3793:2-1-01.1 Deemed Certification.

(A) The department shall accept, as evidence of compliance with rules 3793:2-1-02 to 3793:2-1-08 of the Administrative Code a program's behavioral health accreditation by any of the following accrediting bodies: The joint commission on accreditation of health care organizations; the commission on accreditation of rehabilitation facilities; and/or the council on accreditation for children and family services.

(B) Programs requesting deemed certification shall submit an assurance statement consistent with rule 3793:2-1-01 of the Administrative Code acknowledging compliance with the department's certification standards and include the following:

(1) A copy of the certificate or license awarded by the accrediting body or bodies;

(2) A copy of the most recent survey report conducted by the accrediting body or bodies. The department shall review the report or reports and confirm that accreditation has been awarded for the applicable components. If a survey report indicates that the provider or any components of the provider have been issued provisional or conditional accreditation, the program must also submit copies of any corrective action plan related to its accreditation and any additional information from the program to verify accreditation.

(C) The department shall deny or revoke deemed certification if the accredited program or component of the program has not received or has not maintained behavioral health accreditation.

(D) The department has the right to deny deemed certification and conduct an on-site inspection in accordance with rule 3793:2-1-01 of the Administrative Code in cases where any of the following conditions exist.

(1) The accredited program or component of the program fails to submit the accreditation report and/or any corrective action plan related to its accreditation and/or additional information from the program to verify accreditation upon request by the department.

(2) The department's investigation of a complaint results in findings of one or more violations of the department's certification standards.

(E) If the program's accreditation status changes for any reason, the program shall notify the department of that change within thirty days after the effective date of the change. Upon notification, the department shall notify the alcohol and drug addiction services board or board of alcohol, drug addiction, and mental health services established pursuant to section 340.02 or 340.021 of the Revised Code where the certified program is located. A program who fails to notify the department of a change in accreditation may have its certification revoked pursuant to rule 3793:2-1-01 of the Administrative Code

(F) The following statement will be included on the department issued certificate for programs that have obtained deemed certification under this rule: "This certification was issued based, in part, on the survey report of a department recognized accrediting organization."

(G) The following certification standards are exempted from deemed certification and may be reviewed by the department for purposes of certification or recertification compliance. Upon request from the department, compliance with the exempted standards may be established through forms, information and/or policies and procedures submitted to the department.

(1) Paragraph (R) of rule 3793:2-1-03 of the Administrative Code: employee policies related to programs responsible for the direct care or supervision of children and/or adolescents

(2) Paragraph (S) of rule 3793:2-1-03 of the Administrative Code: employee policies related to programs that operate residential or halfway house program for adults that includes child care

(3) Paragraph (G) of rule 3793:2-1-04 of the Administrative Code: Reporting of major unusual incidents;

(4) Paragraphs (F) and (G) of rule 3793:2-1-05 of the Administrative Code: Policies related to admission, continued stay and discharge/referral to each level of care based on the Ohio department of alcohol and drug addiction services' protocols for levels of care;

(5) Paragraph (H)(12) of rule 3793:2-1-05(H)(12) of the Administrative Code: Procedures for reporting suspected child abuse/neglect;

(6) Standards related to the application of 42 CFR Part 2 confidentiality of alcohol and drug abuse patient records.

(H) Provisions in this rule supersede any and all provisions for treatment certification by the department of alcohol and drug addiction services related to deemed provisions for accreditation by the joint commission on accreditation of health care organizations, the commission on accreditation of rehabilitation facilities or the council on accreditation for children and family services.

Effective: 08/26/2010
R.C. 119.032 review dates: 07/15/2015
Promulgated Under: 119.03
Statutory Authority: 3793.02(D), 3793.06(C)
Rule Amplifies: 3793.06