Current through Register Vol. 48, No. 52, December 27, 2024
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, 29th 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, 7th
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.
