reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 3 - FINANCE › Rule 15-9-97-6.3.4 - Supportive Documentation Information

Current through June 25, 2024
Acceptable forms of supportive documentation to be
						submitted with payment requests include the following at a minimum:
Personnel: Copies of payroll ledgers, payroll registers,
						payroll journals, or payroll check stubs must be submitted as supportive
						documentation when requesting payment for the personnel budget category.
						Documentation must indicate staff person's name, date of payroll, and payroll
						amount.
Payment will only be allowed for the staff positions and
						personnel listed in the approved project budget. The MSDH must be notified of
						any personnel changes in order for payment to be approved.
Grantees wanting to add a staff position(s) not listed in
						the approved budget must submit a written correspondence to the MSDH regarding
						the change, and must justify why an additional staff position(s) is warranted.
						If adding a new staff position requires adjusting the budget, a MQHC Grant
						Program Budget Modification Sheet must also be submitted.
Fringe Benefits: Documentation for fringe benefits can be
						verified by information on pay stubs.
Travel: MQHC Grant Program Travel Sheet, along with proof
						of travel, hotel billing, registration forms and agendas, must be submitted as
						documentation for the travel budget category.
Equipment and Supplies: Invoices and receipts are
						acceptable forms of supportive documentation for equipment and supplies
						(invoice or receipt must provide billing organization's name, date, listing of
						items purchased, and amount(s)). All invoices must be billed to grantee.
Contractual: Invoices, receipts, and billing statements
						may be submitted as documentation for payment request for the contractual items
						(all documentation must clearly identify the grantee, include date information,
						billing organization's name, listing or description of services or products
						provided, and amount(s).
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 3 - FINANCE › Rule 15-9-97-6.3.5 - Contract Budget Modifications

Current through June 25, 2024
Grantees are allowed to request approval to modify their
						MQHC Grant program project budget. The budget line items for fringe benefits
						and indirect costs will not be approved in excess of the maximum percentages
						allowed by the MSDH. Grantees are required to submit the MQHC Grant Program
						Budget Modification Packet to the MSDH and obtain approval.
MQHC Grantees will be notified in writing by the MSDH of
						the approval or denial of the MQHC project budget modification request.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 4 - MQHC GRANT PROGRAM RECORDKEEPING REQUIREMENT › Rule 15-9-97-6.4.1

Current through June 25, 2024
Grantees shall maintain financial and other records in
						accordance with the Financial Records and Audits requirements of the MQHC Grant
						Program contract agreement.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.1

Current through June 25, 2024
The MSDH has developed a monitoring policy to adhere to
						the requirement of Mississippi Code §
											41-99-5(4),
						which requires that the MSDH develop an audit process to assure that grant
						monies are used to provide and expand care to the uninsured and medically
						indigent.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.2 - RESERVED

Current through June 25, 2024
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.3 - RESERVED

Current through June 25, 2024
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.4

Current through June 25, 2024
The MSDH will conduct at least one on-site monitoring
						visit per state fiscal year to one-half of the grantees. The other half of the
						grantees will have their on-site monitoring visit the next state fiscal year.
						However an on-site visit for any grantee of the MQHC Grant Program may be
						conducted if it is considered necessary.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.5

Current through June 25, 2024
During the monitoring site visit, activities related to
						implementation of the approved MQHC Grant project will be verified, grantees'
						progress will be assessed, and technical assistance will be available.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.6

Current through June 25, 2024
Grantees will be notified in writing of the results of
						the monitoring site visit, of any monitoring findings, and the requirements of
						corrective actions if any required.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.7

Current through June 25, 2024
Grantees are required to submit a corrective action plan
						to the MSDH by the due date indicated. The corrective action plan must include
						a timeline.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.8

Current through June 25, 2024
If necessary, the MSDH will conduct follow-up site visits
						to verify correction of monitoring findings.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 5 - MQHC GRANT PROGRAM MONITORING › Rule 15-9-97-6.5.9 - RESERVED

