15 Miss. Code. R. 8-90-05-509.04

Current through December 10, 2024

Section 15-8-90-05-509.04 - Certificate of Need Criteria and Standards for the Acquisition or Otherwise Control of Stereotactic Radiosurgery Equipment and/or the Offering of Stereotactic Radiosurgery

MSDH will review CON applications for the acquisition or otherwise control of stereotactic radiosurgery equipment and/or the offering of stereotactic radiosurgery services under the applicable statutory requirements of Sections 41-7-173, 41-7-191, and 41-7-193, Mississippi Code 1972, as amended. MSDH will also review applications for Certificate of Need according to the general criteria listed in the Mississippi Certificate of Need Review Manual; all adopted rules, procedures, and plans of MSDH; and the specific criteria and standards listed below.

The acquisition or otherwise control of stereotactic radiosurgery equipment is reviewable if the equipment cost exceeds $1,500,000. The offering of stereotactic radiosurgery services is reviewable if the proposed provider has not provided those services on a regular basis within the period of twelve (12) months prior to the time such services would be offered, regardless of the capital expenditure.

Need Criterion 1: Minimum Procedures

The applicant shall document a need for stereotactic radiosurgery equipment/service by reasonably projecting that the proposed new service will perform at least 900 stereotactic radiosurgery treatments in the third year of operation. No additional new stereotactic radiosurgery services should be approved unless the number of stereotactic radiosurgery treatments performed with existing units in the state average 900 treatments or more per year.

Need Criterion 2: Staffing Requirements

a. The radiosurgery programs must be established under the medical direction of two co-directors, one with specialty training and board certification in neurosurgery and the other with specialty training and board certification in radiation oncology, with experience in all phases of stereotactic radiosurgery.

b. In addition to the medical co-directors, all stereotactic radiosurgery programs should have a radiation physicist who is certified in radiology, or who holds an advanced degree in physics with two to three years of experience working under the direction of a radiation oncologist, and a registered nurse present for each stereotactic radiosurgery performed.

c. The applicant shall document that the governing body of the entity offering stereotactic radiosurgery services will grant an appropriate scope of privileges for access to the stereotactic radiosurgery equipment to any qualified physician who applies for privileges. For the purpose of this criterion, "Qualified Physician" means a Doctor of Medicine or osteopathic medicine licensed by the State of Mississippi who possesses training in stereotactic radiosurgery and other qualifications established by the governing body.

Need Criterion 3: Equipment

a. Facilities providing stereotactic radiosurgery services should have dosimetry and calibration equipment and a computer with the appropriate software for performing stereotactic radiosurgery.

b. The facility providing stereotactic radiosurgery services should also have access to magnetic resonance imaging, computed tomography, and angiography services.

15 Miss. Code. R. 8-90-05-509.04

Amended 12/1/2014

Amended 3/1/2016

Adopted 7/1/2018

Amended 12/9/2018

Amended 2/20/2022

Amended 5/29/2023