Standards & Policy Updates

AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. Please review the content below for the changes relevant to your organization.

Non-Medicare Deemed Status

Enhanced v41 Standards

For more than 40 years, the AAAHC has provided facilities with relevant standards and education for improvement of their patient care environment and updated our Standards regularly to reflect proven developments in medicine, technology, and specialty practice. AAAHC is proud to announce the publication of the Accreditation Handbook for Ambulatory Health Care, released as version 41. The new version of Standards will apply to all organizations seeking non-Medicare Deemed Status (non-MDS) accreditation with AAAHC and is the outcome of valuable feedback from our Standards Development Committee, client organizations, surveyors, partners, and staff.

v41 non-MDS Standards provide a seamless transition for quality improvement efforts and features:

• More concise and organized format
• Less repetition
• Non-Deemed / Deemed Status program scoring alignment

The release of v41 of the Accreditation Handbook for Medicare Deemed Status (MDS) is expected later this summer.

The effective date of v41 is November 1, 2020. AAAHC will survey all organizations with an anniversary/expiration date on or after November 1, 2020 against this new set of Standards.

Organizations with an anniversary/expiration date prior to November 1, 2020, but who are scheduled for a survey on or after November 1, 2020 due to delays from the COVID-19 pandemic will also be accountable to compliance with v41.

To view the July 15 AAAHC educational webinar, Moving Forward with Enhanced v41 Standards, and other resources, please click below. The webinar describes how this new release will enhance your quality improvement efforts.

Enhanced v41 Standards Resources

• Moving Forward with Enhanced v41 Standards (webinar)
• Moving Forward with Enhanced v41 Standards (PDF)
• Moving Forward with Enhanced v41 Standards FAQs (PDF)

Medicare Deemed Status

The Standards in the 2017-18 Accreditation Handbook for Deemed Status Surveys have been updated to reflect recent changes to the CMS Conditions for Coverage (CfC) at 42 CFR § 416.41(b) regarding hospital transfer agreements and physicians with admitting privileges, 42 CFR § 416.52(a)(1) regarding the pre-surgical history and physical (H&P), and 42 CFR § 416.54(a), (b), (c) and (d) regarding emergency preparedness plans and drills. AAAHC Standards for the Medicare Deemed Status program are required to meet the CfC, but AAAHC may also choose to exceed them.

For your convenience, we have developed a brief summary outlining the changes and effective date after which these revised Standards will be integrated into AAAHC Medicare Deemed Status surveys. To review the addendum to the 2017-18 Accreditation Handbook for Deemed Status Surveys, please click here.

To view the client communication regarding revised CfC requirements, click here.

These revisions are effective for Deemed Status surveys occurring April 13, 2020 or later. If you have questions about the revised Standards, please contact info@aaahc.org.

Health Plans 2018