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