15 MAC Pt. 9, R. 3.15
Emergency Replacement Procedure
Cite as 15 Miss. Admin. Code Pt. 9, R. 3.15
Emergency Replacement Procedure.
Pursuant to Miss. Code Ann. § 41-7-207, when the need for an emergency
replacement occurs involving a health care facility or equipment, the Certificate
of Need review process shall be expedited by the promulgation and application
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of administrative procedures for expenditures necessary to alleviate an
emergency condition and restore health care access.
For purposes of this rule, emergency replacement means the replacement, and/or
necessary relocation, of all or the damaged part of facilities or equipment, the
replacement of which is not otherwise exempt from CON review under the
medical equipment replacement exemption in Miss. Code Ann. § 41-7-191(1)(f),
without which the operation of the facility and the health and safety of patients
would be immediately jeopardized and health care access would be denied to
such patients.
Expenditures under this rule shall be limited to the replacement of those
necessary facilities or equipment the loss of which constitutes the emergency;
however, in the case of the destruction or major damage to a health care facility,
the Department is authorized to issue a CON to address the current and future
health care needs of the community, including but not limited to the expansion
or relocation of the health care facility.
A health care facility whose repair or rebuilding qualifies for the exemption
provided by Miss. Code Ann. § 41-7-191(13) (natural disaster exemption) may
apply for relief under that exemption rather than under this rule.
Application Fee Waiver. The Department may waive all or part of the required
CON application fee for any application filed under this rule if the payment of
the fee would create a further hardship or undue burden on the health care
facility. A request for fee waiver shall be submitted in writing to the Department
concurrently with or before the filing of the application and shall include
documentation sufficient to demonstrate the claimed hardship.
Expedited Procedures. The Department shall establish and apply expedited
review procedures for applications filed under this rule. Expedited procedures
may differ from standard review procedures to the extent necessary to address
the emergency circumstances. The Department shall communicate the applicable
expedited procedures to the applicant upon receipt of the application.