California

CHAP is an approved accreditation organization to conduct licensure surveys for initial home health and hospice providers in California.

Initial home health and hospice providers in California have the option to contract with CHAP, a Centers for Medicare and Medicaid Services (CMS) approved accreditation organization (AO), to obtain an initial licensing survey and accreditation.

Due to the high volume of initial applications from home health and hospice providers; there is currently a delay of between 3 months to 2 years for HHA initial applicant surveys by the state agency in California, depending on the workload of the district office where the home health provider is located. Initial providers seeking to expedite their licensing approval process are encouraged to take advantage of this new option with CHAP.

  • To move quickly on your next steps, contact a CHAP California Licensure Specialist today. Our specialists are on-call and ready to answer your licensure and accreditation inquiries. Direct: 202-862-3413 or e-mail: california@chapinc.org.
  • Request more information and our Specialists will contact you within 24 hours to help start the process!
  • For more information from California: Please contact the Central Applications Unit at CAU@cdph.ca.gov, or access the application instructions here.

When an organization chooses to use CHAP for California Licensure, it must notify the CA Department of Public Health (CDPH) Central Applications Unit (CAU). Download a template letter to be used to advise CA CDPH CAU of your intent to use CHAP for initial home health or hospice licensure in California here: CAU Template

What Our California Partners Are Saying!

“We recently used CHAP for our initial credentialing survey for our Hospice since [we also] used CHAP for our home health agency and had a great experience with them. The whole process from the start was very smooth and efficient. CHAP immediately assigned an analyst, in our case it was David A, who reached out and explained what to look for and send informational material on the CHAP guidelines.

The communication and customer service that David /CHAP provided has been exceptional, we were constantly informed about the various stages and the chap account that they use is very informative and customer friendly. We passed our initial survey and the surveyors were great coaches in discussing best practices and helping the customers be successful. I would highly recommend home health and hospice owners to use CHAP as their accrediting body”

~Anju Satheesh, CEO Neogen Care Hospice

New Jersey

CHAP is an approved New Jersey Health Care Service Firm accrediting body.

As of May 21, 2018, if you are a Health Care Service Firm registered with the New Jersey Division of Consumer Affairs, you must be accredited with an accrediting body approved by the Commissioner of the Department of Human Services. There is a 12-month period for Health Care Service Firms to come into compliance, May 21, 2019.

For those HCSFs registered after May 21, 2018, there is not a 2019 deadline for applications. To learn more, call 202-869-3806.

Click to access the CHAP Private Duty Standards for Health Care Service Firms in New Jersey
or the CHAP Private Duty Standards for Medicaid in New Jersey.

Request more information and our Specialists will contact you within 24 hours to help start the process!

What Our New Jersey Partners Are Saying!

“When New Jersey mandated accreditation, I felt overwhelmed. But after the professionals at CHAP outlined their systems, my fears were laid to rest. The CHAP accreditation process mirrors the NJ HCSF regulatory scheme with which we have complied for years. The experience of the onsite survey enabled us to review and update our policies and procedures, and tighten our documentation and monitoring processes. I highly recommend CHAP to any home care agency in New Jersey seeking accreditation.”

~Stephen Rymal, Griswold Home Care

“[We chose] CHAP over the other accrediting options due to your willingness to work with us whenever I had questions. The seminar that was provided last year showed your company’s willingness to work with NJ owners for accreditation to our state regulations. The CHAP accreditation process for NJ agencies was reworked specifically to our state standards. When you are changing your internal process to make things go more quickly, the information was sent out so we could be prepared. The readiness survey provided is easy to use and follow, tied to our state regulations. I highly recommend using CHAP for accreditation”

~Janet Kuebler, Right at Home

Frequently Asked Accreditation Questions (FAQs)

Preparing for Accreditation as an HCSF:

If you are a New Jersey Health Care Service Firm (HCSF), apply for the CHAP Private Duty Standards and check off Health Care Service Firm under the Private Duty Service line in the application.

