Construction shall not be started for any institution subject to these standards (whether new or remodeling/renovations or additions to an existing licensed hospital) until the plans and specifications for such construction or remodeling have been submitted to the Licensing Agency in writing and its approval of the changes given in writing. Any contract modifications which affects or changes the function, design or purpose of the facility shall be submitted to and approved by the licensing agency prior to the beginning of work set forth in any contract modification.
15 Miss. Code. R. 16-1-3.22.1