State Recognition Details | Joint Commission
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Thursday 3:42 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: Oklahoma
Program: Home Care
Agency: Department of Health
State Reference: 63 Okl.St.Ann. § 1-1963
Setting/Service: Home Care Agency
Type of Recognition: Licensure

3. Issue or renew a license to establish or operate a home care agency if the Department determines that the agency meets the requirements of or is accredited or certified by one of the following accrediting or certifying organizations or programs. In addition, the accredited home care agency through this paragraph will not be subject to an inspection or examination by the Department unless necessary to investigate complaints under subsection B of this section a. Title XVIII or XIX of the federal Social Security Act, [FN1] b. the Joint Commission on Accreditation of Healthcare Organizations/Home Care Accreditation Services (JCAHO), or c. the Community Health Accreditation Program of the National League for Nursing (CHAP);

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

CLIA Certification

State: Oklahoma
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: 4 3A Okl.St.Ann. § 3-415
Setting/Service: Certified Services for the Alcohol and Drug Dependent
Type of Recognition: Licensure

F. Certified services for the alcohol- or drug-dependent person shall comply with standards adopted by the Board. Such standards shall require that treatment and therapeutic methods shall be in compliance with:

1. The Joint Commission on Accreditation of Healthcare Organizations;

2. The Commission on Accreditation of Rehabilitation Facilities;

3. The Council on Accreditation (COA);

or

4. Approved medical and professional standards as determined by the Board.


State: Oklahoma
Program: Behavioral Health Care
Agency: Department of Mental Health and Substance Abuse Services
State Reference: OK ADC 450:17-5-95
Setting/Service: Community Mental Health Center Providing Inpatient Services
Type of Recognition: Licensure

(a) Any community mental health center providing inpatient services must demonstrate current compliance with applicable accreditation requirements for inpatient psychiatric or behavioral health services as stipulated by any of the following: the JCAHO, CARF, AOA, and also demonstrate current licenses as required by the Oklahoma State Department of Health.

(b) Compliance with 17-5-95(a) will be determined by a review of current documentation related to applicable accreditation and licensure.


State: Oklahoma
Program: Behavioral Health Care
Agency: Department of Mental Health and Substance Abuse Services
State Reference: OK ADC 450:1-9-8.1
Setting/Service: Community Mental Health Centers, Alcohol and Drug Treatment Programs, Community-based Structured Crisis Centers, Programs of Assertive Community Treatment, Gambling Addiction Treatment Programs, Eating Disorder Treatment Programs, and Narcotic Treatment Programs, Community Residential Mental Health Facilities
Type of Recognition: Licensure

ODMHSAS may conduct a site review or visit or an investigation, which may or may not be unannounced. Reasons for such review include but are not limited to:

(1) determination of correction of cited deficiencies;

(2) receipt of a complaint;

(3) change in ownership, management or location;

(4) substantial change in either the service provided or new service(s) initiated;

(5) substantial turnover in staff at the executive or professional level;

(6) change in statutorily required licensure status;

and

(7) change in external accreditation status.


State: Oklahoma
Program: Home Care
Agency: Health Care Authority Board
State Reference: OK ADC 317:30-5-210
Setting/Service: DME (Durable Medical Equipment)
Type of Recognition: Insurance

All eligible medical suppliers must have a current contract with the Oklahoma Health Care Authority. The supplier must comply with all applicable State and Federal laws. Effective January 1, 2011, all suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) must be accredited by a Medicare deemed accreditation organization for quality standards for DMEPOS suppliers in order to bill the SoonerCare program. OHCA may make exceptions to this standard if it is determined that a supplier may provide acceptable service to an under served location.


State: Oklahoma
Program: Behavioral Health Care
Agency: Oklahoma Health Care Authority
State Reference: OK ADC 317:30-5-595
Setting/Service: Behavioral Health Case Management Services Providers – Outpatient Behavioral Health
Type of Recognition: Licensure

(1) Provider agency requirements. Services are provided by outpatient behavioral health agencies contracted with OHCA that meet the requirements under OAC 317:30-5-240. The agency must demonstrate its capacity to deliver behavioral health case management services in terms of the following items:

(A) Agencies must hold current accreditation appropriate to outpatient behavioral health from JCAHO, CARF, COA, or AOA, and maintain the standards of the accreditation at all times.

(B) OHCA reserves the right to obtain a copy of any accreditation audit and/or site visit reports from the provider and/or the accreditation agency.

