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 15-8-90-05-509 - Certificate of Need Criteria and Standards for Therapeutic Radiation Services › 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 Radiosurgery

Current through June 25, 2024
1.
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.