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 15-8-90-04-403 - Certificate of Need Criteria and Standards for Obstetrical Services › Section 15-8-90-04-403.01 - Policy Statement Regarding Certificate of Need Applications for the Offering of Obstetrical Services

Current through June 25, 2024
1. Indigent/Charity
					 Care: An applicant is required to provide a reasonable amount of
					 indigent/charity care as described in Chapter 1 of this Plan.
2. Perinatal Planning Areas (PPA): MSDH shall
					 determine the need for obstetrical services using the Perinatal Planning Areas
					 as outlined on Map 4-2 at the end of this chapter.
3. Travel Time: Obstetrical services should
					 be available within one (1) hour normal travel time of ninety-five percent
					 (95%) of the population in rural areas and within thirty (30) minutes normal
					 travel time in urban areas.
4.
					 Preference in CON Decisions: The MSDH shall give preference in CON decisions to
					 applications that propose to improve existing services and to reduce costs
					 through consolidation of two basic obstetrical services into a larger, more
					 efficient service over the addition of new services or the expansion of single
					 service providers.
5. Patient
					 Education: Obstetrical service providers shall offer an array of family
					 planning and related maternal and child health education programs that are
					 readily accessible to current and prospective patients.
6. Levels of Care: All hospitals providing
					 obstetric and newborn services will be designated a perinatal level of care by
					 MSDH, based upon its functional capabilities to provide risk-appropriate care
					 for pregnant women and neonates. The levels of care will be divided into four
					 levels defined in accordance with the 2012 policy statement by the American
					 Academy of Pediatrics, (PEDIATRICS Vol. 130, No. 3, September 2012) and
					 maternal standards set forth by the American College of Obstetricians and
					 Gynecologists with modifications approved by MSDH. The levels are:
Level I- Basic Care, Well newborn nursery
Level II- Specialty Care, Special care nursery
Level III- Sub-specialty Care, Neonatal Intensive Care
						Unit
Level IV- Regional Care
Details of the levels are outlined in section
						405.03 of the State Health
						Plan.
7. An applicant
					 proposing to offer obstetrical services shall be equipped to provide perinatal
					 services in accordance with the guidelines contained in the Minimum Standards
					 of Operation for Mississippi Hospitals 130, Obstetrics and Newborn Nursery. All
					 hospitals offering obstetric and newborn care shall conform to the practice
					 guidelines of the American Academy of Pediatrics, Policy Statement, Levels of
					 Care and professional standards established in the Guidelines for the
					 Operations of Perinatal Units.
8.
					 An applicant proposing to offer obstetrical services shall agree to provide an
					 amount of care to Medicaid mothers/babies comparable to the average percentage
					 of Medicaid care offered by other providers of the requested service within the
					 same, or most proximate, geographic area.