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 15-8-90-05-515 - Certificate of Need Criteria and Standards for Cardiac Catheterization Services and Open-Heart Surgery Services
Section 15-8-90-05-515.06 - Policy Statement Regarding Certificate of Need Applications for the Establishment of Cardiac Ambulatory Surgical Facilities

1. Definitions. For purposes of this Policy Statement and the Certificate of Need Criteria and Standards for the Establishment of Cardiac Ambulatory Surgical Facilities, the following definitions shall apply.

2. Offering of Cardiac Catheterization Services. Cardiac catheterization services may be performed only in (a) an acute care hospital, (b) a hospital-owned CASF, or (c) JV-CASF. Exception: The MSDH may consider an application for a CASF which does not have hospital ownership if the applicant obtains and provides to MSDH a written letter of support for the proposed project from all acute care hospitals which offer cardiac catheterization services and/or PCI services and are located within a 25-mile radius of the proposed facility. A CASF must maintain appropriate third-party accreditation. A CASF must be located within twenty-five (25) miles of an acute care hospital that provides cardiac catheterization services and PCI services. In order to encourage local ownership and operation of joint ventures and CASFs, a CASF with hospital ownership must be located within a 25-mile radius of the main campus of the acute care hospital that has an ownership interest in the JV-CASF and/or the hospital-owned CASF.

3. Types of Procedures. A CASF or JV-CASF may perform only those cardiac catheterization procedures which have been approved by the federal Centers for Medicare and Medicaid Services ("CMS") for Medicare payment in an ambulatory surgical center. Primary (i.e., acute infarct) PCIs shall not be performed in a CASF. A PCI only hospital may perform any procedure that is allowed in a CASF or JV-CASF.

4. Multispecialty and Single-Specialty Ambulatory Surgical Facilities. Cardiac catheterization procedures may be performed in a multispecialty ambulatory surgical facility, or in a single-specialty ambulatory surgical facility if they meet the need criteria and standards for the establishment of a CASF (as set forth in Policy Statement 2). The multispecialty ambulatory surgical facility or single-specialty ambulatory surgical facility which proposes to offer cardiac catheterization services and which does not have hospital ownership must be located within twenty-five (25) miles of an acute care hospital that provides cardiac catheterization services and PCI services. The MSDH may consider an application to offer cardiac catheterization services by a multispecialty ambulatory surgical facility or a single-specialty ambulatory surgical facility which does not have hospital ownership if the applicant obtains and provides to the MSDH a written letter of support for the proposed project from all hospitals which offer cardiac catheterization services and PCI services and are located within a 25-mile radius of the proposed project.

5. CON Exempt Single Specialty CASFs Prohibited. The MSDH shall not grant any determination of reviewability that exempts a single-specialty cardiac ambulatory surgical facility from certificate of need review. All single-specialty CASFs must obtain a certificate of need from the MSDH prior to the commencement of operations or services.

6. Application of Policy Statement. In reviewing CON applications for the establishment of a CASF, the MSDH shall apply the policies set forth in Section 515.02 of this State Health Plan (Policy Statement Regarding Certificate of Need Applications for the Acquisition or Otherwise Control of Cardiac Catheterization Equipment and/or the Offering of Cardiac Catheterization Services).