Mich. Admin. Code R. 333.5607

Current through Vol. 24-24, January 15, 2025
Section R. 333.5607 - Application

Rule 607.

(1) An applicant who seeks mammography authorization shall apply to the department using an application form that is supplied by the department. If mammography is performed at more than 1 address, a separate application shall be used for each address. An applicant shall accurately provide all information that is requested on the form. The information submitted as part of the application shall be sufficient, as determined by the department, to address all of the standards for authorization. Applications that do not provide sufficient information shall be returned to the applicant for completion and resubmission. Applications shall include all of the following information:
(a) Information about the facility, including all of the following:
(i) Mammography facility name, address, and telephone number.
(ii) Type of practice.
(iii) The facility registration number, if currently registered.
(iv) A contact persons name and telephone number.
(b) Personnel information, including the education, training, experience, and certification of the lead interpreting physician, any qualified medical physicist who provides on-site consultation, and any radiologic technologist who performs mammography.
(c) Mammography machine technical information, including all of the following:
(i) Machine registration number, if currently registered.
(ii) Manufacturer.
(iii) Model.
(iv) Target material.
(v) Filter material.
(d) Imaging system information, including all of the following:
(i) The type of imaging system being used.
(ii) Review workstation monitor information, if the machine uses digital imaging.
(iii) Laser printer information, as applicable, for machines using digital imaging.
(iv) Film and screen information, if the machine uses screen-film imaging.
(v) Film processor information, if the machine uses screen-film imaging.
(e) The date of the most recent medical physicist survey.
(2) The department shall respond to an application within 30 days after the date of receipt of the application.

Mich. Admin. Code R. 333.5607

2016 MR 10, Eff. 5/25/2016