.09 Service Standards — Nonaccredited Hospitals.

A. Acute General Hospitals and Special Hospitals.The 2013 Hospital Accreditation Standards (July Update, The Joint Commission, One Renaissance Blvd., Oakbrook, Illinois 60181), is incorporated by reference.

B. Waiver Authority. The Secretary may, for good cause, waive compliance with the incorporated Joint Commission standards. The hospital shall justify the need for the waiver in the manner prescribed by the Department.