Clarification on Terminations of Accreditation for Organizations with Deemed Status

Aug 28, 2012

CHAP offers the following guidance from CMS to provide FAQ/clarification about voluntary or involuntary termination of CHAP accreditation for organizations with deemed status:

Question: What happens when accreditation is terminated-either involuntarily by the AO or voluntarily by the provider/supplier whose current participation in Medicare is based on its accreditation?

Answer: Whenever a provider/supplier loses its accreditation status or accreditation is terminated-either involuntarily by the accreditation organization (AO) or voluntarily by the provider/supplier whose current participation in Medicare is based on its accreditation, the AO must notify CMS, both Central Office (CO) and the appropriate Regional Office (RO). If the provider/supplier’s termination by one AO is concurrent with a new recommendation for accredited, deemed status by another CMS-approved AO, then it may remain under AO rather than State Agency (SA) jurisdiction. An updated packet including the new recommendation for accredited, deemed status by another AO must be submitted by the SA to the RO. If there is no concurrent recommendation from another AO, the provider/supplier’s deemed status is removed and it is placed under SA jurisdiction. The SA surveys the facility in order to provide reasonable assurance that the facility is in compliance with the applicable health and safety standards. When the AO advises CMS that the provider/supplier’s accreditation was involuntarily terminated due to failure to comply with the AO’s health and safety standards, the SA is expected to conduct the compliance survey as soon as possible.

For additional guidance from CMS on this issue, please visit:  http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/downloads/SCLetter09-08.pdf

Subscribe for Updates

For the latest up-to-date news and information, subscribe to the CHAP email list or email info@chapinc.org to be added.

Breaking News Alerts -  Email alerts to communicate critical information immediately.

Weekly eNews -  Weekly updates from the CHAP national headquarters and industry news. 

The Standard  - Quarterly newsletter featuring articles from CHAP's senior leadership. 

CHAP Testimonials

The consultative advice given by the site surveyors during their site visit. The professionalism of the site surveyors is also a plus. The site surveyor's willingness to explain the details of a regulation and ways to be updated and compliant with a regulation.

Estrella Gies 
Administrator 
Select Home Care, Inc.
Chicago, IL

The site visit was really a great learning experience to help us move forward to continuously improve our agency.

Lisa Buffa 
Owner and Director 
Livewell Home Health Care, LLC
Flat Rock, MI

CHAP Accredited Agency Locator

SearchFind a CHAP accredited agency near you.

Search - >