Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 07 - Other Health Services › Section 15-8-90-07-703 - Certificate of Need Criteria and Standards for Home Health Agencies/Services › Section 15-8-90-07-703.02 - Certificate of Need Criteria and Standards for the Establishment of a Home Health Agency and/or the Offering of Home Health Services

Current through June 25, 2024
If the present moratorium were removed or partially
						lifted, MSDH would review applications for a CON for the establishment of a
						home health agency and/or the offering of home health services 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 submitted for CON according to
						the general criteria as 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.
The development or otherwise establishment of a home
						health agency requires CON. The offering of home health services is reviewable
						if the proposed provider has not provided those services on a regular basis
						within the period of twelve (12) months prior to the time such services would
						be offered.
Need Criteria 1: Establishment of
						Need
The applicant shall document that a possible need for
						home health services exists in each county proposed to be served using the
						methodology contained in this section of the
Plan
.
Need Criteria 2: Home Health Service Area
						Boundaries
The applicant shall state the boundaries of the proposed
						home health service area in the application.
Need Criteria 3: Unmet Need
The applicant shall document that each county proposed to
						be served has an unmet need equal to fifty (50) patients, using a ratio of
						29,061,847 patient total home health visits equals approximately thirty-two
						(32) average visits per patient.
Need Criteria 4: Home Office of New Home Health
						Agency
The applicant shall document that the home office of a
						new home health agency shall be located in a county included in the approved
						service area of the new agency. An existing agency receiving CON approval for
						the expansion of services may establish a sub-unit or branch office if such
						meets all licensing requirements of the Division of Licensure.
Need Criteria 5: Application
						Requirements
The application shall document the following for each
						county to be served:
a. Letters of
					 intent from physicians who will utilize the proposed services.
b. Information indicating the types of cases
					 physicians would refer to the proposed agency and the projected number of cases
					 by category expected to be served each month for the initial year of
					 operation.
c. Information from
					 physicians who will utilize the proposed service indicating the number and type
					 of referrals to existing agencies over the previous twelve (12)
					 months.
d. Evidence that patients
					 or providers in the area proposed to be served have attempted to find services
					 and have not been able to secure such services.
e. Projected operating statements for the
					 first three years, including:
i. Total cost
					 per licensed unit;
ii. Average cost
					 per visit by category of visit; and
iii. Average cost per patient based on the
					 average number of visits per patient.