Amendments to Certificates of Need

Amendments to Certificates of Need. A Certificate of Need may be amended to reflect changes in the defined scope or physical location if the amendment is necessary to comply with the licensing laws of the State or for certification under Title XVIII or Title XIX of the Social Security Act. Any such necessity shall be documented in writing from the Director of the Health Facilities Licensure and Certification Division. Page 54 — Mississippi State Department of Health A CON may also be amended when no substantial change exists in construction, service, or capital expenditure and when extenuating circumstances or events, as determined by the Department, inhibit completion as originally presented. Requests for amendments shall be submitted in writing to the Department only during the valid CON period and in the form and detail required by the Department. The fee for amendment shall be calculated as: 0.50 of 1% of the additional capital expenditure, not to exceed Twenty-Five Thousand Dollars ($25,000.00) and not less than Five Thousand Dollars ($5,000.00). NOTE: Amendments resulting from an additional capital expenditure or a change in scope of project will be reviewed as a separate project and will require an additional fee. No CON shall be amended after the holder has submitted a final report indicating project completion and the Department has acknowledged receipt in writing.