(A) A provider seeking certification for one
or more of the following services may attain appropriate behavioral health
accreditation, which includes an accrediting body survey of the actual
provision of services, prior to submitting an application for certification:
(1)
Behavioral
health counseling and therapy service
General
services as defined in rule
5122-29-03 of the Administrative
Code;
(2) Mental health assessment service
as defined in rule 5122-29-04 of the Administrative Code;
(3) Pharmacologic management service
as defined in rule 5122-29-05 of the Administrative Code;
(4)(2)
Partial hospitalization
Mental health day treatment service as defined in rule
5122-29-06 of the Administrative
Code;
(3)
Residential and withdrawal management substance use disorder
service as defined in rule
5122-29-09 of the Administrative
Code;
(5)(4) Crisis intervention
mental health service as defined in rule
5122-29-10 of the Administrative
Code;
(5)
SUD case management service as defined in rule
5122-29-13 of the Administrative
Code;
(6) Community
psychiatric supportive treatment (CPST) service as defined in rule
5122-29-17 of the Administrative
Code;
(7)
Therapeutic behavioral services and psychosocial
rehabilitation service as defined in rule
5122-29-18 of the Administrative
Code;
(7)(8) Intensive home
based treatment (IHBT) service as defined in rule
5122-29-28 of the Administrative
Code;
(8)(9) Assertive community
treatment (ACT) service as defined in rule
5122-29-29 of the Administrative
Code;
(9) Outpatient treatment program as
defined in rule 5122-29-34 of the Administrative Code;
(10) Sub-acute detoxification as
defined in rule 5122-29-37 of the Administrative Code; or,
(11)(10) Prevention
services as defined in rule
5122-29-20 of the Administrative
Code.
(B) Behavioral
health accreditation referenced in paragraph (A) of this rule shall be obtained
from one or more of the following accrediting bodies
, with the exception of sub-acute detoxification, which
shall obtain accreditation in accordance with paragraph (D) of this
rule:
(1) The joint
commission;
(2) Commission on
accreditation of rehabilitation facilities;
(3) Council on accreditation; or,
(4) Other behavioral health accreditation as
determined by the director.
(C) A provider seeking certification for both
alcohol and other drug (AoD)
substance use disorder (SUD) services and mental
health services under deemed status must ensure the accrediting body reviews or
accredits the provision of both
AoD
SUD and mental health services.
(D) A provider seeking certification
for acute hospital detoxification as defined in rule 5122-29-37 of the
Administrative Code shall attain hospital accreditation and a provider seeking
certification for sub-acute hospital detoxification may attain appropriate
behavioral health accreditation from the joint commission, healthcare
facilities accreditation program, DNV healthcare inc, or the commission on
accreditation of rehabilitation facilities prior to submitting an application
for certification.
(E)(D) The department may:
(1) Add the names of other accrediting bodies
to those listed in paragraph (B) and (D) of
this rule if it determines that such bodies meet its accreditation
requirements.
(2) Likewise, the
department may delete the names of accrediting bodies from those listed in
paragraph (B)
and (D) of this rule if it
determines that such bodies no longer meet its accreditation requirements.
A provider accredited by a body the department chooses to
delete from those listed in paragraph (B) and
(D) of this rule shall remain certified until its current
accreditation expires. If a provider wishes to retain certification after that
time, it must attain accreditation from a body recognized by the department or
undergo the non-deemed status certification process in accordance with rule
5122-25-03 of the Administrative
Code.
(F)(E) A provider granted
deemed status in accordance with rule
5122-25-04 of the Administrative
Code shall maintain its accreditation throughout its term of certification.
Should a provider choose to not submit a renewal application to its accrediting
body, the provider shall
immediately notify
the department
within seven days of the accrediting
body deadline for renewal and will be subject to a
certification fee and full certification survey.
A provider that does not provide timely notification of
its decision not to renew its accreditation will be assessed an additional fee
in accordance with rule
5122-25-08 of the Administrative
Code. In addition,A
a provider granted deemed status that fails to
immediately notify the department that it
did not submit a timely renewal application to its accrediting body may be
subject to certification revocation in accordance with Chapter 119. of the
Revised Code.
(G)(F) The provider shall
inform the department, the appropriate boards, and local client advocacy groups
in writing of its accreditation survey date at least thirty days prior to the
beginning of a scheduled accreditation survey, or when the provider is given
less than thirty days notice of a scheduled survey, within seven days of
receiving notice from the accrediting body. A provider undergoing an
unannounced or unscheduled accreditation survey shall inform the department
in writing within seven days after the conclusion
of the unannounced or unscheduled accreditation survey.
(H)(G)
The department shall accept the provider's appropriate behavioral health
accreditation
or hospital accreditation, when
applicable, as evidence of compliance with the services identified in
paragraphs (A) and (C) of this rule and Chapters 5122-26 to 5122-28 of the
Administrative Code.
Rule
5122-26-13 of the Administrative
Code (incident notification) is exempt from this paragraph and deemed status
recognition. Regardless of accreditation and deemed status, providers must
maintain compliance with this rule, including the requirement to submit
incident notifications to the department.
The following standards are exempted
from the statement in paragraph (H) of this rule:
(1) Rule 5122-26-13 of the
Administrative Code (incident notification); and,
(2) Rule 5122-29-33 of the
Administrative Code (health home service for persons with serious and
persistent mental illness). This paragraph shall no longer be exempted from
deemed status effective January 1, 2017.
(I)(H)
The department shall only grant deemed status for services which are
accredited. The department may grant partial deemed status to a provider when:
(1) The provider has accreditation for some,
but not all, of the services listed in paragraphs (A) and (C) of this rule;
or,
(2) The agency
provider is
applying for certification to provide both AoD
SUD and mental
health services, but the accrediting body has not reviewed
or
and
accredited the provision of both.
; or,
(3)
The provider's accrediting body did not review clinical
services when issuing the accreditation.
(J) The department shall accept a
provider's accreditation, certification, or recognition as required by
paragraph (F) of rule 5122-29-33 of the Administrative Code in lieu of
promulgating standards for the provision of integrated physical health and
behavioral health care as part of the health home service for persons with
serious and persistent mental illness rule.
(K)(I) A provider applying
for deemed status by the department must submit the most recent copy of the
following:
(1) Each of the accrediting body's
survey reports, and any modifications made to the survey report if
applicable;
(2) Certificate,
license or plaque awarded by the accrediting body; and,
(3) Accreditation award notification letter
if requested by the department.
(L)(J) A provider must
notify the department within ten days of any change to its accreditation
status, by providing a copy of the accreditation status change notification.
(1) Should a provider's accreditation 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 a
provider's accreditation be denied, suspended or revoked by the accrediting
body, the department shall withdraw deemed status and the provider shall be
subject to a certification fee and full
certification survey or certification revocation in accordance with Chapter
119. of the Revised Code.
(M)(K) The department may
conduct surveys or review documentation of a sample of providers 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
SUD and mental health 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.
