CMS Clarifies Accrediting Organization's (AO's) Role when a Provider or Supplier's Deemed Status has been Temporarily Removed

PUBLISHED: Jan 17, 2018
Relevant to: Ambulatory Care, Behavioral Health, Clinical Lab, Community Mental Health Centers, Critical Access Hospitals, Dialysis Facilities, Home Health, Hospice, Hospitals, Long Term Care, Medical Office

The U.S. Centers for Medicare and Medicaid Services (CMS) has issued a memorandum clarifying the role of Accrediting Organizations (AO’s) when a provider or supplier’s deemed status has been temporarily removed. Highlights from the memorandum include:

  • Temporary Removal of Deemed Status: It is imperative that CMS notify the appropriate AO when deemed status is removed and a provider or supplier is placed under State Survey Agency (SA) jurisdiction.
  • Impact on AOs: CMS will not accept any accreditation decisions or recommendations made by an AO based on a Medicare accreditation survey conducted while the provider or supplier is under SA jurisdiction.
  • Delay of Triennial Survey: Temporary removal of deemed status is an acceptable reason for the delayed conduct of a triennial survey. Once deemed status is restored, the AO is expected to delay the triennial survey for a reasonable period of time to ensure the integrity of an unannounced survey.

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