Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-306 - Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.02 - General Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and/or Psychiatric Residential Treatment Facility Beds/Services

Current through June 25, 2024
The Mississippi State Department of Health will review
						applications for a Certificate of Need for the establishment, offering, or
						expansion of acute psychiatric, chemical dependency treatment, and/or
						psychiatric residential treatment beds/services under the applicable statutory
						requirements of Sections
						41-7-173,
						41-7-191, and
						41-7-193, Mississippi Code of
						1972, as amended. The MSDH will also review applications for Certificate of
						Need according to the policies in this
Plan
; the general
						criteria listed in the
Mississippi Certificate of Need Review
						Manual
; all adopted rules, procedures, and plans of the Mississippi
						State Department of Health; and the general and service specific criteria and
						standards listed below.
The offering of acute psychiatric, chemical dependency
						treatment, and/or psychiatric residential treatment facility services is
						reviewable if the proposed provider has not offered those services on a regular
						basis within the period of twelve (12) months prior to the time such services
						would be offered. The construction, development, or other establishment of a
						new health care facility to provide acute psychiatric, chemical dependency
						treatment, and/or psychiatric residential treatment services requires CON
						review regardless of capital expenditure.
Need Criterion 1: Bed Need
						Requirements
a.
New/Existing Acute Psychiatric, Chemical Dependency, and/or Psychiatric
					 Residential Treatment Facility Beds/Services:
The applicant shall
					 document a need for acute psychiatric, chemical dependency, and/or psychiatric
					 residential treatment facility beds using the appropriate bed need methodology
					 as presented in this section under the service specific criteria and
					 standards.
b.
Projects that
					 do not involve the Addition of Acute Psychiatric, Chemical Dependency, and/or
					 Psychiatric Residential Treatment Facility Beds:
The applicant shall
					 document the need for the proposed project. Documentation may consist of, but
					 is not limited to, citing of licensure or regulatory code deficiencies,
					 institutional long-term plans duly adopted by the governing board,
					 recommendations made by consultant firms, and deficiencies cited by
					 accreditation agencies (JCAHO, CAP, etc.).
c.
Projects that Involve the Addition
					 of Beds
: The applicant shall document the need for the proposed project.
Exception:
Notwithstanding the service specific statistical
					 bed need requirements as stated in "a" above, MSDH may approve additional beds
					 for facilities which have maintained an occupancy rate of at least eighty
					 percent (80%) for the most recent twelve (12) month licensure reporting period
					 or at least seventy percent (70%) for the most recent two (2) years.
d.
Child Psychiatry Fellowship
					 Program
: Notwithstanding the service specific statistical bed need
					 requirements as stated in "a" above, MSDH may approve a fifteen (15) bed acute
					 child psychiatric unit at the University of Mississippi Medical Center for
					 children aged four (4) to twelve (12) to provide a training site for
					 psychiatric residents.
e.
Establishment or Addition of Programs for the Exclusive Treatment of
					 Adults for Primary Psychiatric Diagnosis of Post Traumatic Stress Disorder
					 (PTSD)
: Notwithstanding the service specific statistical bed need
					 requirements as stated in "a" above, MSDH may approve service and/or beds for
					 the exclusive treatment of adults eighteen years of age and older with a
					 primary psychiatric diagnosis of PTSD. The applicant shall document the need
					 for the proposed project and justify the number of inpatient beds to be
					 dedicated for such purpose.
Need Criterion 2: Data Requirements
The application shall affirm that the applicant will
						record and maintain, at a minimum, the following information regarding charity
						care and care to the medically indigent and make such information available to
						MSDH within fifteen (15) business days of request:
a. Source of patient referral;
b. Utilization data, e.g., number of indigent
					 admissions, number of charity admissions, and inpatient days of care;
c. Demographic/patient origin data;
d. Cost/charges data; and
e. Any other data pertaining directly or
					 indirectly to the utilization of services by the medically indigent or charity
					 patients that MSDH request.
Need Criterion 3: Referral/Admission of
						Charity/Indigent Patients
A CON applicant desiring to provide or to expand chemical
						dependency, psychiatric, and/or psychiatric residential treatment facility
						services shall provide copies of signed memoranda of understanding with
						Community Mental Health Centers and other appropriate facilities within their
						patient service area regarding the referral and admission of charity and
						medically indigent patients.
Need Criterion 4: Letters of
						Commitment
Applicants should also provide letters of comment from
						the Community Mental Health Centers, appropriate physicians, community and
						political leaders, and other interested groups that may be affected by the
						provision of such care.
Need Criterion 5: Non-Discrimination
						Provision
The application shall document that within the scope of
						its available services, neither the facility nor its participating staff shall
						have policies or procedures which would exclude patients because of race,
						color, age, sex, ethnicity, or ability to pay.
Need Criterion 6: Charity/Indigent
						Care
The application shall document that the applicant will
						provide a reasonable amount of charity/indigent care as provided for in Chapter
						I of this Plan.