Mississippi certificate of need
Mississippi has a certificate of need program, run by Mississippi State Department of Health, Office of Health Policy and Planning (Health Planning & Resource Development). It covers 12 kinds of services, listed below.
- CON program
- Yes
- Services covered
- 12
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Mississippi CON program
Mississippi has a certificate of need program, run by Mississippi State Department of Health, Office of Health Policy and Planning (Health Planning & Resource Development). It covers 12 kinds of services, listed below.
- CON program
- Yes
- Program
- Certificate of Need
- Application fee
- Nonrefundable filing fee of 0.5% of the proposed capital expenditure, minimum $5,000 and maximum $25,000.
- Moratoria
- Long-standing legislative moratoria (first imposed in 1990) bar new or expanded nursing home beds, ICF and ICF/IID beds, and new home health agencies. Effective April 17, 2026, the Legislature re-enacted and reaffirmed the nursing facility / ICF / ICF-IID moratorium (HB 1622, 2026 Regular Session, §2) and the home health agency moratorium.
- Recent changes
- SFY 2026 review thresholds: $20,000,000 for non-clinical capital expenditures, $10,000,000 for clinical health services and $3,000,000 for major medical equipment. MSDH revised its CON application form and Review Manual in August 2026. 2026 legislation (HB 1622) re-enacted the LTC moratoria with legislative findings.
- Statute
- Miss. Code Ann. §§41-7-171 through 41-7-209
Services that need a certificate of need
- nursing home care services (skilled nursing and ICF)
- ICF/IID and nursing care for persons with developmental disabilities
- pediatric skilled nursing facilities
- acute psychiatric, chemical dependency and psychiatric residential treatment beds
- obstetrical and neonatal special care services
- comprehensive medical rehabilitation
- ambulatory surgery
- home health agencies / home health services
- end stage renal disease facilities
- general acute care hospitals and beds, swing beds, long-term care hospitals
- MRI, PET, digital angiography, therapeutic radiation, stereotactic radiosurgery, cardiac catheterization, open-heart surgery
- major medical equipment and capital expenditures above indexed thresholds; changes of ownership
Frequently asked questions
Does Mississippi have a certificate of need law?
Mississippi has a certificate of need program, run by Mississippi State Department of Health, Office of Health Policy and Planning (Health Planning & Resource Development). It covers 12 kinds of services, listed below.
How much is a Mississippi CON application?
Nonrefundable filing fee of 0.5% of the proposed capital expenditure, minimum $5,000 and maximum $25,000.