Section 15-8-90-05-509.03 - Policy Statement Regarding Certificate of Need Applications for the Acquisition or Otherwise Control of Stereotactic Radiosurgery Equipment, and/or the Offering of Stereotactic Radiosurgery1.Service Areas: MSDH shall determine the need for stereotactic radiosurgery services and equipment by using the actual stereotactic radiosurgery provider's service area.2.Unit to Population Ratio: The need for stereotactic radiosurgery units is determined to be the same as for radiotherapy, for 2023 a population of 3,138,145. The therapeutic radiation need determination formula is outlined in Section 509.02.02 above.3.Accessibility: Nothing contained in these CON criteria and standards shall preclude the University of Mississippi School of Medicine from acquiring and operating stereotactic radiosurgery equipment, provided the acquisition and use of such equipment is justified by the School's teaching and/or research mission and complies with the teaching exception as outlined in Section 102.01 of this Plan. However, the requirements listed under the section regarding the granting of "appropriate scope of privileges for access to the stereotactic radiosurgery equipment to any qualified physician" must be met.4.Expansion of Existing Services: MSDH may consider a CON application for the acquisition or otherwise control of an additional stereotactic radiosurgery unit by an existing provider of such services when the applicant's existing equipment has exceeded the expected level of patient service, i.e., 900 treatments per year for the two most recent consecutive years as reported on the facility's "Renewal of Hospital License and Annual Hospital Report."5.Addition of Services: Facilities requesting approval to add stereotactic radiosurgery services should have an established neurosurgery program and must be able to demonstrate previous radiosurgery service experience.6.Discharge Planning Policy: All stereotactic radiosurgery services should have written procedures and policies for discharge planning and follow-up care for the patient and family as part of the institution's overall discharge planning program.7.Referral Policy: All stereotactic radiosurgery services should have established protocols for referring physicians to assure adequate post-operative diagnostic evaluation for radiosurgery patients.8.Service Cost Comparison: The total cost of providing stereotactic radiosurgery services projected by prospective providers should be comparable to the cost of other similar services provided in the state.9.Patient Cost Comparison: The usual and customary charge to the patient for stereotactic radiosurgery should be commensurate with cost.15 Miss. Code. R. 8-90-05-509.03