Licensure and Certification of Private Facilities Receiving Government Funds

14. Does your agency license or certify private facilities that plan to provide residential targeted services to youth aged 12-17 and receive any government funds (e.g., facilities with state or county contracts or facilities certified to accept Medicaid or Medicare)?
(Check only one answer.)
1.
2.
3.
4. (Click here to go to Question 16.)
5.

15. Which, if any, of the following types of initial licensure or certification does your agency provide to private facilities that plan to provide residential targeted services to youth aged 12-17 and receive any government funds (e.g., facilities with state or county contracts or facilities certified to accept Medicaid or Medicare)?
(Check one for each row.)
    Our agency provides Our agency does not provide Don't know No response
15a. License to operate a business
15b. License to provide a residence for youth
15c. License to provide specific targeted services
15d. Certification to provide specific targeted services
   

16. Does your agency require licensure or certification of private facilities that plan to provide residential targeted services to youth aged 12-17 and receive any government funds (e.g., facilities with state or county contracts or facilities certified to accept Medicaid or Medicare)?
(Check only one answer.)
1.
2.
3.
4. (Click here to go to Question 18.)
5.

17. Which, if any, of the following types of initial licensure or certification does your agency require for private facilities that plan to provide residential targeted services to youth aged 12-17 and receive any government funds (e.g., facilities with state or county contracts or facilities certified to accept Medicaid or Medicare)?
(Check one for each row.)
    Required Not required Don't know No response
17a. State or local license to operate a business
17b. State license to provide a residence for youth
17c. State license to provide specific targeted services
17d. State certification to provide specific targeted services
17e. State certification to provide education
17f. Independent accreditation to provide services, such as Council on Accreditation (COA), Commission on Accreditation of Rehabilitation Facilities (CARF), Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
   

Medicaid and Medicare certification

18. Is state licensure a prerequisite for Medicaid or Medicare certification of private facilities?
(Check only one answer.)
1.
2.
3.
4.

19. Does your agency certify private residential facilities that provide residential targeted services to youth to receive Medicaid or Medicare funding?
(Check only one answer.)
1.
2.
3.
4.


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