15 Miss. Code. R. 8-90-05-512.01.04

Current through December 10, 2024
Section 15-8-90-05-512.01.04 - Certificate of Need Criteria and Standards for the Offering of Fixed or Mobile MRI Services

An entity proposing to offer MRI services shall obtain Certificate of Need (CON) approval before offering such services.

Need Criterion 1: Minimum Procedures/Population

The entity desiring to offer MRI services must document that the equipment shall perform a minimum of 2,700 procedures (or 1,700 procedures for rural hospitals) by the end of the second year of operation. This criterion includes both fixed and mobile MRI equipment. The applicant must show methodology used for the projections.

a. Applicants for non-hospital based MRI facilities may submit affidavits from referring physicians. MRI procedures projected in affidavits shall be based on actual MRI procedures referred during the year.
b. The applicant shall document a reasonable population within its service area to justify 2,700 procedures per year per proposed MRI unit (1,700 procedures per year per proposed mobile MRI unit on a route exclusively serving rural hospitals).
c. The applicant shall demonstrate that all existing units within its defined service area have performed an average of 1,700 procedures for the most recent 12-month period.

It is recognized that a particular MRI unit may be utilized by more than one provider of MRI services, some of which may be located outside of Mississippi. In such cases all existing or proposed providers of MRI services must jointly meet the required service volume of 2,700 (or 1,700 for mobile MRI route exclusively serving rural hospitals) procedures annually by the end of the second year of operation. If the MRI unit in question is presently utilized by other providers of MRI services, the actual number of procedures performed by them during the most recent 12-month period and/or documented projection of physician referrals may be used instead of the formula projections.

Need Criterion 2: Availability of Diagnostic Imaging Modalities

An applicant desiring to offer MRI services must document that a full range of diagnostic imaging modalities for verification and complementary studies will be available at the time MRI services begin. These modalities shall include, but not be limited to, computed tomography (full body), ultrasound, angiography, nuclear medicine, and conventional radiology.

Need Criterion 3: Non-Discrimination

All applicants proposing to offer MRI services shall give written assurance that, within the scope of its available services, neither the facility where the service is provided nor its participating medical personnel shall have policies nor procedures which would exclude patients because of race, color, age, sex, ethnicity, or ability to pay.

Need Criterion 4: Staffing Requirements

The applicant must document that the following staff will be available:

a. Director - A full-time, board eligible radiologist or nuclear medicine imaging physician, or other board eligible licensed physician whose primary responsibility during the prior three years has been in the acquisition and interpretation of clinical images. The Director shall have knowledge of MRI through training, experience, or documented post-graduate education. The Director shall document a minimum of one week of full-time training with a functional MRI facility.
b. One full-time MRI technologist radiographer or a person who has had equivalent education, training, and experience, who shall be on-site at all times during operating hours. This individual must be experienced in computed tomography or other cross sectional imaging methods, or must have equivalent training in MRI spectroscopy.

Need Criterion 5: Experimental Procedures

The applicant shall document that when an MRI unit is to be used for experimental procedures with formal/approved protocols, a full-time medical physicist or MRI scientist (see definition in Glossary) with at least one year of experience in diagnostic imaging shall be available in the facility.

Need Criterion 6: Data Requirements

The applicant shall provide assurances that the following data regarding its use of the MRI equipment will be kept and made available to MSDH upon request:

a. Total number of procedures performed
b. Number of inpatient procedures
c. Number of outpatient procedures
d. Average MRI scanning time per procedure
e. Average cost per procedure
f. Average charge per procedure
g. Demographic/patient origin data
h. Days of operation

In addition to the above data recording requirements, the facility should maintain the source of payment for procedures and the total amounts charged during the fiscal year when it is within the scope of the recording system.

Need Criterion 7: CON Approval/Exemption for MRI Equipment

Before the service can be provided, the CON applicant desiring to offer MRI services shall provide written evidence that the specified MRI equipment provider has received CON approval or is exempt from CON approval as determined by through a determination of non-reviewability. Each specified piece of equipment must be exempt from or have CON approval.

15 Miss. Code. R. 8-90-05-512.01.04

Amended 12/1/2014
Amended 3/1/2016
Adopted 7/1/2018
Amended 12/9/2018
Amended 2/20/2022
Amended 5/29/2023