State Recognition Details | Joint Commission
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Thursday 3:43 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: New York
Program: Ambulatory Health Care
Agency: Department of Health
State Reference: 10 NY ADC 755.2 
Setting/Service: Free-Standing Ambulatory Surgery Services
Type of Recognition: Licensure

(f) accreditation is obtained from either the Accreditation Association for Ambulatory Health Care (AAAHC) or the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

New facilities shall obtain accreditation within two full years of operation. Facilities operational upon the effective date hereof shall obtain accreditation within one full year of such effective date.


State: New York
Program: Critical Access Hospitals
Agency: Department of Health
State Reference: New York and Joint Commission Agreement
Setting/Service: Critical Access Hospitals
Type of Recognition: Licensure

Accreditation reports shall be submitted to the Department. These reports will be reviewed by the Department and a determination will then be made regarding the need, if any, for follow-up survey activity by the Department.

State: New York
Program: Hospitals
Agency: Department of Health
State Reference: Collaborative Agreement
Setting/Service: Hospital
Type of Recognition: Licensure

The New York State Department of Health has a collaborative agreement with the Joint Commission. In that agreement the Department will waive a routine onsite survey of a facility if that facility requests that its accreditation by the Joint Commission be utilized in lieu of a routine survey by New York State Department of Health.

Organizations must agree to participate in the collaborative survey process and authorize the Department to accept Joint Commission accreditation reports/findings in lieu of a full routine onsite survey.


State: New York
Program: Office-Based Surgery
Agency: Department of Health
State Reference: McKinney's Public Health Law § 230-d 
Setting/Service: Office-Based Surgery
Type of Recognition: Requirement for Anesthesia Use

(a) “Accredited status” means the full accreditation by nationally-recognized accrediting agency(ies) determined by the commissioner.
(Note: the Joint Commission has been desingated as an approved accrediting body)

2. Licensee practices in which office-based surgery is performed shall obtain and maintain full accredited status.

3. A licensee may only perform office-based surgery in a setting that has obtained and maintains full accredited status.


State: New York
Program: Behavioral Health Care
Agency: Department of Mental Hygiene
State Reference: 14 NY ADC 576.5 
Setting/Service: Residential Treatment Facilities
Type of Recognition: Insurance

(a) A residential treatment facility is eligible for payment under the Medical Assistance Program under the following conditions:

(1) The residential treatment facility has a valid operating certificate issued by the Office of Mental Health, in accordance with Part 584 of this Title.

(2) The residential treatment facility complies with applicable requirements of title XIX of the Social Security Act and regulations promulgated thereunder.


State: New York
Program: Home Care
Agency: Department of Public Health
State Reference: McKinney's Public Health Law § 3653
Setting/Service: Medical Equipment Services Agencies
Type of Recognition: Licensure

2. (a) A license shall not be issued unless the commissioner determines that the medical equipment service agency complies with all applicable federal and state regulations governing the safety of home medical equipment services.

(b) An application for a license shall include the following information:

(v) A description of its quality assurance program which objectively and systematically monitors and evaluates the quality and appropriateness of care and services provided by such medical equipment service agency. The department shall deem a medical equipment service agency to be in compliance with the requirements of this subparagraph if the medical equipment services agency is accredited by a national accrediting agency approved by the department for a comparable quality assurance program.


State: New York
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: McKinney's Insurance Law § 4303
Setting/Service: Alcoholism, Substance Abuse, or Chemical Dependence Treatment Programs
Type of Recognition: Insurance

(2) with respect to benefits for inpatient rehabilitation services, such benefits may not be limited to less than thirty days of inpatient rehabilitation in a hospital based or free standing chemical dependence facility in any calendar year. Such coverage may be limited to facilities in New York state which are certified by the office of alcoholism and substance abuse services and, in other states, to those which are accredited by the joint commission on accreditation of hospitals as alcoholism, substance abuse, or chemical dependence treatment programs. Such coverage shall be made available at the inception of all new policies and with respect to policies issued before the effective date of this subsection at the first annual anniversary date thereafter, without evidence of insurability and at any subsequent annual anniversary date subject to evidence of insurability.

(l) A hospital service corporation or a health service corporation which provides group, group remittance or school blanket coverage for inpatient hospital care must provide coverage for at least sixty outpatient visits in any calendar year for the diagnosis and treatment of chemical dependence of which up to twenty may be for family members, except that this provision shall not apply to a contract issued pursuant to section four thousand three hundred five of this article which covers persons employed in more than one state or the benefit structure of which was the subject of collective bargaining affecting persons who are employed in more than one state. Such coverage may be limited to facilities in New York state certified by the office of alcoholism and substance abuse services or licensed by such office as outpatient clinics or medically supervised ambulatory substance abuse programs and, in other states, to those which are accredited by the joint commission on accreditation of hospitals as alcoholism or chemical dependence substance abuse treatment programs.