Current through June 25, 2024
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 6 - MQHC GRANT PROGRAM PROJECT CLOSEOUT REPORTS › Rule 15-9-97-6.6.1

Current through June 25, 2024
Mississippi Code §
											41-99-5(5)
						(c) requires each grantee to submit a yearly
						report to the MSDH detailing the number of additional uninsured and medically
						indigent patients cared for, and the types of services provided. The MSDH has
						developed a Mississippi Qualified Health Center Grant Program closeout report
						to meet this legislative directive.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 6 - MQHC GRANT PROGRAM PROJECT CLOSEOUT REPORTS › Rule 15-9-97-6.6.2

Current through June 25, 2024
Information tracking mechanisms should be established at
						the beginning of the grant period to ensure that project related information is
						accurate and can be captured throughout each grant budget cycle.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 6 - MQHC GRANT PROGRAM PROJECT CLOSEOUT REPORTS › Rule 15-9-97-6.6.3 - RESERVED

Current through June 25, 2024
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 6 - MQHC GRANT PROGRAM PROJECT CLOSEOUT REPORTS › Rule 15-9-97-6.6.4

Current through June 25, 2024
The MSDH will provide grantees with the MQHC Grant
						Program closeout report.
Miss. Code
						Ann.§
												41-99-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 6 - MQHC GRANT PROGRAM PROJECT CLOSEOUT REPORTS › Rule 15-9-97-6.6.5 - RESERVED

Current through June 25, 2024
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 97 - Policies and Procedures Manual › Chapter 6 - IMPLEMENTATION OF MQHC GRANT PROGRAM PROJECTS › Subchapter 6 - MQHC GRANT PROGRAM PROJECT CLOSEOUT REPORTS › Rule 15-9-97-6.6.6 - RESERVED

Current through June 25, 2024
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Rule 15-9-98-1.1.1

Current through June 25, 2024
The employment based second-preference Worker Visa
					 Preference Category (EB-2) allows individuals of exceptional ability and
					 individuals who are members of professions holding advanced degrees to obtain a
					 green card (United States permanent residence). For EB-2s a job offer and a
					 labor certification is generally required. This requirement can be waived if
					 the petitioner demonstrates to the United States Citizen and Immigration
					 Services (USCIS) that granting the EB-2 petition would be in the national
					 interest of the United States. The Physician National Interest Waiver (NIW) may
					 be granted by the USCIS to a physician that agrees to work for a period of five
					 (5) years in a designated underserved area.
Miss. Code Ann.
					 §
											41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Rule 15-9-98-1.1.2

Current through June 25, 2024
Designated underserved areas include: Health Professional
					 Shortage Area (HPSA), Medically Underserved Area (MUA), or Physician Scarcity
					 Area (PSA) for specialist.
Miss. Code Ann.
					 §
											41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Rule 15-9-98-1.1.3

Current through June 25, 2024
The Office of the State Health Officer maintains the
					 responsibility within the state of recommending and processing, through its
					 Mississippi Office of Rural Health and Primary Care, NIW
					 requests.
Miss. Code Ann.
					 §
											41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Rule 15-9-98-1.1.4

Current through June 25, 2024
A NIW support letter will not be considered when
					 circumstances indicate that a foreign physician has violated any required
					 service obligation (including failure to provide health care services in
					 underserved areas or to residents of underserved areas, failure to work
					 full-time, or leaving or transferring from a work site without petitioning the
					 USCIS).
Miss. Code Ann.
					 §
											41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Rule 15-9-98-1.1.5

Current through June 25, 2024
A non-refundable application fee of $1,200 is required in
					 exchange for a complete review of a National Interest Waiver application and a
					 NIW support letter from MSDH. A check or money order from the sponsoring
					 facility should be made payable to the Mississippi State Department of Health
					 with a note that the payment is for the "Waiver Application Review Fee" and
					 submitted with the complete National Interest Waiver Application. No complete
					 National Interest Waiver Application will be processed without payment of the
					 processing fee.
Miss. Code Ann.
					 §
											41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Subchapter 2 - FEDERAL ELIGIBILITY CRITERIA › Rule 15-9-98-1.2.1

