State Recognition Details | Joint Commission
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Friday 1:50 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: New Mexico
Program: Behavioral Health Care
Agency: Department of Health
State Reference: NM ADC 7.32.8 
Setting/Service: Opioid Treatment Programs
Type of Recognition: Licensure

Eligibility for Approval to Operate an Opioid Treatment Program: Only applicants who possess all of the following shall be eligible to receive approval to operate from the department of health:

A. drug enforcement agency (DEA) approval to operate an OTP;

B. SAMHSA/CSAT approval to operate an OTP;

C. accreditation by a SAMHSA/CSAT-approved nationally recognized accreditation body, such as JCAHO or CARF, to operate an OTP:

(1) if the applicant is a start-up program unable to obtain such accreditation prior to beginning operation because the accreditation body requires a period of program operation, typically six months, before it will grant accreditation:

(a) the department of health shall grant provisional approval to operate pending accreditation, provided that all other requirements of these regulations are met;

and

(b) the program demonstrates in its application to the department of health that it is taking the steps necessary to become accredited as quickly as possible, and provides a timeline for the anticipated accreditation


State: New Mexico
Program: Hospitals
Agency: Department of Health
State Reference: N. M. S. A. 1978, § 24-1-5
Setting/Service: Hospital
Type of Recognition: Licensure

F. A health facility that has been inspected and licensed by the department and that has received certification for participation in federal reimbursement programs and that has been fully accredited by the joint commission on accreditation of health care organizations or the American osteopathic association shall be granted a license renewal based on that accreditation. Health facilities receiving less than full accreditation by the joint commission on the accreditation of health care organizations or by the American osteopathic association may be granted a license renewal based on that accreditation. License renewals shall be issued upon application submitted by the health facility upon forms prescribed by the department. This subsection does not limit in any way the department's various duties and responsibilities under other provisions of the Public Health Act or under any other subsection of this section, including any of the department's responsibilities for the health and safety of the public.

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

CLIA Certification

State: New Mexico
Program: Disease-Specific Care
Agency: Department of Health
State Reference: 7.27.13.9
Setting/Service: Primary Stroke Center, Comprehensive Stroke Center, Acute Stroke Ready
Type of Recognition: Certification

ACUTE STROKE CAPABLE, PRIMARY, OR COMPREHENSIVE STROKE CENTER CERTIFICATION: The department shall certify an acute care hospital as a primary stroke center, comprehensive stroke center, or acute stroke capable center if that hospital has been accredited as an acute stroke capable center, primary stroke center, or comprehensive stroke center. The department shall post information regarding certification on the department's web site. If a hospital loses its national accreditation as a stroke center, the secretary shall revoke the hospital's certification.


State: New Mexico
Program: Ambulatory Health Care
Agency: Department of Health and Safety
State Reference: N. M. S. A. 1978, § 24-1-5
Setting/Service: All health facilities
Type of Recognition: Licensure

F. A health facility that has been inspected and licensed by the department and that has received certification for participation in federal reimbursement programs and that has been fully accredited by the joint commission on accreditation of health care organizations or the American osteopathic association shall be granted a license renewal based on that accreditation. Health facilities receiving less than full accreditation by the joint commission on the accreditation of health care organizations or by the American osteopathic association may be granted a license renewal based on that accreditation. License renewals shall be issued upon application submitted by the health facility upon forms prescribed by the department. This subsection does not limit in any way the department's various duties and responsibilities under other provisions of the Public Health Act or under any other subsection of this section, including any of the department's responsibilities for the health and safety of the public.

State: New Mexico
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: NM ADC 8.321.2
Setting/Service: Inpatient Psychiatric Services and Facilities for Individuals Under 21
Type of Recognition: Medicaid

Eligible Providers:

A. Upon approval of New Mexico medical assistance program provider participation agreements by MAD, free-standing psychiatric hospitals are eligible to be reimbursed for furnishing services to recipients under twenty-one (21) years of age through EPSDT, if:

(1) the hospital is accredited by the joint commission on accreditation for healthcare organizations (JCAHO) and licensed by the licensing and certification bureau of the New Mexico department of health (DOH);

and

(2) the hospital has a written utilization review (UR) plan in effect which provides for the review of the recipient's need for the furnished services that meet federal requirements. See 42 CFR Section 456.201-456.245.

B. For out-of-state hospitals, JCAHO accreditation and licensing in their own state is accepted in lieu of licensing by New Mexico. MAD must approve the out-of-state hospital's New Mexico medical assistance program provider participation application before it furnishes services.


State: New Mexico
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: NM ADC 8.321.5
Setting/Service: Outpatient and Partial Hospitalization Services in Freestanding Psychiatric Hospitals for Individuals Under 21
Type of Recognition: Medicaid

Eligible Providers:

A. Upon approval of New Mexico medical assistance program provider participation agreements by MAD, freestanding psychiatric hospitals are eligible to be reimbursed for providing partial hospitalization to Medicaid recipients under twenty-one (21) years of age under the early and periodic screening, diagnosis and treatment (EPSDT) program if they meet the following criteria:

(1) accredited by the joint commission on accreditation of healthcare organizations (JCAHO);

and

(2) licensed and certified by the licensing and certification bureau of the New Mexico department of health (DOH) or the comparable agency in another state.


State: New Mexico
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: NM ADC 8.307.8 and NM ADC 8.321.3
Setting/Service: Child and Adolescent Residential Treatment Centers
Type of Recognition: Medicaid

(2) confirm that the service provider has been accredited by the appropriate accrediting body or has a detailed written plan expected to lead to accreditation within a reasonable period of time; behavioral health organizational providers and services are accredited by the following:

(a) adult behavioral health organizational services or providers are accredited by the council on accreditation of rehabilitation facilities (CARF);

(b) child and adolescent accredited residential treatment centers are accredited by The Joint Commission on accreditation of healthcare organizations (JCAHO); other child behavioral health organizational services or providers are accredited by the council on accreditation (COA);

and

(c) organizational services or providers who serve adults, children and adolescents are accredited by either CARF or COA. The New Mexico Medicaid program (Medicaid) pays for medically necessary services furnished to eligible recipients.  To help recipients under twenty-one (21) years of age who have been diagnosed as having a severe emotional disturbance, a mental disorder or a chemical dependency, and for whom less restrictive settings are not appropriate, the New Mexico medical assistance (MAD) pays for mental health services furnished to this group of recipients by residential treatment centers accredited by The Joint Commission on accreditation of healthcare organizations (JCAHO) as part of early and periodic screening, diagnosis and treatment (EPSDT) services. The need for accredited residential treatment center services must be identified in the tot to teen healthcheck screen or other diagnostic evaluation furnished through a healthcheck referral. This section describes eligible providers, covered services, service limitations, and general reimbursement methodology.

B. For out-of-state centers, accreditation by JCAHO and licensing in their own state are accepted in lieu of New Mexico licensure.


State: New Mexico
Program: Behavioral Health Care
Agency: Social Services
State Reference: Title 8, Ch 14, Part 3 8.314.3.10 Eligible Providers
Setting/Service: For medically fragile home & community=based services waiver -
Type of Recognition: L/C

Qualifications of case management agency providers.  Agencies must meet the standards for this program by the applicable division of the Department of Health.  Case management agencies are required to have national accreditation. 

Acceptable accreditors:

1.  CARF

2.  The Joint Commission

or another nationally recognized accrediting authority.  Case management assessment activities necessary to establish eligibility are considered administrative costs.

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.