Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-404 - Certificate of Need Criteria and Standards for Neonatal Special Care Services › Section 15-8-90-04-404.02 - Certificate of Need Criteria and Standards for Neonatal Special Care Services

Current through June 25, 2024
The Mississippi State Department of Health will review
						applications for a Certificate of Need to establish neonatal special care
						services under the 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 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 specific criteria
						and standards listed below.
All neonatal intensive care units providing subspecialty
						care are reviewable under the Certificate of Need law based upon the
						addition/conversion of hospital beds required to establish such units.
Those facilities desiring to provide neonatal special
						care services shall meet the capacity and levels of neonatal care for the
						specified facility (Specialty, Subspecialty or Regional) as outlined by the
						American Academy of Pediatrics, Policy Statement, Levels of Neonatal Care
						(PEDIATRICS Vol. 130, No. 3, September 2012).
Need Criterion 1: Minimum Procedures
The application shall demonstrate that the Perinatal
						Planning Area (PPA) wherein the proposed services are to be offered had a
						minimum of 3,600 deliveries for the most recent 12-month reporting period. MSDH
						shall determine the need for neonatal special care services based upon the
						following:
a. Two (2) neonatal
					 intensive (subspecialty) care bed per 1,000 live births in a specified
					 Perinatal Planning Area for the most recent 12-month reporting period;
					 and
b. Six (6) neonatal
					 intermediate (specialty) care beds per 1,000 live births in a specified
					 Perinatal Planning Area for the most recent 12-month reporting
					 period.
Neonatal intensive care beds can only be housed within a
						hospital designated as a Level III facility. Neonatal intermediate or specialty
						care beds can be housed within either a Level II, Level III or Level IV
						facility.
Applications submitted by existing providers of neonatal
						special care services, which seek to expand capacity by adding or converting
						neonatal special care beds must document the need for the proposed project. The
						applicant shall demonstrate that the facility in question has maintained an
						occupancy rate for neonatal special care services of at least seventy percent
						(70%) for the most recent two (2) years or maintained an eighty percent (80%)
						neonatal special care services occupancy rate for the most recent year,
						notwithstanding the neonatal special care bed need outlined in Table 4-5 below.
						The applicant may be approved for additional or conversion of neonatal special
						care beds to meet projected demand balanced with optimum utilization rate for
						the Perinatal Planning Area.
Need Criterion 2: Minimum Bed Requirement for
						Single Neonatal Special Care Unit
A single neonatal special care unit (Subspecialty or
						Regional) that is Level III or greater should contain a minimum of fifteen (15)
						beds (neonatal intensive care and/or neonatal intermediate care). An adjustment
						downward may be considered for a specialty unit when travel time to an
						alternate unit is a serious hardship due to geographic remoteness.
Need Criterion 3: Travel Time
The application shall document that the proposed services
						will be available within one (1) hour normal driving time of ninety-five
						percent (95%) of the population in rural areas and within thirty (30) minutes
						normal driving time in urban areas.
Need Criterion 4: Referral Networks
The application shall document that the applicant has
						established referral networks to transfer infants requiring more sophisticated
						care than is available in less specialized facilities.
Need Criterion 5: Data Requirement
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 it available to the
						Mississippi State Department of Health 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 medically indigent or
					 charity patients which the Department may request.
Need Criterion 6: Non-Discrimination
						Provision
The applicant 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, age, sex,
						ethnicity, or ability to pay.