Current through June 25, 2024
Physician must agree to work full-time in a clinical
						practice for a period of five (5) years.
1. Physician must work in primary care (such
					 as a general practitioner, family practitioner, general internist,
					 pediatrician, obstetrician/gynecologist, or psychiatrist) or be a specialty
					 physician.
2. Physician must serve
					 either in a currently designated Health Professional Shortage Area (HPSA),
					 Medically Underserved Area (MUA), or for specialists, in a Physician Scarcity
					 Area (PSA).
3. Physician must
					 obtain a statement from a federal agency or a state department of health that
					 has knowledge of the physician's qualifications and states that the physician's
					 work is in the public interest.
Miss. Code Ann.
						§
												41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Subchapter 3 - REQUIREMENTS TO REQUEST NIW SUPPORT LETTER FROM MISSISSIPPI STATE DEPARTMENT OF HEALTH › Rule 15-9-98-1.3.1

Current through June 25, 2024
A request for a NIW support letter will not be considered
						if any of the provisions in (1 and 2) are not met.
Miss Code
						Ann, §
												41-3-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 98 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH NATIONAL INTEREST WAIVER GUIDELINES › Subchapter 3 - REQUIREMENTS TO REQUEST NIW SUPPORT LETTER FROM MISSISSIPPI STATE DEPARTMENT OF HEALTH › Rule 15-9-98-1.3.2

Current through June 25, 2024
Requests for NIW support letters must include the
						following in the order listed:
1. A
					 letter from the sponsoring medical facility indicating:
a. That the sponsoring medical facility is
					 supporting a NIW application and is requesting a support letter from the
					 Mississippi State Department of Health.
b. The name of the proposed physician,
					 medical discipline, and information on physician's qualifications.
c. The name and location (complete street
					 address, 9-digit zip code, and county) of the practice site(s) where the
					 proposed physician will complete the five (5) year full-time clinical practice
					 service obligation.
d. The name of
					 the currently designated Health Professional Shortage Area (HPSA), Medically
					 Underserved Area (MUA), or Physician Scarcity Area (PSA) for specialist, where
					 the proposed physician will serve.
e. A description of the public benefit to the
					 community that approval of the NIW will provide.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 1 - INTRODUCTION AND PURPOSE OF PLAN › Rule 15-9-99-1.1.1

Current through June 25, 2024
A Mississippi State Office of Rural Health Program (SORH)
						was authorized as a unit of the Mississippi State Department of Health during
						the 1990 session of the Mississippi State Legislature. The specific legislative
						authority for the SORH is contained in Mississippi statute at Section
						41-3-15.
						This State Rural Health Plan was developed to meet the SORH's legislative duty
						related to developing and implementing plans, to provide a definition for rural
						areas in the state, and to define rural facilities. The federal Office of Rural
						Health Policy (ORHP) at the Health Resources and Services Administration also
						periodically requires states to develop State Rural Health Plans (SRHP) to
						guide program activities when seeking FLEX Program funding for assisting
						critical access hospitals (CAHs).
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 1 - INTRODUCTION AND PURPOSE OF PLAN › Rule 15-9-99-1.1.2

Current through June 25, 2024
As the population ages, the need for health care services
						and workers will increase. This State Rural Health Plan was developed to review
						the rural health sector of our state. The plan was prepared in consultation
						with the Mississippi State Rural Health Plan Steering Committee. The committee
						was comprised of representation from: the Mississippi Hospital Association,
						Mississippi Association of Supervisors and other small rural hospitals.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.1 - State Historic Information and Geographic Description

Current through June 25, 2024
Mississippi is named for the Mississippi river which
						forms its western boundary and empties into the Gulf of Mexico. The name
						roughly translated from Native American folklore means "Father of Waters."
						Mississippi was organized as a territory in 1798 and was admitted as the 20th
						state to join the Union on December 10, 1817. David Holmes was chosen as the
						first governor of the state.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.2

