State Recognition Details | Joint Commission
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Sunday 6:19 CST, March 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: South Carolina
Program: Hospitals
Agency: Department of Health
State Reference: SC ADC 61-16 Ch 1 
Setting/Service: Hospital
Type of Recognition: Licensure

2. For purposes of these regulations the Department may rely on the survey of the Joint Commission on Accreditation of Hospitals (JCAHO), and related documents, to satisfy in part the hospital re-licensure inspection requirements.

a. A hospital desiring to participate in this procedure shall provide the Department with:

(1) Written notice of its desire, no later than 3 months prior to expiration of its license (this notice must include a statement that the hospital "hereby authorizes the Joint Commission on Accreditation of Hospitals to provide to the Department any information which the Department may request from the JCAHO.");

(2) A copy of its last JCAHO survey report and accreditation decision, complete with enclosures;

(3) If applicable, copies of any appeals, progress reports, reports of JCAHO focused surveys (and complaint investigations), and related correspondence;

(4) A copy of the Application for Survey and Hospital Survey Profile related to the next JCAHO survey;

(5) A copy of the JCAHO notification of next survey

State: South Carolina
Program: Laboratory
Agency: Department of Health and Environmental Care
State Reference:
Setting/Service: Laboratory
Type of Recognition: Licensure

CLIA Certification

State: South Carolina
Program: Disease-Specific Care
Agency: Department of Health and Environmental Control
State Reference: Section 44-61-610
Setting/Service: Primary Stroke
Type of Recognition: Licensure/Designation

Section 44-61-640.
(A) The director shall identify hospitals that meet the criteria set forth in this article as primary stroke centers and stroke enabled centers through telemedicine.

(B) The department shall establish a process to recognize as ‘primary stroke centers' as many accredited acute care hospitals as apply and are certified as primary stroke centers by the Joint Commission or another nationally recognized organization that provides disease-specific certification or accreditation for stroke care, provided that each applicant continues to maintain this certification or accreditation and notifies the department in a timely manner of initial and subsequent certification or accreditation.

(C) As nationally recognized, disease-specific certification or accreditation programs become available at more comprehensive and less comprehensive levels, including, but not limited to, a designation for ‘acute stroke capable centers', the department may adopt and recognize those hospitals that have achieved the certification or accreditation.

(D) A hospital that no longer meets nationally recognized, evidenced-based standards for primary stroke centers, or other programs as they become recognized by the department, shall notify the department and the Stroke System of Care Advisory Council within thirty days.


State: South Carolina
Program: Ambulatory Health Care
Agency: Department of Health and Environmental Control
State Reference: SC ADC 61-91 Sec. 202
Setting/Service: Ambulatory Surgical Facilities
Type of Recognition: Licensure

A. An inspection shall be conducted prior to initial licensing of a facility and subsequent inspections conducted as deemed appropriate by the Department. Other regulatory-related inspections may be considered in determining the appropriateness of Department inspections, e.g., Joint Commission on Accreditation of Health Care Organizations (JCAHO), Accreditation Association for Ambulatory Health Care (AAAHC) inspections.

State: South Carolina
Program: Behavioral Health Care
Agency: Dept of Health & Human Services, Div Family Services
State Reference: Rehabilitative Behavioral Health Services Provicer Manual & letter
Setting/Service: Rehabilitative Behavioral Health Services
Type of Recognition: Required Accreditation for Medicaid Participation

To participate in the South Carolina Medicaid Program, private organizations must meet applicable state licensure, all applicable regulations, and general requirements outlined in this section, but not limited to the following:

Must have a business license

National Accreditation

Must have a National Provider Identifier (NPI) 


Acceptable accreditation includes full accreditation status from The Joint Commission, Council on Accreditation or CARF in a behavioral/mental health related specialty.  Accreditation must be maintained to ensure continued participation in the Medicaid program.  Letters of accreditation must be received prior to July 1, 2012 to continue enrollment in the Medicaid RBHS Program.

Those organizations accredited by another accrediting body or in a non-behavioral health specialty will have until July 1, 2013 to obtain accreditation from an acceptable body.

State: South Carolina
Program: Office-Based Surgery
Agency: State Board of Medical Examiners
State Reference: SC ADC 81-96
Setting/Service: Office-Based Surgery
Type of Recognition: Requirement for Anesthesia Use

1. Facility Accreditation: Practices performing office-based surgery or procedures that require the administration of moderate or deep sedation/analgesia, or general anesthesia (Level II and III facilities as defined below) must be accredited within the first year of operation by an accreditation agency, including the American Association of Ambulatory Surgery Facilities (AAASF); Accreditation Association for Ambulatory Health Care (AAAHC); the Joint Commission on Accreditation of Healthcare Organizations (JCAHO); or the Healthcare Facilities Accreditation Program (HFAP), a division of the American Osteopathic Association; or any other agency approved by the South Carolina Board of Medical Examiners.  The accrediting agency must submit a biannual summary report for each facility to the South Carolina Board of Medical Examiners.

Any physician performing Level II or Level III office surgery must register with the South Carolina Board of Medical Examiners. Such registration must include each address at which Level II or Level III office surgery is performed and identification of the accreditation agency that accredits each location (when applicable).

Rule of Thumb: The capacity of the patient at all times to retain his/her life-protective reflexes and to respond to sensory stimuli (i.e., the depth of sedation or anesthesia), rather than the specific procedure performed, lies at the core of differentiating Level II from Level III surgery.

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.