State Recognition Details | Joint Commission
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Thursday 3:44 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: Texas
Program: Office-Based Surgery
Agency: Board of Nursing
State Reference: 22 TX ADC § 221.16
Setting/Service: Office-Based Anesthesia Services
Type of Recognition: Licensure/Minimum Standards for Anesthesia Use

(1) On or after August 31, 2000 certified registered nurse anesthetists shall comply with subsections (b)(2)-(e) of this section in order to be authorized to provide general anesthesia, regional anesthesia, or monitored anesthesia care in outpatient settings.

This requirement shall include certified registered nurse anesthetists administering any inhaled anesthetic agents, including, but not limited to, nitrous oxide, due to the significant variability in patient response to such drugs. (2) Subsections (b)(2)-(e) of this section do not apply to the registered nurse anesthetist who practices in the following:

(A) an outpatient setting in which only local anesthesia, peripheral nerve blocks, or both are used;

(B) An outpatient setting in which only anxiolytics and analgesics are used and only in doses that do not have the probability of placing the patient at risk for loss of the patient's life-preserving protective reflexes;

(C) a licensed hospital, including an outpatient facility of the hospital that is separately located apart from the hospital;

(D) a licensed ambulatory surgical center;

(E) a clinic located on land recognized as tribal land by the federal government and maintained or operated by a federally recognized Indian tribe or tribal organization as listed by the United States secretary of the interior under 25 U.S.C. Section 479-1 or as listed under a successor federal statute or regulation

(F) a facility maintained or operated by a state or governmental entity;

(G) a clinic directly maintained or operated by the United States or by any of its departments, officers, or agencies; and

(H) an outpatient setting accredited by

(i) the Joint Commission on Accreditation of Healthcare Organizations relating to ambulatory surgical centers;
(ii) the American Association for the Accreditation of Ambulatory Surgery Facilities,
(iii) the Accreditation Association for Ambulatory Health Care.


State: Texas
Program: Home Care
Agency: Department of Aging and Disability Services
State Reference: 40 TX ADC § 97.503 
Setting/Service: Home and Community Support Services Agencies
Type of Recognition: Licensure

Except for the investigation of complaints, an agency is exempt from additional surveys by DADS if the agency maintains accreditation status for the applicable services from JCAHO or CHAP.

State: Texas
Program: Home Care
Agency: Department of Aging and Disability Services
State Reference: 40 TX ADC § 97.521
Setting/Service: Home and Community Support Services Agencies
Type of Recognition: Licensure

(c) An agency must submit a written request for an initial survey to the designated survey office no later than six months after the effective date of its initial license, unless an agency is exempt as described in subsection (f) of this section. The written request must include:

(1) the date of admission of the first client; and

(2) the name of the client.

(f) An initial survey is not required if an agency receives notice of accreditation from CHAP or JCAHO after the issuance of the initial license.


State: Texas
Program: Hospitals
Agency: Department of Health
State Reference: 25 TX ADC § 133UT ADC R432-3.101  
Setting/Service: Hospital
Type of Recognition: Licensure

Routine inspections.

The Department of State Health Services (department) may conduct an inspection of each hospital prior to the issuance or renewal of a hospital license.

(1) A hospital is not subject to routine inspections subsequent to the issuance of the initial license while the hospital maintains:

(A) certification under Title XVIII of the Social Security Act, 42 United States Code (USC), §§ 1395 et seq; or
(B) accreditation by a Centers for Medicare and Medicaid Services-approved organization.


State: Texas
Program: Nursing Care Center
Agency: Department of Health and Safety
State Reference: V.T.C.A., Health & Safety Code § 242.047
Setting/Service: Nursing Homes
Type of Recognition: Licensure

(a) The department shall accept an annual accreditation review from the Joint Commission on Accreditation of Health Organizations for a nursing home instead of an inspection for renewal of a license under Section 242.033 and in satisfaction of the requirements for certification by the department for participation in the medical assistance program under Chapter 32, Human Resources Code, and the federal Medicare program, but only if:

(1) the nursing home is accredited by the commission under the commission's long-term care standards;

(2) the commission maintains an annual inspection or review program that, for each nursing home, meets the department's applicable minimum standards as confirmed by the board;

(3) the commission conducts an annual on-site inspection or review of the home;

(4) the nursing home submits to the department a copy of its annual accreditation review from the commission in addition to the application, fee, and any report required for renewal of a license or for certification, as applicable


State: Texas
Program: Home Care
Agency: Department of Health and Safety
State Reference: V.T.C.A., Health & Safety Code § 142.006
Setting/Service: Home and Community Support Services Agencies – Home Health, Hospice or Personal Assistance Services
Type of Recognition: Licensure

(a) The department shall issue a home and community support services agency license to provide home health, hospice, or personal assistance services for each place of business to an applicant if:

(c) The department may find that a home and community support services agency has satisfied the requirements for licensing if the agency is accredited by an accreditation organization, such as the Joint Commission on Accreditation of Healthcare Organizations or the Community Health Accreditation Program, and the department finds that the accreditation organization has standards that meet or exceed the requirements for licensing under this chapter. A license fee is required of the home and community support services agency at the time of a license application.


