3793:2-1-01.1 Deemed Certification.

(A) The department shall accept, as evidence of compliance with rules 3793:2-1-01 to 3793:2-1-08 and 3793:5-1-01 to 3793:5-1-07 of the Administrative Code, the agency's appropriate behavioral health accreditation by any of the following accrediting bodies: "The Joint Commission "; "The Commission on Accreditation of Rehabilitation Facilities;" and/or "The Council on Accreditation".

(1) The following certification standards are exempted from the statement in paragraph (A) of this rule:

(a) Paragraph (G) of rule 3793:2-1-04 of the Administrative Code (major unusual incident notification);

(b) Rule 3793:2-1-09 of the Administrative Code (uniform cost reporting); and

(c) Rule 3793:2-1-10 of the Administrative Code (actual uniform cost report (AUCR) agreed-upon procedures and report submission requirement).

(B) An agency applying for deemed status by the department must submit the following:

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

(2) A copy of the accreditation award notification letter; and

(3) A copy of each of the accrediting body's survey reports and any modifications made to the survey report.

(C) The department may also accept as documentation of the agency's compliance with certification standards, in whole or in part, official report(s) that the agency complies with comparable licensure and/or certification requirements of another state department.

(D) An agency must notify the department within ten days of any change to its accreditation, licensure and/or certification status, by providing a copy of the accreditation status change notification.

(1) Should an agency's accreditation, licensure and/or certification status be granted as or modified to probation, stipulations, conditional, provisional, deferral, preliminary denial or other similar status, the department may ask for additional documentation until such time as full accreditation status is restored. Full accreditation status means the accrediting body has issued an accreditation decision of "accredited" or "accreditation" without additional conditions or modifiers other than three-year or one-year accreditation.

(2) Should an agency's accreditation, licensure and/or certification status be denied, suspended or revoked by the accrediting and/or licensing/certifying body, the department shall withdraw deemed status and the agency shall be subject to a full certification survey and/or proposal to revoke certification in accordance with Chapter 119. of the Revised Code.

(E) The department may conduct surveys and/or review documentation of a sample of agencies having achieved appropriate behavioral health accreditation in order to evaluate whether the accreditation processes used by the organizations are consistent with service delivery models the director considers appropriate for alcohol and drug addiction services. The department will communicate to an accrediting organization any identified concerns, trends, needs, and recommendations. The department shall have access to all records necessary to evaluate the accrediting body processes, but may not conduct a survey or request documentation under this paragraph for the purpose of determining compliance with certifications standards.

Replaces: 3793:2-1- 01.1

Effective: 09/30/2013
R.C. 119.032 review dates: 09/30/2018
Promulgated Under: 119.03
Statutory Authority: 3793.02, 3793.06, 3793.061
Rule Amplifies: 3793.02, 3793.06, 3793.061
Prior Effective Dates: 8/26/2010