(C) Agencies that are eligible to contract with OHCA to provide behavioral health case management services to eligible individuals must be community based.

(D) The agency must be able to demonstrate the ability to develop and maintain appropriate patient records including but not limited to assessments, service plans, and progress notes.

(E) An agency must agree to follow the Oklahoma Department of Mental Health and Substance Abuse Services established behavioral health case management rules found in OAC 450:50.

(F) An agency's behavioral health case management staff must serve the target group on a 24 hour on call basis.

(G) Each site operated by a behavioral health outpatient and case management facility must have a separate provider number, per OAC 317:30-5-240.2.


State: Oklahoma
Program: Behavioral Health Care
Agency: Oklahoma Health Care Authority
State Reference: OK ADC 317:30-5-740
Setting/Service: Outpatient Behavioral Health Services in Therapeutic Foster care Homes
Type of Recognition: Insurance

(b) Effective July 1, 2002, an eligible RBMS must:

(1) have a current certification from the Oklahoma Department of Human Services (OKDHS) as a child placing agency,

and

(2) have a contract with the Division of Children and Family Services of the Oklahoma Department of Human Services,

and

(3) have a contract with the Oklahoma Health Care Authority,

and

(4) have current accreditation status appropriate to provide behavioral management services in a foster care setting from:

(A) The Joint Commission on Accreditation of Health Care Organization (JCAHO),

or

(B) the Rehabilitation Accreditation Commission (CARF),

or

(C) the Council on Accreditation (COA),

or

(D) the American Osteopathic Association (AOA).


State: Oklahoma
Program: Behavioral Health Care
Agency: Oklahoma Health Care Authority
State Reference: OK ADC 317:30-5-240.2 
Setting/Service: Outpatient Behavioral Health Services
Type of Recognition: Insurance

(a) Accreditation status. Any agency may participate as an OPBH provider if the agency is qualified to render a covered service and meets the OHCA requirements for provider participation.

(1) Private, Community-based Organizations must be accredited as a provider of outpatient behavioral health services from one of the accrediting bodies and be an incorporated organization governed by a board of directors;

(2) State-operated programs under the direction of ODMHSAS must be accredited by one of the accrediting bodies;

(3) Freestanding Psychiatric Hospitals must be licensed and certified by the State Survey Agency as meeting Medicare psychiatric hospital standards and JCAHO accreditation;

(4) General Medical Surgical Hospitals must be appropriately licensed and certified by the State Survey Agency as meeting Medicare standards, including a JCAHO or AOA accreditation


State: Oklahoma
Program: Home Care
Agency: Oklahoma Healthcare Authority
State Reference: 317:30-5
Setting/Service: Complex Rehabilitation Technology (CRT) suppliers
Type of Recognition: $

(3) Complex Rehabilitation Technology (CRT) suppliers are considered DMEPOS providers. Only CRT suppliers may bill CRT procedure codes. A CRT supplier means a company or entity that:

(A) Is accredited by a recognized accrediting organization as a supplier of CRT;


State: Oklahoma
Program: Home Care
Agency: Oklahoma State and Education Employees’ Group Insurance Boar
State Reference: OK ADC 360:10-5-17
Setting/Service: Skilled Nurse Care Rendered in the Home
Type of Recognition: Insurance

(4) Skilled Nurse care that is rendered in the home must be medically necessary as evidenced by a written order and treatment plan from the attending provider and approved by the Health Care Management Division. Services must be provided by an agency that is Medicare certified as applicable, and accredited by a nationally recognized accreditation organization that is approved by state or federal guidelines, for example, The Joint Commission (formerly JCAHO) or The Commission on Accreditation of Rehabilitation Facilities (CARF). The maximum number of visits per benefit period shall be according to the benefit administration procedures or guidelines as adopted by OSEEGIB.

State: Oklahoma
Program: Disease-Specific Care
Agency: Oklahoma State Department of Health (OSDH)
State Reference: OK ADC 310:667-59-3
Setting/Service: Primary Stroke Centers
Type of Recognition: Licensure/Designation

(f) The Department may grant Primary Stroke Center classification to hospitals holding current verification as a Primary Stroke Center issued after an on-site review of their emergency stroke services by a verification team from The Joint Commission. Such classification shall also be granted to hospitals that meet the requirements of a Primary Stroke Center as specified at OAC 310:607-59-20 (relating to the classification of emergency stroke services) and verified by Department staff.

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.