Current through June 25, 2024
Mississippi is bounded on the north by Tennessee, on the
						east by Alabama, on the west by Arkansas and Louisiana, and on the south by the
						Gulf of Mexico. Mississippi contains 47,715 square miles of area, mostly rural
						farmland. In the north, the large, fertile alluvial Delta was mostly swamp
						until the mid-1850s when, by the sweat of men and mules, some 300 miles of
						levees claimed this broad region. At the Delta's eastern edge, the land
						suddenly changes from table-flat to the rising loess bluff hills, stretching
						north into Tennessee and south into Louisiana. From Mississippi's northeast
						hills southward, the land changes into rolling farmland, hardwood highlands,
						then red clay hills to fertile pasture lands, on to piney forest, eventually
						giving way to the man-made white sand beaches of the Gulf Coast.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.3 - Population Distribution and Demographics

Current through June 25, 2024
Mississippi has 82 counties and the U.S. Census Bureau's
						2008-2012 American Community Survey Five-Year Estimate reported Mississippi's
						population at 2,967,620.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.4

Current through June 25, 2024
Mississippi demographics include high poverty levels
						(22.3% compared to 14.9% for the nation), a large African American population
						(37.7%), low education levels, very limited industry in many rural areas, poor
						local tax bases, and diminishing state dollars. Rural residents and minorities
						are population groups affected by health disparities. According to the American
						Community Survey, the median age is 36 years and persons aged 65 or older makes
						up 12.9% of the population. Mississippi's gender composition is 48.5% male and
						51.5% female. The poverty rate for the elderly was 14.6% compared to 9.4% is
						the nation. Eighty-one percent of Mississippians over the age of 25 are high
						school graduates or higher and 20% of Mississippians in this age group have a
						bachelor's degree or higher. Both levels are less than the respective national
						average at 85.7% and 28.5%.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.5 - Mississippi Economic Data

Current through June 25, 2024
The Census Bureau 3-Year Average (2011-2013) median
						household income (in 2013 inflation-adjusted dollars) for the nation was
						$52,517. Mississippi ranked 50th in this area with a
						median household of $40,194.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.6

Current through June 25, 2024
The state had an average citizen labor force of 1,347,995
						with an unemployment rate of 10.6%. During September 2014, eighteen counties
						reported double- digit unemployment rates. Thirty-five percent of the
						population had public health insurance coverage and 17.5% had no health
						insurance coverage.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.7 - Health Status

Current through June 25, 2024
Mississippi is traditionally a medically underserved
						state with statistics presenting an extremely negative view of the overall
						health of citizens in the state. Compared to national health data, Mississippi
						residents rank lowest in several overall health indicators. Some of the health
						problems of Mississippians are the result of behavioral risk factors for youths
						and adults, health disparities, lack of access, and an inadequate supply of
						health professionals for underserved areas. These factors often lead to high
						morbidity and high mortality rates. Mississippi's rates for cardiovascular
						disease, diabetes, obesity, teenage pregnancy, premature births, low birth
						weights, and infant mortality are some of the highest levels in the nation.
						Table 1 provides information on some of Mississippi's health indicators.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.8

Current through June 25, 2024
Some of the state's health care priority areas include
						disease prevention, health promotion, health protection, healthcare for
						specific population groups (i.e., mothers, babies, the elderly, indigent,
						uninsured, the disabled, persons with developmental conditions, and
						minorities), availability of adequate health workforce throughout the state,
						health disparities, mental health needs, and enhanced capability to respond to
						public health emergencies.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.9

Current through June 25, 2024
The prevalence of mental illness, although difficult to
						assess, serves as a good indicator of the volume of need for mental health
						services in a given population. The Mississippi Department of Mental Health's
						(MDMH) state fiscal year 2013 annual report, estimated that 165,000 people
						would need mental health services.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 2 - STATE PROFILE › Rule 15-9-99-1.2.10

