
Setting/Service: Ambulatory Surgery Facilities
Type of Recognition: Licensure

(b) As of July 15, 1996, each newly licensed ambulatory surgery facility shall submit to the Department the report of a survey of the facility performed by an independent accreditation organization approved by the Department. Such organizations shall be approved on the basis of their demonstrated ability to perform an operational survey using standards substantially equivalent to or exceeding the Federal Conditions for Coverage at 42 CFR Part 416. The survey shall be performed, and the report shall be submitted to the Department, within the 12 months immediately following receipt of a 12-month temporary license from the Department. A full license shall not be issued upon expiration of the temporary license unless the report of the independent survey is submitted in accordance with this rule. Ambulatory surgery facilities licensed prior to July 15, 1996 shall have until July 15, 1999 in which to be surveyed by an independent accreditation organization. Following submission of the initial report, each licensed facility shall submit a report of the most recent survey by an independent accreditation organization as part of the annual licensure renewal process. Such survey shall have been performed within three years of licensure renewal. The survey report shall include, but not be limited to, corrective actions recommended and/or undertaken.

State: New Jersey
Program: Home Care
Agency: Department of Health and Senior Services
State Reference: NJ ADC 8:42C-2.4
Setting/Service: Hospice
Type of Recognition: Licensure

(b) All applicants must demonstrate character and competence, the ability to provide quality of care commensurate with applicable licensure standards, and an acceptable track record of past and current compliance with in- and out-of-State licensure requirements for new licenses, as applicable, and Federal requirements, as applicable, including, but not limited to, the following:

1. The performance of the applicant in meeting its obligations under any previously approved New Jersey certificate of need, where applicable, including full compliance with all conditions of approval, if applicable; and

2. The capacity to provide quality of care which meets or surpasses the requirements contained in applicable licensure standards pertinent to the proposed facility and/or service, as set forth below:

i. Applicants shall demonstrate a satisfactory record of compliance in accordance with this section with licensure standards in existing health care facilities which are owned, operated, or managed, in whole or in part, by the applicant, according to the provisions in (h) below. In addition to demonstrating compliance with in-State licensure provisions, applicants shall also include reports issued by licensing agencies in other states, where applicable;

ii. Applicants shall include narrative descriptions of staffing patterns, policies and protocols addressing delivery of nursing, medical, pharmacy, dietary, and other services affecting quality of care to patients; and

iii. Applicants shall include documentation of compliance with the standards of accreditation of nationally-recognized professional bodies.


State: New Jersey
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: NJ ADC 10:67-1.2
Setting/Service: Residential Treatment Centers
Type of Recognition: Medicaid

Residential Treatment Center means a facility that:

1. Has a facility or program accreditation by the Joint Commission on the Accreditation of Health Care Organizations (JCAHO), or other accreditation as specified in the Department's rules;

2. Provides 24-hour per day care and treatment for recipients under 22 years of age whose needs are such that they are unable to function appropriately in their homes, schools and communities, and are not able to be served appropriately in less restrictive setting;

and

3. Has signed a provider agreement to participate in the Medicaid/NJ FamilyCare program and abide by the rules of the Division.


State: New Jersey
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: NJ ADC 10:75-1.3
Setting/Service: Psychiatric Residential Treatment Facility Services for Individuals Under 21
Type of Recognition: Medicaid

(c) A PRTF located in New Jersey that provides services for New Jersey Medicaid/NJ FamilyCare or PFC beneficiaries under the age of 21 shall, in order to participate in the Medicaid/NJ FamilyCare program:

1. Be licensed by the New Jersey Division of Youth and Family Services as a residential child care facility in accordance with N.J.A.C. 10:127 or by the Division of Mental Health Services as a psychiatric community residence for youth in accordance with N.J.A.C. 10:37B or by the New Jersey Department of Health and Senior Services or other State agencies with the authority to license such facilities to provide care to children;

2. Be accredited as a PRTF by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO);

and

3. Provide a copy of their license and a copy of their JCAHO Accreditation to DMAHS, at the address in (b) above, as a condition of enrollment as a Medicaid/NJ FamilyCare provider.

(d) A PRTF located out of New Jersey that provides services for New Jersey Medicaid, NJ FamilyCare or NJ PFC beneficiaries under the age of 21 shall, in order to participate in the New Jersey Medicaid/NJ FamilyCare program:

1. Be licensed as a health care provider by the appropriate State agency (NJ DYFS), or be enrolled as a provider of inpatient psychiatric services for children in the Medicaid program in the State in which they are located;

2. Be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as a provider of inpatient psychiatric services for children;

and

3. Provide a copy of their license, or their Medicaid enrollment agreement, and a copy of their JCAHO Accreditation to the New Jersey DMAHS, at the address in (b) above, as a condition of enrollment as a Medicaid/NJ FamilyCare provider


State: New Jersey
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: NJ ADC 10:77-4.3 and NJ ADC 10:77-4.6
Setting/Service: Behavioral Assistance Services Providers for Children and Adolescents in RTFs
Type of Recognition: Licensure

(a) Providers of behavioral assistance services shall be providers that are licensed in New Jersey to provide medical/mental health services, a medical/mental health practice or other service provider that includes the appropriate licensed practitioners who can provide, or supervise the provision of, services. Examples of provider agencies include, but are not limited to, acute care or psychiatric hospitals, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)-accredited Residential Treatment Centers, licensed group homes or child care residential providers, psychiatric community residences for youth, home health agencies, mental health clinics or any other licensed clinic, Federally Qualified Health Centers, or other entities licensed by a New Jersey government agency to provide physical or mental/behavioral health services in New Jersey.