  •  For administrative questions such as I am locked out of my CHAP account; I need help accessing CHAPLinQ; I forgot my user ID, or I cannot submit my self-study?
  • For questions about standards and their interpretation, contact:

Site visit days are determined by your active client census and annual service hours.

  • Bill of Rights
  • Your Complaint Policy
  • Document stating your organization’s Scope of Services
  • Policy/Process for assessing competency of CHHA in assigned tasks
  • Your organization’s TB exposure policy

Understanding CHAP HCSF Standards-General Questions:

The state of New Jersey does not have specific requirements on TB testing. Therefore, CHAP’s expectation is that the organization has their own policy and procedure. Please see the Center for Disease Control (CDC) for guidance. https://www.cdc.gov/tb/topic/testing/healthcareworkers.htm

CHAP Standards General Questions (continued)

The New Jersey Consumer’s Guide to Homemaker-Home Health Aide (CHHA) needs to be given to the client within 24 hours of the start of care/service. CHAP Standard NJCC.1

  • The first name or initial and surname must be on the tag
  • The term that reflects the level of certification
  • A photo of the CHHA (e.g. CHHA)
  • The letters of the tag should be equal size in type, and not smaller than one-quarter inch. The size of the tag must be equal to or bigger than any other ID worn by the CHHA

Policies and procedures are expected to be written in a format understood and accessible by staff. That is usually a Manual.

It depends. Most advance directive forms appoint someone in the event that the patient cannot speak their health care wishes for themselves. NJCC.3 refers to the actual state declaration that the patient is no longer able to make decisions, and a guardian is appointed. If the patient has not been declared incompetent, but cannot speak for themselves, yes, the person who is appointed as the patient’s proxy for healthcare decision can be used, or the person with a health care power of attorney.

CHHA Standards:

  • NOTE: This standard refers to licensed or certified professionals (e.g. RNs) not CHHAs. See Standard NJPS.5.1
  • Licensure for professionals must be verified by obtaining a document which verifies licensure from the Board or Committee that registers or licenses that profession. Within 45 days of obtaining the verification, have evidence of personally inspecting the current biennial registration or license or a copy of the current biennial registration or license:
    • Note the date of the licensure inspection
    • The name of the person doing the inspection.
  •  The first name or initial and surname must be on the tag
  • The term that reflects the level of certification
  • A photo of the CHHA (e.g. CHHA)
  • The letters of the tag should be equal size in type, and not smaller than one-quarter inch. The size of the tag must be equal to or bigger than any other ID worn by the CHHA.
    NOTE: There is no requirement for the CHHA’s address.

The Health Care Practitioner Supervisor (HCPS) Standards:

  • Each NJ HCSF must have a registered nurse (RN) or physician (MD) who is the Health Care Practitioner Supervisor (HCPS).
  • The HCPS supervises the CHHA.

CHAP Standard NJMG.3 Evidence Guidelines “A registered Nurse in good standing holding BS degree in nursing and two (2) years combined public health nursing and progressive professional responsibilities in Public Health Nursing or a RN in good standing having three years combined public health nursing and progressive professional responsibilities in Public Health Nursing.”

The 30-day review of care does not need to take place at the client’s site of care. It includes calling the client, family member or aide to determine if the plan of care is meeting the client’s needs and confirm that the plan of care is adequate and being executed properly. CHAP Standard NJAC.5.

New Jersey Medicaid (DMAHS) FAQs

  • If this happens, the HCSF should inform CHAP. CHAP will add the NJ Private Duty Medicaid Standard to your HCSF’s LinQ account. A NJ Medicaid Self-study is also provided. When completed, the HCSF will let CHAP know that they are ready, and CHAP will return to conduct a short survey to meet DMAHS regulations.
  • Note that the HCSF regulations are not the same as NJ Medicaid regulations. Both can be reviewed simultaneously on the survey if CHAP is notified beforehand.