15 Miss. Code. R. 8-90-02-204.01 - Policy Statement Regarding Certificate of Need Applications for the Offering of Nursing Home Care Services
1. Legislation
a. The 1990 Mississippi Legislature imposed a
permanent moratorium which prohibits MSDH from granting approval for or issuing
a Certificate of Need to any person proposing the new construction of, addition
to, expansion of, or conversion of vacant hospital beds to provide skilled or
intermediate nursing home care, except as specifically authorized by
statute.
b. Effective July 1, 1990,
any health care facility defined as a psychiatric hospital, skilled nursing
facility, intermediate care facility, intermediate care facility for the
intellectually disabled, or psychiatric residential treatment facility that is
owned by the State of Mississippi and under the direction and control of the
State Department of Mental Health is exempted from the requirement of the
issuance of a Certificate of Need under Section
41-7-171 et seq., for projects
which involve new construction, renovation, expansion, addition of new beds, or
conversion of beds from one category to another in any such defined health care
facility.
c. The 1999 Mississippi
Legislature temporarily lifted the 1990 moratorium to allow a sixty (60) bed
nursing facility to be added to each of twenty-six (26) counties with the
greatest need between the years 2000 and 2003. The Legislature also permitted
CONs for sixty (60) nursing facility beds for individuals with Alzheimer's in
the northern, central, and southern parts of each of the Long-Term Care
Planning Districts, for a total of 240 additional beds.
d. Effective April 12, 2002, no health care
facility shall be authorized to add any beds or convert any beds to another
category of beds without a Certificate of Need.
e. Effective March 4, 2003, if a health care
facility has voluntarily delicensed some of its existing bed complement, it may
later relicense some or all of its delicensed beds without the necessity of
having to acquire a Certificate of Need. The facility must submit a letter
requesting that the beds be placed in abeyance. The Department of Health shall
maintain a record of the delicensing health care facility and its voluntarily
delicensed beds and continue counting those beds as part of the state's total
bed count for health care planning purposes.
f. A health care facility that has ceased to
operate for a period of sixty (60) months or more shall require a Certificate
of Need prior to reopening.
g. MSDH
shall determine the need for additional nursing home care beds based on the
Long Term Care Planning Districts (LTCPDs) as outlined on Map 2-1. MSDH shall
calculate the statistical need for beds in each LTCPD independently of all
other LTCPDs.
2.
Bed Need: The need for nursing home care beds is
established at:
0.5 beds per 1,000 population aged 64 and under
10 beds per 1,000 population aged 65-74
36 beds per 1,000 population aged 75-84
135 beds per 1,000 population aged 85 and older
3.
Population
Projections: MSDH shall use population projections as presented in
Table 2-3 when calculating bed need. These population projections are the most
recent projections prepared by the State Data Center of Mississippi, University
of Mississippi Center for Population Studies, February 13, 2018.
4.
Bed Inventory:
MSDH shall review the need for additional nursing home beds using the most
recent information available regarding the inventory of such beds.
5.
Size of Facility:
MSDH shall not approve construction of a new or replacement nursing home care
facility for less than sixty (60) beds. However, the number of beds authorized
to be licensed in a new or replacement facility may be less than sixty (60)
beds.
6.
Definition of
CCRC: See the Glossary of this Plan.
7.
Medicare
Participation: MSDH strongly encourages all nursing homes
participating in the Medicaid program to also become certified for
participation in the Medicare program.
8.
Alzheimer's/Dementia Care
Unit: MSDH encourages all nursing home owners to consider the
establishment of an Alzheimer's/Dementia Care Unit as an integral part of their
nursing care program.
Notes
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