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 15-8-90-03-306.01 - Policy Statement Regarding Certificate of Need Applications for Acute Psychiatric, Chemical Dependency, and Psychiatric Residential Treatment Facility Beds/Services

Current through June 25, 2024
1.
Indigent/Charity Care
: An applicant must provide a
					 "reasonable amount" of indigent/charity care as described in Chapter 1 of this
Plan
.
2.
Mental Health Planning Areas
: MSDH shall use the state
					 as a whole to determine the need for acute psychiatric beds/services, chemical
					 dependency beds/ services, and psychiatric residential treatment beds/services.
					 Tables 3-6, 3-7, and 3-8 give the statistical need for each category of
					 beds.
3.
Public Sector
					 Beds
: Because DMH is a public entity and directly operates
					 facilities providing acute psychiatric, chemical dependency, and psychiatric
					 residential treatment facility beds, the number of licensed beds operated by
					 DMH shall not be counted in the bed inventory used to determine statistical
					 need for additional acute psychiatric, chemical dependency, and psychiatric
					 residential treatment facility beds.
4.
Comments from
					 DMH
: MSDH shall solicit and take into consideration comments
					 received from DMH regarding any CON application for the establishment or
					 expansion of inpatient acute psychiatric, chemical dependency, and/or
					 psychiatric residential treatment facility beds.
5.
Separation of Adults and
					 Children/Adolescents
: Child and adolescent patients under eighteen
					 (18) years of age must receive treatment in units that are programmatically and
					 physically distinct from adult (18 plus years of age) patient units. A single
					 facility may house adults as well as adolescents and children if both physical
					 design and staffing ratios provide for separation.
6.
Separation of Males and
					 Females
: Facilities must separate males and females age thirteen
					 (13) and over for living purposes (e.g., separate rooms and rooms located at
					 separate ends of the halls, etc.).
7.
Patients with Co-Occurring
					 Disorders
: It is frequently impossible for a provider to totally
					 predict or control short-term deviation in the number of patients with mixed
					 psychiatric/ addictive etiology to their illnesses. Therefore, MSDH will allow
					 deviations of up to twenty-five percent (25%) of the total licensed beds as
					 "swing-beds" to accommodate patients having diagnoses of both psychiatric and
					 substance abuse disorders. However, the provider must demonstrate to the
					 Division of Licensure and Certification that the "swing-bed" program meets all
					 applicable licensure and certification regulations for each service offered,
					 i.e., acute psychiatric, chemical dependency, and psychiatric residential
					 treatment facility services, before providing such "swing-bed"
					 services.
8.
Comprehensive Program of Treatment
: Any new mental
					 health beds approved must provide a comprehensive program of treatment that
					 includes, but is not limited to, inpatient, outpatient, and follow-up services,
					 and in the case of children and adolescents, includes an educational component.
					 The facility may provide outpatient and appropriate follow-up services directly
					 or through contractual arrangements with existing providers of these
					 services.
9.
Medicaid
					 Participation
: An applicant proposing to offer acute psychiatric,
					 chemical dependency, and/or psychiatric residential treatment facility services
					 or to establish, expand, and/or convert beds under any of the provisions set
					 forth in this section or in the service specific criteria and standards shall
					 affirm in the application that:
a. The
					 applicant shall seek Medicaid certification for the facility/program at such
					 time as the facility/program becomes eligible for such certification;
					 and
b. The applicant shall serve a
					 reasonable number of Medicaid patients when the facility/program becomes
					 eligible for reimbursement under the Medicaid Program. The application shall
					 affirm that the facility will provide MSDH with information regarding services
					 to Medicaid patients.