Current through June 25, 2024
The Health Resources and Services Administration (HRSA)
						has developed a listing of key health indicators that can be used to assess
						health status, identify barriers to access to care, and provide a quantitative
						measure of need. Table 1 provides a listing of indicators that present a
						snapshot of the barriers and health problems of the state of Mississippi as
						they compare to national data.
TABLE 1
Mississippi Core Health
									 Indicators
Core Health
									 Indicators
Mississippi
									 Data/Rate
US Data/Rate
Diabetes Prevalence (diagnosed with
									 diabetes)
Source:
http://apps.nccd.cdc.gov/BRFSS-SMART/SelMMSAPrevData.asp
12.4%
8.7%
Mortality Rate from Diseases of the
									 Heart
Source:
http://wonder.cdc.gov
292.1
223.3
Women Age 50+ (No Mammogram in Past 2
									 Years)
Source:
http://apps.nccd.cdc.gov/BRFSS-SMART/SelMMSAPrevData.asp
28.9%
23%
Adults Who Are Current Smokers
Source:
http://apps.nccd.cdc.gov/BRFSS-SMART/SelMMSAPrevData.asp
24%
19.6%
Infant Mortality Rate per
									 1,000
Source:
http://wonder.cdc.gov
10.53
6.68
Children With Obese Weight Status Based
									 on Body Mass Index for Age 10-17
Source:
http://childhealthdata.org/browse/survey
21.9%
16.4%
Suicide Rate (Crude Rate per
									 100,000)
Source: CDC WONDER
http://wonder.cdc.gov
13.1
12.4
Percentage of Adults Without A Visit to
									 Dentist or Dental Clinic in Past Year
Source:
http://apps.nccd.cdc.gov/BRFSS-SMART/SelMMSAPrevData.asp
44.6%
32.8%
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 3 - STATE RURAL AREA DEFINITION › Rule 15-9-99-1.3.1

Current through June 25, 2024
The state defines a rural area as:
1) a Mississippi county that has a population
					 less Than 50,000 individuals;
2) an
					 area that is less than 500 individuals per square mile; or
3) a municipality of less than 15,000
					 individuals.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.1

Current through June 25, 2024
Mississippi is committed to assisting communities in
						determining the best course of action in planning and developing rural health
						systems, including plans that improve access to health services, reduce
						duplication of services, and develop and support rural health networks. The
						Mississippi Public Health System is led by the MSDH, an agency which includes
						an 11-member Board of Health, State Health Officer, central administrative
						offices in Jackson, nine district offices, and 81 county health departments.
						The MSDH promotes and protects the health of the citizens of Mississippi
						through health promotion, disease prevention, and the control of communicable
						diseases. This section describes some of the types of public rural health
						facilities and systems in Mississippi that comprise the rural health
						infrastructure.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.2 - Hospitals

Current through June 25, 2024
Mississippi has 111 hospitals; 95 acute care, 4
						psychiatric, 1 rehabilitation, 1 OB/GYN, and 10 long-term acute care. There are
						five federal hospitals in the state. Ninety-five hospitals are classified as
						medical/surgical based on the type of service that the hospitals provided to
						the majority of admissions. Seven counties in the state do not have a hospital:
						Amite, Benton, Carroll, Humphreys, Issaquena, Itawamba, and Tunica. The federal
						government operates two Veterans' Administration Hospitals, one in Jackson and
						one in Biloxi. The United States Air Force operates medical facilities at
						Columbus and Biloxi to serve active duty and retired military personnel and
						their dependents. The Indian Health Service funds the operation of the Choctaw
						Health Center, an 18-bed acute care hospital in Philadelphia which is operated
						by and provides health care services to the Mississippi Band of Choctaw
						Indians. Forty-one hospitals reported having rural health clinics and 933,280
						rural health clinic visits.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.3

Current through June 25, 2024
Mississippi has 32 critical access hospitals and 51 rural
						hospitals eligible for the Small Rural Hospital Performance Improvement Grant
						Program.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.4 - Local Health Departments