State: Texas
Program: Home Care
Agency: Department of Health and Safety
State Reference: V.T.C.A., Health & Safety Code § 142.009
Setting/Service: Home and Community Support Services Agencies – Home Health, Hospice or Personal Assistance Services
Type of Recognition: Licensure

(h) Except for the investigation of complaints, a home and community support services agency licensed by the department under this chapter is not subject to additional surveys relating to home health, hospice, or personal assistance services while the agency maintains accreditation for the applicable service from the Joint Commission for Accreditation of Healthcare Organizations, the Community Health Accreditation Program, or other accreditation organizations that meet or exceed the regulations adopted under this chapter. Each provider must submit to the department documentation from the accrediting body indicating that the provider is accredited when the provider is applying for the initial license and annually when the license is renewed.

State: Texas
Program: Ambulatory Health Care
Agency: Department of State Health Services
State Reference: 25 TX ADC § 135.20
Setting/Service: Ambulatory Surgical Centers
Type of Recognition: Licensure

(4) The initial licensing survey may be waived if the ASC provides documented evidence of accreditation by the Joint Commission, the Accreditation Association for Ambulatory Health Care, or the American Association for Accreditation of Ambulatory Surgery Facilities and Medicare deemed status.

State: Texas
Program: Behavioral Health Care
Agency: Department of State Health Services
State Reference: 25 TX ADC § 38.8
Setting/Service: Inpatient Rehabilitation Centers For Children
Type of Recognition: Insurance

(b) Criteria.

The criteria for inpatient rehabilitation center approval include the following.

(1) The center shall have current accreditation by either the Joint Commission on Accreditation of Health Care Organizations as a comprehensive physical rehabilitation program or the Commission on Accreditation of Rehabilitation Facilities as a comprehensive inpatient rehabilitation program.


State: Texas
Program: Disease-Specific Care
Agency: Department of State Health Services
State Reference: 25 TX ADC § 157.133
Setting/Service: Primary Stroke Centers
Type of Recognition: Licensure/Designation

(k) Facilities seeking Comprehensive, Primary or Support stroke facility designation shall be surveyed through The Joint Commission's stroke certification program or other organization approved by the department to verify that the facility is meeting department-approved relevant stroke facility standards.

State: Texas
Program: Behavioral Health Care
Agency: Department of State Health Services
State Reference: H&SC Sec.464.0055
Setting/Service: Chemical Dependency
Type of Recognition: Licensure

(b) The department shall accept an accreditation review from an accreditation commission for a treatment facility instead of an inspection by the department for renewal of a license under Section 464.005, but only if:

(1) the treatment facility is accredited by the Commission on Accreditation of Rehabilitation Facilities, the
Joint Commission, or another national accreditation organization recognized by the department;

(2) the accreditation commission maintains and updates an inspection or review program that, for each treatment facility, meets the department ’s applicable minimum standards;

(3) the accreditation commission conducts a regular on-site inspection or review of the treatment facility according to the accreditation commission ’s guidelines; and

(4) the treatment facility submits to the department a copy of its most recent accreditation review from the accreditation commission in addition to the application, fee, and any report or other document required for renewal of a license.


State: Texas
Program: Behavioral Health Care
Agency: Health Insurance and Other Health Coverages
State Reference: V.T.C.A., Insurance Code § 1368.001
Setting/Service: Chemical Dependency
Type of Recognition: Insurance

(1) “Chemical dependency” means the abuse of, a psychological or physical dependence on, or an addiction to alcohol or a controlled substance.

(2) “Chemical dependency treatment center” means a facility that provides a program for the treatment of chemical dependency under a written treatment plan approved and monitored by a physician and that is:

(A) affiliated with a hospital under a contractual agreement with an established system for patient referral;

(B) accredited as a chemical dependency treatment center by the Joint Commission on Accreditation of Healthcare Organizations


State: Texas
Program: Office-Based Surgery
Agency: Texas Medical Board
State Reference: 22 TX ADC § 192.2
Setting/Service: Office-Based Anesthesia Services
Type of Recognition: Licensure/Minimum Standards for Anesthesia Use

(a) The purpose of these rules is to identify the roles and responsibilities of physicians providing, or overseeing by proper delegation, anesthesia services in outpatient settings and to provide the minimum acceptable standards for the provision of anesthesia services in outpatient settings.

(b) The rules promulgated under this title do not apply to physicians who practice in the following settings listed in paragraphs (1)-(8) of this subsection:

(1) an outpatient setting in which only local anesthesia, peripheral nerve blocks, or both are used;
(2) any setting physically located outside the State of Texas;
(3) a licensed hospital, including an outpatient facility of the hospital that is separately located apart from the hospital;
(4) a licensed ambulatory surgical center;
(5) a clinic located on land recognized as tribal land by the federal government and maintained or operated by a federally recognized Indian tribe or tribal organization as listed by the United States secretary of the interior under 25 U.S.C. § 479-1 or as listed under a successor federal statute or regulation;
(6) a facility maintained or operated by a state or governmental entity;
(7) a clinic directly maintained or operated by the United States or by any of its departments, officers, or agencies; and
(8) an outpatient setting accredited by:

(A) the Joint Commission on Accreditation of Healthcare Organizations relating to ambulatory surgical centers;
(B) the American Association for the Accreditation of Ambulatory Surgery Facilities; or
(C) the Accreditation Association for Ambulatory Health Care.

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.