641—155.18 (125,135) Deemed status. The board shall grant deemed status to programs accredited either by a recognized national or not-for-profit accreditation body when the board determines that the accreditation is for the same services. Problem gambling treatment components shall not be granted deemed status under this rule, unless specifically reviewed by the accreditation body.
	 155.18(1) National accreditation bodies. The national accreditation bodies currently recognized as meeting board criteria for possible deemed status are:
	  a.   	 Joint Commission.
	  b.   	 Council on Accreditation of Rehabilitation Facilities (CARF).
	  c.   	 Council on Accreditation of Children and Family Services (COA).
	  d.   	 American Osteopathic Association (AOA).
	 155.18(2) Credentials and expectations of accreditation bodies.
	  a.   	 The accreditation credentials of the bodies shall specify the types of organizations, programs and services the bodies accredit and targeted population groups, if appropriate.
	  b.   	 Deemed status means that the board and division shall recognize, in lieu of their own review, an outside body’s review, assessment, and accreditation of a hospital-based or freestanding community-based treatment program’s operations, functioning, and services that correspond to those described in this chapter.
	 155.18(3) Responsibilities of programs granted deemed status.
	  a.   	 When a program receives accreditation and is then granted licensure through deemed status, the program shall continue to be responsible for meeting all requirements in accordance with this chapter and all applicable laws and regulations.
	  b.   	 If a program that is nationally accredited requests deemed status for services not covered by the national accreditation body’s standards, but covered by this chapter, the licensing for those services shall be conducted by the division.
	  c.   	 Copies of the entire CARF, Joint Commission, COA, or AOA behavioral health accreditation survey/inspection report and certificate of accreditation shall be submitted to the division with the application for deemed status provided by the division.
	  d.   	 A program shall submit to the division accreditation corrective plans or written conditions to accreditation.
	  e.   	 A program shall be currently accredited by a board-approved national accreditation body for services that are outlined in this chapter.
	  f.   	 A program shall advise the division of any changes in the program’s accreditation status, address, executive director/CEO, facility locations, or any other changes to the program/organization within 30 days of such change.
	  g.   	 All survey reports for the hospital-based or freestanding community-based treatment program from the accrediting or licensing body shall be sent to the division.
	  h.   	 For a program granted deemed status, the period of deemed status shall coincide with the period of time that program is awarded accreditation by the national accreditation body. However, under no circumstances shall it be longer than three years.
	 155.18(4) The board and division shall retain the following responsibilities and rights when deemed status is granted to program/organizations:
	  a.   	 The division may conduct site follow-up visits as determined appropriate.
	  b.   	 The division shall investigate all complaints that are under the authority of this chapter and recommend and require corrective action or other sanctions in accordance with 641—155.16(125,135). All complaints, findings, and required corrective action may be reported to the accreditation body.
	  c.   	 The board shall review and act upon deemed status if necessary when complaints have been founded, when national accreditation bodies find instances of noncompliance with accreditation, when the accreditation status of the program expires without renewal, when the program’s accreditation status is downgraded or withdrawn by the accreditation body, or when focused reviews find instances of noncompliance.
	 155.18(5) Continuation of deemed status. The program shall submit a copy of all CARF, Joint Commission, COA, or AOA behavioral health accreditation survey reports to the division. Applications for continuation of deemed status shall be submitted pursuant to 155.5(3).
[ARC 8792B, IAB 6/2/10, effective 7/1/10]