Ch. 14, § 18. Construction/Remodeling

(a) If the physical plant was a Medicare/Medicaid certified hospital within twenty-four months prior to opening as a medical assistance facility and no renovation has been done, then the physical plant will be grandfathered. (b) If there has been: (i) Renovation to the physical plant; or (ii) The building has been closed as a Medicare/Medicaid certified hospital for more than twenty-four months; or (iii) The building is new construction; (iv) Then the building shall meet all requirements established in: (A) Current edition of Section 9. 6 Freestanding Emergency Facility of Guidelines for Construction of Hospitals and Medical Facilities, and (B) Chapter III Construction Rules for Health Facilities. (c) All plans and specifications for construction and/or remodeling shall be ap- proved by the Office of Health Quality prior to construction.