Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 06 - Comprehensive Medical Rehabilitation Services › Section 15-8-90-06-603 - Certificate of Need Criteria and Standards for Comprehensive Medical Rehabilitation Beds/Services › Section 15-8-90-06-603.02 - Certificate of Need Criteria and Standards for Comprehensive Medical Rehabilitation Beds/Services

Current through June 25, 2024
MSDH will review applications for a CON for the
						establishment, offering, or expansion of comprehensive medical rehabilitation
						beds and/or services under the statutory requirements of Sections
						41-7-173,
						41-7-191, and
						41-7-193, Mississippi of Code
						1972, Annotated, as amended. MSDH will also review applications for Certificate
						of Need 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.
In addition, comprehensive rehabilitation services are
						reviewable if the proposed provider has not provided such services on a regular
						basis within twelve (12) months prior to the time such services would be
						offered. The twenty (20) bed hospital-based comprehensive medical
						rehabilitation facilities which were operational or approved on January 1,
						2001, are
grandfathered
and shall not be required to obtain a
						Certificate of Need as long as the services are provided continuously by those
						facilities and are limited to the diagnoses set forth below for Level II
						comprehensive medical rehabilitation facilities.
Need Criterion 1: Projected Need
a. New/Existing CMR Beds/Services: The need
					 for Level I CMR beds in the state shall be determined using a methodology of
					 0.08 beds per 1,000 population. The state as a whole shall be considered as a
					 single planning area.
The need for Level II CMR beds in the state shall be
						determined using a methodology of 0.0623 comprehensive medical rehabilitation
						beds per 1,000 population. The state as a whole shall be considered a planning
						area.
b. Projects which do
					 not Involve the Addition of any CMR Beds: The applicant shall document the need
					 for the proposed project. Documentation may consist of, but is not necessarily
					 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).
c. Projects which Involve the
					 Addition of CMR Beds: The applicant shall document the need for the proposed
					 project.
Exception: Notwithstanding the service specific 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. Level II Trauma Centers: The
					 applicant shall document the need for the proposed CMR project.
Exception: MSDH may approve the establishment of a twenty
						(20) bed Level II CMR unit for any hospital without CMR beds which held a Level
						II Trauma care designation on July 1, 2003, as well as on the date the CON
						application is filed.
e.
					 Conversion of Level II CMR Beds to Level I CMR Beds: Notwithstanding any other
					 policy statement, standard or criterion, including, but not limited to, Need
					 Criterion 1(a) above, an existing Level II CMR unit may convert no more than
					 eight (8) beds to Level I CMR status if the Level II facility meets the
					 following requirements:
(i) The Level II CMR
					 unit demonstrates high utilization by documenting that it has 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, as reported in the Mississippi State Health
					 Plan.
(ii) The Level II CMR unit
					 establishes the need for Level I CMR status for no more than eight (8) beds by
					 documenting that the facility expects to have a minimum of sixty (60) patient
					 admissions annually with one (1) or more of the following rehabilitation
					 diagnostic categories: spinal cord injuries, congenital deformity, and/or brain
					 injury. This documentation may include, without limitation, the Level II CMR
					 unit's patient data or any other data or documentation acceptable to
					 MSDH.
(iii) The Level II CMR unit
					 shall document compliance with the standards for Level I CMR units set forth
					 below in Criterion 2 (Treatment and Programs) and Criterion 3 (Staffing and
					 Services).
(iv) The Department
					 shall assess the potential of the project on any adverse impact on any Level I
					 CMR facilities operating in the state and such assessment shall be continually
					 reviewed by the Department. The Department may revoke or suspend any Level II
					 CMR unit operating a Level I program for non-compliance or finding of adverse
					 impact to any Level I CMR units or programs in the state.