Key facts to know about ASC accreditation, licensure requirements by state

ASCs are subjected to a varying degree of state, federal and voluntary regulation and accreditation standards, including certificate of need laws, Medicare accreditation and voluntary accreditation by bodies such as the AAAHC or The Joint Commission, according to the American College of Foot and Ankle Surgeons.

Here is a breakdown of what individual states require, based off data from the American College of Foot and Ankle Surgeons and the National Conference of State Legislatures.

Alabama
Accreditation: Not required
State licensure: Required
CON: Required

Alaska
Accreditation: Not required
State licensure: Required
CON: Required

Arizona
Accreditation: Required
State licensure: Required
CON: Not required

Arkansas:
Accreditation: Not required
State licensure: Required
CON: Not required

California
Accreditation: Required
State licensure: Required
CON: Not required

Colorado
Accreditation: Not required
State licensure: Required
CON: Not required

Connecticut
Accreditation: Not required
State licensure: Required
CON: Required

Delaware
Accreditation: Required
State licensure: Required
CON: Not required

Washington, D.C.
Accreditation: Required
State licensure: Required
CON: Required

Florida
Accreditation: Required
State licensure: Required
CON: Not required

Georgia
Accreditation: Required
State licensure: Required
CON: Required

Hawaii
Accreditation: Not required
State licensure: Required
CON: Required

Idaho
Accreditation: Not required
State licensure: Not required
CON: Not required

Illinois
Accreditation: Not required
State licensure: Required
CON: Required

Indiana
Accreditation: Required
State licensure: Required
CON: Required

Iowa
Accreditation: Not required
State licensure: Not required
CON: Required

Kansas
Accreditation: Required
State licensure: Required
CON: Not required

Kentucky
Accreditation: Not required
State licensure: Required
CON: Required

Louisiana
Accreditation: Not required
State licensure: Required
CON: Not required

Maine
Accreditation: Not required
State licensure: Required
CON: Required

Maryland
Accreditation: Required
State licensure: Not required
CON: Required

Massachusetts
Accreditation: Not required
State licensure: Required
CON: Required

Michigan
Accreditation: Not required
State licensure: Required
CON: Required

Minnesota
Accreditation: Not required
State licensure: Required
CON: Not required

Mississippi
Accreditation: Not required
State licensure: Required
CON: Required

Missouri
Accreditation: Not required
State licensure: Required
CON: Not required

Montana
Accreditation: Required
State licensure: Required
CON: Required

Nebraska
Accreditation: Required
State licensure: Required
CON: Not required

Nevada
Accreditation: Required
State licensure: Required
CON: Required

New Hampshire
Accreditation: Required
State licensure: Required
CON: Not required

New Jersey
Accreditation: Required
State licensure: Required
CON: Not required

New Mexico
Accreditation: Required
State licensure: Required
CON: Not required

New York
Accreditation: Required
State licensure: Required
CON: Required

North Carolina
Accreditation: Required
State licensure: Required
CON: Required

North Dakota
Accreditation: Not required
State licensure: Required
CON: Not required

Ohio
Accreditation: Required
State licensure: Required
CON: Not required

Oklahoma
Accreditation: Not required
State licensure: Required
CON: Not required

Pennsylvania
Accreditation: Required
State licensure: Required
CON: Not required

Puerto Rico
Accreditation: Not required
State licensure: Not required
CON: Not required

Rhode Island
Accreditation: Required
State licensure: Required
CON: Required

South Carolina
Accreditation: Required
State licensure: Required
CON: Required

South Dakota
Accreditation: Not required
State licensure: Required
CON: Not required

Tennessee
Accreditation: Required
State licensure: Required
CON: Required

Texas
Accreditation: Required
State licensure: Required
CON: Not required

Utah
Accreditation: Required
State licensure: Required
CON: Not required

Vermont
Accreditation: Not required
State licensure: Not required
CON: Required

Virginia
Accreditation: Required
State licensure: Required
CON: Required

Washington
Accreditation: Not required
State licensure: Not required
CON: Required

West Virginia
Accreditation: Not required
State licensure: Not required
CON: Required

Wisconsin
Accreditation: Not required
State licensure: Not required
CON: Not required

Wyoming
Accreditation: Required
State licensure: Not required
CON: Not required

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