3. Behavioral assistance services shall not be provided to a child, youth or young adult who is in a Joint Commission on Accreditation of Healthcare Organization (JCAHO)-accredited Residential Treatment Centers (see N.J.A.C. 10:75).

i. Behavioral assistance services shall only be rendered to a child, youth or young adult who resides in a JCAHO-accredited Residential Treatment Centers while the child is on an approved therapeutic leave from the facility. Behavioral assistance services shall not be provided on-site in a JCAHO-accredited Residential Treatment Centers


State: New Jersey
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: NJ ADC 10:77-5.3 and NJ ADC 10:77-5.6
Setting/Service: Intensive In-Community Mental Health Rehabilitation Services Providers
Type of Recognition: Licensure

(a) Providers of intensive in-community mental health rehabilitation services shall be providers that are licensed in New Jersey to provide medical/mental health services or a medical/mental health practice or other agency that includes the appropriate licensed practitioners who can provide, or supervise the provision of, services. Examples of appropriate provider agencies, include, but are not limited to:

1. Acute care or psychiatric hospitals;

2. The Joint Commission on Accreditation of Healthcare Organization (JCAHO)-accredited Residential Treatment Centers (see N.J.A.C. 10:77-5.6(f));

3. Licensed group homes or childcare residential providers;

4. Psychiatric community residences for youth;

5. Home health agencies;

6. Mental health clinics or any other licensed clinics;

7. Federally qualified health centers;

or

8. Other entities licensed by a State of New Jersey governmental agency to provide physical or mental health services in New Jersey.

3. Intensive in-community mental health rehabilitation services cannot be provided to a child, youth or young adult who is in a JCAHO-accredited Residential Treatment Center (see N.J.A.C. 10:75).

i. Intensive in-community mental health rehabilitation services can be rendered to a child, youth or young adult who resides in a JCAHO-accredited Residential Treatment Center only while the child is on an approved therapeutic leave from the facility; services cannot be provided on-site.


State: New Jersey
Program: Home Care
Agency: Department of Human Services
State Reference: NJ ADC 10:60-1.2
Setting/Service: Homemaker Agency – Personal Care Assistant Services and Homemaker Services
Type of Recognition: Medicaid

“Homemaker agency” means a proprietary or voluntary non-profit agency approved by the Department of Human Services, Division of Medical Assistance and Health Services to provide Personal Care Assistant Services, and homemaker services under any waiver program approved by the Centers for Medicare & Medicaid Services and accredited, initially and on an on-going basis, by the Commission on Accreditation for Home Care Inc., the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Association for Home Care and Hospice or the Community Health Accreditation Program (CHAP).

State: New Jersey
Program: Home Care
Agency: Department of Human Services
State Reference: NJ ADC 10:54-5.18
Setting/Service: Personal Care Assistant Services
Type of Recognition: Medicaid

(a) Personal care assistant services may be provided by a Medicare certified, licensed home health agency or by an accredited proprietary or voluntary non-profit homemaker agency approved to participate as a provider of services in the New Jersey Medicaid program, in accordance with N.J.A.C. 10:60-1.2.

State: New Jersey
Program: Home Care
Agency: Department of Human Services
State Reference: N J ADC 10:60-5.1 
Setting/Service: Home Health and Home Maker Agencies – Private Duty Nursing Services
Type of Recognition: Medicaid

(a) Private duty nursing services shall be provided by a licensed home health agency, voluntary non-profit homemaker agency, private employment agency and temporary-help service agency approved by DMAHS. The voluntary nonprofit homemaker agency, private employment agency and temporary help-service agency shall be accredited, initially and on an ongoing basis, by the Commission on Accreditation for Home Care, Inc., the Community Health Accreditation Program, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the National Association for Home Care and Hospice.


State: New Jersey
Program: Hospitals
Agency: Division of Health Facilities Evaluation & Licensing
State Reference: N.J.A.C. 8:43G-2.5
Setting/Service: Acute Care Hospitals
Type of Recognition: L/C

2. The Department may conduct an inspection of a hospital with deemed status before issuing a renewal license to the hospital if the certifying or accrediting body has not conducted an on-site inspection of the hospital in the preceding three years and the Department determines that an inspection of the hospital by the certifying or accrediting body is not scheduled within 30 days prior to the expiration of the license.


State: New Jersey
Program: Behavioral Health Care
Agency: Executive and Administrative Departments: Officers and Emplo
State Reference: N.J.S.A. 52:14-17.29
Setting/Service: Treatment of Alcoholism in Hospitals and Residential Treatment Centers
Type of Recognition: Insurance

Benefits under the contract or contracts purchased as authorized by this act shall include those for the treatment of alcoholism where such treatment is prescribed by a physician and shall also include treatment while confined in or as an outpatient of a licensed hospital or residential treatment program which meets minimum standards of care equivalent to those prescribed by the Joint Commission on Hospital Accreditation. No benefits shall be provided beyond those stipulated in the contracts held by the State Health Benefits Commission.

State: New Jersey
Program: Nursing Care Center
Agency: Skilled Nursing Facility
State Reference: NJ ADC T. 11, Ch. 20, 11:20 App. EXH. A
Setting/Service: Extended Care Center
Type of Recognition: Licensure

Extended Care Center means a Facility which mainly provides full-time Skilled Nursing Care for Ill or Injured people who do not need to be in a Hospital. We will recognize it if it carries out its stated purpose under all relevant state and local laws, and it is either:

a ) accredited for its stated purpose by the Joint Commission;

or

b) approved for its stated purpose by Medicare. In some places, an “Extended Care Center” may be called a “Skilled Nursing Facility.”

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.