Expanding Services to Additional Sites
ADCES has two ways to expand your services: Branch Sites and Community Sites. We have put together a chart to help you determine which applies to your expansion.
| Definition | Location of the administrative site or site of service listed on the application | Site associated with the main site within the same health system but operates semi-independently | An extended copy of the main site offered in a location in the community |
| Quality Coordinator | | Same as main site | Same as main site |
| DSMES team | | May be different from main site | Same as main site |
| Target Population | | May be different from main site | Same as main site |
| CQI Plan | | May be different from main site | Same as main site |
| Stakeholders | | May be different from main site | Same as main site |
| Accreditation Certificate | Yes, own program ID number | Yes, same program ID number as main site | No |
| Website posting on map of accreditation sites | Yes | Yes | No |
| Audit of site needed separate from main site | | Yes | No |
| Cost | $1100 | $100 per site | No additional cost |
| Billing | | Can bill separately from main site | All billing goes through main site |
| Ownership | | Typically under same ownership as main site | Under different ownership |
A note about hospital-based programs who want to expand into the community:
CMS stated in the CY 2017 Proposed Physician Payment Rule: “when the DSMT services are furnished by an entity that is a hospital outpatient department (HOPD), these DSMT services must be furnished in the hospital (including a provider-based department) and cannot be furnished at alternate non-hospital locations.
No further clarification has been provided by CMS at a national level. It is recommended that you reach out to your local Medicare Administrative Contractor (MAC) for further clarification. Learn more about MACs.
Corporations and Large Organizations
Due to necessary regulatory and oversight provisions, corporate and commercial entities wishing to seek accreditation for multiple locations need to contact ADCES for further discussion and pricing.