Deemed Status: Hospitals Accredited by an Accrediting

2022 - Deemed Status: Hospitals Accredited by an Accrediting Organization with a CMS-approved Medicare Hospital or Medicare Psychiatric Hospital Accreditation Program (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) 2022A - Notice that a Participating Hospital Has Been Accredited and Recommended for Deemed Status (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) A hospital accredited and recommended for deemed status by a national accreditation organization with a CMS-approved Medicare hospital accreditation program may be deemed to meet all CoPs for hospitals (except the SNF Requirements for swing-bed designation and any higher-than-national standards approved by the Secretary for a State under §1863 of the Act). Additionally, a psychiatric hospital accredited and recommended for deemed status by a national accreditation organization with a CMS- approved Medicare psychiatric hospital accreditation program may be deemed to meet all CoPs for psychiatric hospitals. When notified that a participating hospital or psychiatric hospital has been accredited and recommended for deemed status, the RO verifies the accreditation and recommendation for deemed status and notifies the SA. The SA executes Form CMS-1539 to report the accreditation and recommendation for deemed status. 2022B - Recertification (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) Hospitals or psychiatric hospitals that receive their Medicare certification via deemed status based on accreditation by a CMS-approved Accreditation Organization (AO) should be recertified by the State Survey Agency (SA) on a schedule consistent with the accreditation interval of the AO. Upon receipt of a notice from the AO indicating that it has renewed a hospital’s accreditation and is recommending continued deemed status, a recertification kit should be created in the Automated Survey Processing Environment (ASPEN) or recertification packet for each deemed hospital or psychiatric hospital is to be sent to the RO by the SA. Exhibit 63 has a complete list of documents to be completed and included in the recertification packet. The Certification & Transmittal Form, CMS- 1539 (C&T), which is part of the recertification packet, should indicate in the “remarks” section that the C&T is transmitting an accredited hospital recertification. In addition, the SA also updates the Hospital/CAH Medicare Database Worksheet, Exhibit 286, with any new information regarding the hospital. It is not permissible to forward the Hospital/CAH Medicare Database Worksheet to the hospital for completion. The SAs are not expected to conduct an onsite visit of a deemed hospital solely to obtain information for the worksheet. However, the SAs may be able to use State licensure data to update the worksheet. The updated Hospital/CAH Medicare Database Worksheet must be entered into ASPEN and be included in the recertification kit forwarded to the RO; the recertification kit will not upload to the national data base unless a Hospital/CAH Medicare Database Worksheet has been completed. 2022C - Notification of Withdrawal or Loss of Accreditation (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) See Section 2005B.