Current through June 25, 2024
The MSDH operates at least one county health department
						in every county except Issaquena which is covered by the health department in
						Sharkey county. These 81 county health departments have more than 100 clinic
						sites throughout the state. Department staff includes public health nurses,
						nurse practitioners, physicians, disease investigators, environmentalists,
						medical records clerks, social workers, and nutritionists. The county health
						departments provide immunizations, family planning, WIC (Special Supplemental
						Food Program for Women, Infants, and Children), tuberculosis treatment and
						prevention services, sexually-transmitted disease (including HIV/AIDS)
						services, and other communicable disease follow-up. Additional services, such
						as child health and maternity services are available based on the county's
						need. The number and type of staff may vary according to the need and resources
						in each particular county; however, every county provides all general public
						health services.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.5 - Rural Health Clinics

Current through June 25, 2024
Rural Health Clinics (RHCs) provide care in areas
						designated by the U.S. Department of Health and Human Services as medically
						underserved. These clinics use physician's assistants and nurse practitioners
						under the general direction of a physician, who is located within 15 miles of
						the clinic, to provide outpatient primary care services to patients in rural
						areas. RHCs may be freestanding facilities owned by physicians or
						provider-based clinics established by hospitals, nursing homes, or home health
						agencies. The July 2014 MSDH Facilities Directory reported that Mississippi had
						159 certified RHCs and the state fiscal year 2013 Report on Hospitals indicated
						that there were 933,280 visits for the 99 hospitals with rural health
						clinics.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.6 - Community Health Centers (CHCs)

Current through June 25, 2024
The availability and accessibility of primary health care
						services is essential to meet the needs of the state's population. Community
						Health Centers (CHCs) provide access to medical care for residents who are
						plagued by a shortage of medical services, financial restrictions, and other
						social or economic barriers. CHCs are federally-subsidized, non-profit
						corporations that must serve populations identified by the U.S. Department of
						Health and Human Services as medically underserved. This status indicates that
						the geographic area has limited medical resources; other factors include
						poverty and lack of health insurance. CHCs offer a range of services, including
						medical, dental, radiology, pharmacy, nutrition, health education, and
						transportation. Mississippi has 21 CHCs, with 207 sites, including school
						clinic locations.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.7 - Long-Term Care

Current through June 25, 2024
Mississippi's long-term care (nursing home and home
						health) patients are primarily disabled elderly people, who make up 20 percent
						of the 2025 projected population above age 65. Projections place the number of
						people in this age group at approximately 642,506 by 2025, with more than
						186,327 disabled in at least one essential activity of daily living.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.8

Current through June 25, 2024
The risk of becoming frail, disabled, and dependent rises
						dramatically with age. While the average length of life has increased, people
						are often living longer with some very disabling chronic conditions which the
						present medical system can "manage" but not cure. So while the lives of many
						people have been prolonged through advances in medicine and public health, the
						quality of an older person's life often suffers. Aged individuals may become
						dependent on medical technology and professional care providers for years - not
						just weeks or months.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.9

Current through June 25, 2024
There were 210 nursing home sites and 61 home health
						agencies listed in the MSDH's July 2014 Facilities Directory.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.10 - Emergency Medical Services (EMS)

Current through June 25, 2024
As a primary source of pre-hospital care, Emergency
						Medical Services (EMS) are an important part of health/medical care in rural
						communities. Quick access to health care in rural communities can be
						problematic, particularly given the higher levels of motor vehicle crash
						deaths, injuries, and fires. The Federal Government, through the Emergency
						Medical Services Act of 1973, established standards for the organization of
						emergency services. The Mississippi EMS Act of 1974, and subsequent amendments,
						authorized the MSDH to create a Bureau of Emergency Medical Services (BEMS).
						The Act authorized this Bureau to license all ambulance services in
						Mississippi, to require specific equipment and standards for emergency
						vehicles, to provide training and certification of emergency medical
						technicians (EMTs) and Medical First Responders, and to assist with the
						creation and the provision of technical assistance.ponders, and to assist with
						the creation and the provision of technical assistance.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.11