State: New York
Program: Behavioral Health Care
Agency: Department of Social Services
State Reference: 18 NY ADC 505.4
Setting/Service: Care for the Mentally Ill (Under 21 and Over 65) in any Institution or Facility Operated Primarily or Exclusively for the Mentally Ill
Type of Recognition: Insurance

(2) Hospital care under the medical assistance program also includes:

(iii) care for the mentally ill individuals under 21 years of age in any institution or facility operated primarily or exclusively for the mentally ill when such institution or facility is operated by the State Department of Mental Hygiene or is currently certified by that department and accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals; when inpatient services involve active treatment which meet standards of Federal regulations; and when a team consisting of physicians and other personnel qualified to make determinations with respect to mental health conditions has determined inpatient care as necessary and that care can reasonably be expected to improve the condition to the extent that eventually such services will no longer be necessary. In the case of a person who during the course of hospitalization attains the age of 21, such services may continue until he reaches the age of 22;

(iv) care for individuals 65 of years age or over in hospitals primarily or exclusively for the care of the mentally ill, which are certified by the State Department of Mental Hygiene and accredited by the Joint Commission on Accreditation of Hospitals and meet standards prescribed by applicable Federal regulations. The extent of medical assistance coverage of such care shall be limited to supplementation of the available Medicare benefits by payment of the deductible and coinsurance liabilities of that program


State: New York
Program: Hospitals
Agency: Office of Mental Health
State Reference: Section 31.08 of the Mental Hygiene Law
Setting/Service: Inpatient Psychiatric Units
Type of Recognition: Licensure

31.08 Compliance with operational standards by hospitals.

(a) Notwithstanding the provisions of section 31.07 of this article, a hospital as defined in section 1.03 of this chapter, which is a ward, wing, unit, or other part of a hospital, as defined in article twenty-eight of the public health law, which provides services for persons with mental illness pursuant to an operating certificate issued by the commissioner of mental health, may be deemed to be in compliance with applicable provisions of this chapter and other applicable laws, rules and regulations, provided that such hospital has been accredited by The Joint Commission, or any other hospital accrediting organization to which the Centers for Medicare and Medicaid Services has granted deeming status, and which the commissioner of mental health shall have deter-mined has accrediting standards sufficient to assure the commissioner that hospitals so accredited are in compliance with such provisions of law, rules and regulations. The commissioner may exempt any such hospi-tal from the annual inspection and visitation requirements established in section 31.07 of this article, provided that:

  1. such hospital has a history of compliance with such provisions of law, rules and regulations and a record of providing good quality care, as determined by the commissioner;
  2. a copy of the survey report and the certificate of accreditation of The Joint Commission or other approved accrediting organization is submitted by the accrediting body or the hospital to the commissioner, within seven days of issuance to the hospital;
  3. The Joint Commission or other accrediting organization has agreed to and does evaluate, as part of its accreditation survey, any minimal operational standards established by the commissioner which are in addi-tion to the minimal operational standards of accreditation of The Joint Commission or other accrediting organization; and
  4. there are no constraints placed upon access by the commissioner to The Joint Commission or other approved accrediting organization survey reports, plans of correction, interim self-evaluation reports, notices of noncompliance, progress reports on correction of areas of noncompli-ance, or any other related reports, information, communications or mate-rials regarding such hospital.

 


State: New York
Program: Hospitals
Agency: Office of Mental Health
State Reference: section 553.5 of Title 14 NYCRR
Setting/Service: Hospitals with Inpatient & Outpatient Mental Health Units
Type of Recognition: L/C

(a) Applicability. For purposes of this section, the term hospital shall mean [a psychiatric unit of] a general hospital, [that is certified] as defined in article 28 of the Public Health Law, which provides services for persons with mental illness pursuant to an operating certificate issued by the Commissioner under article 31 of the Mental Hygiene Law, [and under article 28 of the Public Health Law] operating in accordance with [Part 580] applicable provisions of this Title. The provisions of this section shall apply to such hospitals.

(c) Hospitals must comply with [the] all operational standards set forth in applicable provisions of this Title. As evidence of compliance  with such provisions, the commissioner may accept accreditation by The Joint Commission or an accreditation agency to which the Centers for Medicare and Medicaid Services has granted deeming status and which the commissioner has determined has accrediting standards sufficient to assure the commissioner that hospitals so accredited are in compliance with such operational standards, a list of which shall be made available on the public website of the office, provided that:

(1) the hospital has a history of compliance with applicable laws, rules, and regulations and a record of providing care of good quality, as determined by the commissioner;

(2) a copy of the survey report and the certification of accreditation of The Joint Commission or other approved accrediting organization is submitted by the accrediting body to the commissioner, within seven days of issuance to the hospital;

(3) The Joint Commission or other approved accrediting organization has agreed to, and does evaluate, as part of its accreditation survey, any minimal operational standards established by the commissioner which are in addition to the minimal operational standards of accreditation of The Joint Commission or other approved accrediting organization;

(4) there are no constraints placed upon access by the commissioner to The Joint Commission or other approved accreditation organization’s survey reports, plans of correction, interim self-evaluation reports, notices of noncompliance, progress reports on correction of areas of noncompliance, or any other related reports, information, communications, or materials regarding such hospital;

(5) the hospital at all times shall remain subject to inspection and visitation by the commissioner to determine compliance with applicable law, regulations, standards, or conditions as determined to be necessary by the commissioner; and

(6) the hospital at all times shall remain subject to the full range of licensing enforcement authority of the commissioner.

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.