Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 05 - Acute Care Facilities and Services Overview › Section 15-8-90-05-512 - Positron Emission Tomography (PET) › Section 15-8-90-05-512.01 - Certificate of Need Criteria and Standards for Magnetic Resonance Imaging Services (MRI) › Section 15-8-90-05-512.01.03 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of MRI Equipment

Current through June 25, 2024
Need Criterion 1: Minimum
						  Procedures/Population
The entity desiring to acquire or otherwise control the
						  MRI equipment shall demonstrate a minimum of 2,700 procedures per year by the
						  end of the second year of operation; provided, however, that MRI equipment
						  exclusively servicing rural hospitals (those located outside U.S. Census Bureau
						  Metropolitan Statistical Areas with 75 or less beds) shall be required to
						  demonstrate a minimum of 1,700 procedures per year by the end of the second
						  year of operation. This criterion includes both fixed and mobile MRI equipment.
						  The applicant must show the 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 base to document that a minimum of 2,700
						procedures will be performed per proposed MRI unit (or 1,700 procedures per
						year for a mobile MRI 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 an applicant desiring to acquire
						  or otherwise control an MRI unit may make or propose to make the MRI unit
						  available to more than one provider of MRI services, some of which may be
						  located outside of Mississippi. In such cases all existing or proposed users of
						  the MRI unit must jointly meet the required service volume of 2,700 (or 1,700
						  for mobile MRI route exclusively serving rural hospitals) procedures annually.
						  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 twelve (12) month period and/or documented projections of physician
						  referrals may be used.
Need Criterion 2: Equipment
						  Requirements
In order to receive CON approval to acquire or
						  otherwise control MRI equipment, the applicant shall provide a copy of the
						  proposed contract and document the following:
a. that the equipment is FDA
						approved;
b. that only qualified
						personnel will be allowed to operate the equipment; and
c. that if the equipment is to be rented,
						leased, or otherwise used by other qualified providers on a contractual basis,
						no fixed/minimum volume contracts will be permitted.
Need Criterion 3: Data Requirements
Applicants shall provide written assurance that they
						  will record and maintain, at a minimum, the following information and make it
						  available to MSDH:
a. All facilities
						which have access to the equipment;
b. Utilization by each facility served by the
						equipment, e.g., days of operation, number of procedures, and number of repeat
						procedures;
c. Financial data,
						e.g., copy of contracts, fee schedule, and cost per scan; and
d. Demographic and patient origin data for
						each facility.
In addition, if required by the Department, the above
						  referenced information and other data pertaining to the use of MRI equipment
						  will be made available to the MSDH within fifteen (15) business days of
						  request. The required information may also be requested for entities outside of
						  Mississippi that use the MRI equipment in question.
Need Criterion 4: Business
						  Registration
The entity desiring to acquire or otherwise control the
						  MRI equipment must be a registered entity authorized to do business in
						  Mississippi.
Need Criterion 5: CON Approval/Exemption for MRI
						  Equipment
Before the specified equipment can be utilized, the
						  applicant desiring to provide the MRI equipment shall have CON approval or
						  written evidence that the equipment is exempt from CON approval, as determined
						  by MSDH through a determination of reviewability. Each specified piece of
						  equipment must be exempt from or have CON approval.