15 Miss. Code. R. 8-90-07-703.02

Current through December 10, 2024

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

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.

Need Criteria 6: Difference in Existing Services Already Provided

Information concerning whether proposed agencies would provide services different from those available from existing agencies.

15 Miss. Code. R. 8-90-07-703.02

Amended 12/1/2014

Amended 3/1/2016

Adopted 7/1/2018

Amended 12/9/2018

Amended 11/20/2021

Amended 2/20/2022

Amended 5/29/2023