Current through June 25, 2024
The training of emergency medical personnel includes
						ambulance operators and emergency medical technicians (EMTs) of both advanced
						and basic levels. Mississippi requires all ambulance drivers to have EMS driver
						certification (EMS-D). To qualify, an individual must complete an approved
						driver training program that involves driving tasks, vehicle dynamics, vehicle
						preventative maintenance, driver perception, night driving, and information on
						different driving maneuvers. This training offers both academic and clinical
						(practical hands on) experiences for the prospective ambulance driver.
						Additionally, all emergency medical technicians - both advanced level and basic
						level - must complete a National Highway Safety and Traffic Administration
						training program for the respective level. This training provides extensive
						academic and clinical hours for the prospective students. Upon completion,
						students must pass the National Registry for Emergency Medical Technicians test
						and receive their national certification before applying for the Mississippi
						certification.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.12

Current through June 25, 2024
With the passage of legislation during the 1991
						Mississippi Legislative Session, the MSDH was designated as the lead agency to
						develop a trauma care plan for the state. The primary goal of the Mississippi
						Trauma System Care Program is to provide the architecture for a trauma system
						which will decrease morbidity and mortality from traumatic injury.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.13

Current through June 25, 2024
Trauma Centers in the Mississippi Trauma System care for
						a variety of injured patients. These patients are provided immediate
						resuscitation and stabilization, and definitive acute care. The centers strive
						to give excellent trauma care to these patients. The Trauma Centers along with
						the Trauma Regions are dedicated to trauma care, teaching and injury prevention
						in an effort to decrease death and disabilities. There are rules and
						regulations mandated by the Mississippi State Department of Health, Bureau of
						Emergency Medical Services with which compliance is necessary to be a
						designated Trauma Center. These rules and regulations are examined at a
						frequent basis as to their compliance.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.14

Current through June 25, 2024
Trauma patients are cared for at these Trauma Centers
						regardless of that patient's financial status. The multi-disciplinary approach
						follows the patient throughout the continuum of care from pre-hospital to
						rehabilitation. As of August 1, 2013, there were 83 hospitals participating in
						the Mississippi Trauma Care System: four Level I Trauma Centers, four Level II
						Trauma Centers, 15 Level III Trauma Centers, 60 Level IV Trauma Centers and one
						Burn Center. Fifty-eight ground and 17 air EMS providers service the 82
						counties in Mississippi.
Miss. Code Ann.
						§
												41-3-15
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 9 - Office of Health Policy and Planning › Subpart 99 - MISSISSIPPI STATE RURAL HEALTH PLAN › Chapter 1 - MISSISSIPPI STATE RURAL HEALTH PLAN › Subchapter 4 - HEALTH SYSTEMS IN MISSISSIPPI › Rule 15-9-99-1.4.15 - Mental Health

Current through June 25, 2024
The Mississippi Department of Mental Health (MDMH)
						administers programs for Mississippians with mental illness, substance abuse
						problems and intellectual/developmental disabilities. The agency provides a
						network of services through three major components: state-operated programs;
						regional community mental health/mental retardation centers; and nonprofit
						service agencies/organizations. The state-operated programs include four state
						comprehensive behavioral health programs, five IDD regional programs, a mental
						health community living program, and two specialized programs for adolescents.
						These programs serve designated counties or service areas in the State and
						provide inpatient psychiatric, chemical dependence, forensic, limited
						medical/surgical hospital services, community mental health services,
						intermediate care program services for persons with intellectual and
						developmental disabilities, and a range of community services for persons with
						developmental disabilities. Nursing facility services are provided on the
						grounds of two of the state's comprehensive psychiatric facilities. There are
						15 regional centers with governing authorities that are considered regional and
						not state-level entities. The Department of Mental Health certifies, monitors,
						and assists the centers and provides contracts to provide community-based
						mental health and substance abuse services. Programs provided through the
						nonprofit agencies include community-based alcohol/drug abuse services,
						community services for persons with developmental disabilities and community
						services for children with mental illness or emotional problems.
Miss. Code Ann.
						§
												41-3-15