Mississippi Administrative Code
Title 15 - Mississippi Department of Health
Part 8 - Office of Health Policy and Planning
Subpart 90 - Planning and Resource Development
Chapter 05 - Acute Care Facilities and Services Overview
Section 15-8-90-05-504 - Certificate of Need Criteria and Standards for Long-Term Acute Care Hospitals/Beds
Section 15-8-90-05-504.02 - Certificate of Need Criteria and Standards for the Establishment of a Long-Term Acute Care Hospital and Addition of Long-Term Acute Care Hospital Beds
Current through September 24, 2024
MSDH will review applications for a CON for the construction, development, or otherwise establishment of a long-term acute care hospital and bed additions under the applicable statutory requirements of Sections 41-7-173, 41-7-191, and 41-7-193, Mississippi Code 1972, as amended. MSDH will also review applications for CON according to the general criteria listed in the Mississippi Certificate of Need Review Manual; all adopted rules, procedures, and plans of MSDH; and the specific criteria and standards listed below.
Need Criterion 1: Projected Need
The applicant shall document a minimum of 450 clinically appropriate restorative care admissions with an average length of stay of twenty-five (25) days.
Need Criterion 2: Financial Feasibility
A projection of financial feasibility by the end of the third year of operation.
Need Criterion 3: Bed Licensure
The applicant shall document that any beds which are constructed/converted will be licensed as general acute care beds offering long-term acute care hospital services.
Need Criterion 4: Licensure
Applicants proposing the transfer/reallocation/relocation of a specific category or sub-category of bed/service from another facility as part of a renovation, expansion, or replacement project shall document that they will meet all regulatory and licensure requirements for the type of bed/service proposed for transfer/reallocation/relocation.
Need Criterion 5: Indigent/Charity Care
The application shall affirm that the applicant will provide a "reasonable amount" of indigent/charity care as described in Chapter 1 of this Plan.
Need Criterion 6: Project Cost
The application shall demonstrate that the cost of the proposed project, including equipment, is reasonable in comparison with the cost of similar projects in the state. The applicant shall document that the cost per square foot (per bed if applicable) does not exceed the median construction costs, as determined by the MSDH, for similar projects in the state within the most recent twelve (12) month period by more than fifteen percent (15%). The Glossary of this Plan provides the formulas MSDH staff shall use to calculate the cost per square foot of space for construction and/or construction-renovation projects.
Need Criterion 7: Floor Area and Space Requirements
The applicant shall specify the floor areas and space requirements, including the following factors:
a. The gross square footage of the proposed project in comparison to state and national norms for similar projects.
b. The architectural design of the existing facility if it places restraints on the proposed project.
c. Special considerations due to local conditions.
Need Criterion 8: Transfer Agreement
The applicant shall provide copies of transfer agreements entered into with an acute care medical center and a comprehensive medical rehabilitation facility.
