Section 132.91  Accreditation

a)         The Certifying State Agency shall grant deemed status to providers having a contract with the State agency and demonstrating current accreditation status under any of the standards of the following accrediting organizations:

1)         2006 Hospital Accreditation Standards (Joint Commission on Accreditation of Healthcare Organizations (JCAHO), One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181, 2006);

2)         2006-2007 Standards for Behavioral Health Care (Joint Commission on Accreditation of Healthcare Organizations (JCAHO), One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181, 2006);

3)         2005-2006 Comprehensive Accreditation Manual for Health Care Networks (Joint Commission on Accreditation of Healthcare Organizations (JCAHO), One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181, 2006);

4)         Council on Accreditation Standards, Eighth Edition (Council on Accreditation of Services for Families and Children (COA), 120 Wall Street, 11^th Floor, New York, New York 10005, 2006);

5)         Quality Outcomes 2005 (The Council on Quality Leadership, 100  West Road, Suite 406, Towson, Maryland 21204, 2005);

6)         Standards Manual and Interpretive Guidelines for Behavioral Health (Commission on Accreditation of Rehabilitation Facilities (CARF), 4891 East Grant Road, Tucson, Arizona 85711, 2008); or

7)         Standards Manual and Interpretive Guidelines for Employment and Community Support Services (Commission on Accreditation of Rehabilitation Facilities (CARF), 4891 East Grant Road, Tucson, Arizona 85711, 2008).

b)         "Deemed status" means that if a provider has been accredited by any of the accrediting organizations identified in subsections (a)(1) through (a)(7) of this Section, the Certifying State Agency shall deem the provider to be in compliance with the following Sections of this Part:

1)         Section 132.65;

2)         Section 132.70(a) and (b);

3)         Section 132.85(a)(1) through (a)(6) and (a)(8), (b)and (e);

4)         Section 132.95 (a) and (d) through (f) and (h);

5)         Section 132.100(a) through (h) and (k) through (m); and

6)         Section 132.145(f).

c)         Demonstration of current accreditation status shall be achieved by submission of a certificate of accreditation and the most recent accreditation report by the provider to the Certifying State Agency.

d)         If the provider's accreditation status changes for any reason, the provider shall notify the Certifying State Agency of that change within 30 days after the effective date of the change.  A provider who fails to notify the Certifying State Agency of a change in accreditation may have its certification revoked pursuant to Section 132.50.

e)         Deemed status may be nullified by a finding by the Certifying State Agency that the provider is non-compliant with one or more of the Sections identified in subsections (b)(1) through (b)(6) of this Section.

f)          If a provider offering only non-residential services is accredited and is in compliance with Section 132.90 at the time of recertification, on-site inspections will not be required for recertification purposes.  Sites offering residential services are subject to an on-site inspection for recertification.  All new sites shall be required to undergo on-site inspections.

g)         If a certified site is licensed by DCFS as a child care institution or group home, an on-site inspection of that site may not be required for recertification purposes.  The site must be in good standing with DCFS and must be in compliance with Section 132.90 at the time of recertification.  All new sites shall be required to undergo on-site inspection.

(Source:  Amended at 32 Ill. Reg. 9981, effective July 1, 2008)