§ 23-17-51. Magnetic resonance imaging — Quality assurance standards.
(a) Except as otherwise provided in subsection (b) of this section, a magnetic resonance
imaging examination eligible for reimbursement under the provisions of any individual
or group health insurance contract, plan or policy delivered in this state shall be
reimbursed only if the facility at which the examination has been conducted and processed
is accredited by either the American College of Radiology (ACR), the Intersocietal
Accreditation Commission (IAC), or an alternate nationally recognized accrediting
organization whose accreditation standards are substantially simil
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§ 23-17-51. Magnetic resonance imaging — Quality assurance standards.
(a) Except as otherwise provided in subsection (b) of this section, a magnetic resonance
imaging examination eligible for reimbursement under the provisions of any individual
or group health insurance contract, plan or policy delivered in this state shall be
reimbursed only if the facility at which the examination has been conducted and processed
is accredited by either the American College of Radiology (ACR), the Intersocietal
Accreditation Commission (IAC), or an alternate nationally recognized accrediting
organization whose accreditation standards are substantially similar to and no less
stringent than current or subsequent ACR or IAC standards and have been reviewed and
deemed adequate by the department of health. All accreditation standards under this
section, whether promulgated by the ACR, IAC, or an alternate nationally recognized
accrediting organization, shall include, but shall not be limited to, provisions for
establishing the qualifications of the physician, standards for quality control and
routine performance monitoring by a medical physicist, qualifications of the technologist
including minimum standards of supervised clinical experience, personnel and patient
safety guidelines, and standards for initial and ongoing quality control using clinical
image review and quantitative testing.
(b) Any facility conducting and processing magnetic resonance imaging examinations which,
as of June 30, 2006, is receiving reimbursement for such services by a health insurer,
health maintenance organization or health plan, but is not accredited pursuant to
subsection (a), shall file its application for accreditation within eighteen (18)
months of July 14, 2006. Such accreditation shall be obtained not later than twelve
(12) months after submission of its application. A facility which begins conducting
and processing of magnetic resonance imaging examinations after June 30, 2006 shall
file its application for accreditation within twelve (12) months of the date of initiation
of the magnetic resonance imaging examinations. Such accreditation shall be obtained
not later than twelve (12) months after submission of its application. After such
accreditation is obtained, a facility conducting and processing magnetic resonance
imaging examinations shall, at all times, maintain accreditation with the appropriate
accrediting body. Notwithstanding anything herein to the contrary, any facility which
has filed for accreditation pursuant to this subsection (b) and which has not been
refused accreditation or withdrawn its application, will be deemed provisionally accredited
for the twelve (12) month period dating from the application filing date. Provided,
further, that notwithstanding any provision of the general laws or public laws to
the contrary, any facility conducting and processing magnetic resonance imaging examinations
shall conform to the standards of the appropriate accrediting body at all times, including
during the accreditation process and shall certify said conformance to any reimbursing
health insurer, health maintenance organization or health plan.