Ill. Admin. Code tit. 59 § 132.120

Current through Register Vol. 48, No. 49, December 6, 2024

Section 132.120 - Deemed Status

a) The CSA, in qualifying an entity as a CMHC for participation and enrollment in the Illinois Medical Assistance Program as governed by the Social Security Act and all applicable federal regulations, shall grant deemed status to accredited CMHCs, pursuant to Section 3 of the Community Services Act [ 405 ILCS 30 ] and this Section.

1) "Deemed status" means that, if an entity is actively accredited by an Acknowledged Accrediting Organization (AAO) or Standard identified in subsection (a)(2), the CSA shall deem the entity to meet all qualifying requirements of this Part covered by the AAO, as determined by DHS in collaboration with the AAOs, consistent with subsection (b).

2) Acknowledged Accrediting Organizations and Standards

A) The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace IL 60181; Standards for Behavioral Health Care Accreditation; Standards for Hospital Accreditation

B) Council on Accreditation (COA), 45 Broadway, 29^th Floor, New York NY 10006; Standards for Private Organization/Behavioral Health Services Accreditation; Standards for Public Agency/Behavioral Health Services Accreditation

C) The Council on Quality and Leadership, 100 West Road, Suite 300, Towson MD 21204; Standards for Quality Assurances Accreditation; Standards for Person-Centered Excellence Accreditation; Standards for Person-Centered Excellence Accreditation with Distinction

D) Commission on Accreditation of Rehabilitation Facilities (CARF), 6951 East Southpoint Road, Tucson AZ 85756-9407; Standards for Behavioral Health Accreditation

E) Healthcare Facilities Accreditation Program (HFAP), 142 E. Ontario Street, Chicago IL 60611; Standards for Behavioral Health Accreditation

b) Determination of Covered Standards. In an effort to afford entities and CMHCs a streamlined certification process, DHS shall complete a process to determine covered standards pursuant to Section 3(d-10) of the Community Services Act;

1) Due to the proprietary nature of the intellectual property retained by the AAO within its standards, DHS shall require the AAO to complete the following documents:

A) Crosswalk of Standards. On and after January 1, 2019, and upon any material changes to any standard, the Crosswalk of Standards shall be completed and submitted by the AAOs with their Attestation of Accrediting Standards. The AAO can provide an updated Crosswalk of Standards, including new standards, at any time. The standards received by the CSA by January 31 of any given year will be considered for deeming at the start of the next State Fiscal Year.

B) Attestation of Accrediting Standards. The Attestation of Accrediting Standards shall be completed, signed and submitted to DHS prior to May 30 of any given year when material changes to the standards that are matched to requirements in this Part are made, in attestation for the following State Fiscal Year to begin on July 1.

C) The Crosswalk of Standards and Attestation of Accrediting Standards shall be submitted to:

DHS Bureau of Accreditation, Licensure and Certification

401 S. Clinton Street, 7^th Floor

Chicago IL 60607

2) The CSAs reserve the right to request additional detail regarding any submitted Crosswalk of Standards or Attestation of Accrediting Standards.

3) Entities and CMHCs accredited by an AAO or Standard shall be deemed to have met any certification requirements of this Part that are determined by DHS pursuant to this Section to be covered by the accreditation standards of that AAO.

4) Non-deemed requirements and applicable violations identified in the AAO report shall be reviewed for compliance by the CSA.

c) The CMHC shall demonstrate current accreditation status by submission to the CSA of a certificate of accreditation and the most recent accreditation report.

d) If the CMHC's accreditation is suspended, lost or discontinued, the CMHC shall notify the CSA of that change within 30 days after the effective date of the change.

e) The CMHC shall submit its complete accreditation report to the CSA within 30 days after receipt from the AAO.

f) Deemed status may be nullified in part or in whole by a complaint or report to the CSA that the CMHC is noncompliant with Subpart B, C or D.

g) Upon notification of loss or discontinuance of accreditation or nullification of deemed status, the CSA shall prepare to review the CMHC pursuant to Section 132, applying all of the standards of Subparts B, C and D.

Ill. Admin. Code tit. 59, § 132.120

Adopted at 43 Ill. Reg. 1049, effective 1/1/2019