linear accelerators that are currently in operation, or areapproved for operation, in Radiation Oncology Treatment CenterService Area 6.TEMPORARY RULES(b) It is determined that there is no need for an additionalradiation oncology treatment center in any other service area inthe State.Radiation Oncology TreatmentCenter Service AreaRadiation Oncology Treatment CenterNeed Determination6 (Cleveland, Gaston, Lincoln, Rutherford) 1History Note:Authority G.S. 131E-176(25); 131E-177(1);131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6369 POSITRON EMISSIONTOMOGRAPHY SCANNERS NEED DETERMINATION(REVIEW CATEGORY H)(a) It is determined that there is a need for one mobile dedicatedpositron emission tomography (PET) scanner that would provideservices at host sites located within Positron EmissionTomography (PET) Scanners Planning Region 1 consisting <strong>of</strong>HSAs I, II, and III, and there is a need for one mobile dedicatedPET scanner that would provide services at host sites locatedwithin the Positron Emission Tomography (PET) ScannersPlanning Region 2 consisting <strong>of</strong> HSAs IV, V, and VI. Anapplicant may propose to provide such services at host siteslocated anywhere within the specified region and is not requiredto propose a host site within each <strong>of</strong> the three HSAs constitutingthe region. Any applicant proposing to acquire a mobilededicated PET scanner must demonstrate that each host site<strong>of</strong>fers or contracts with a hospital that <strong>of</strong>fers comprehensivecancer services, including radiation oncology, medical oncology,and surgical oncology.(b) It is determined that there is no need for additional fixeddedicated PET scanners anywhere in the State.(c) Dedicated PET Scanners are scanners used solely for PETimaging. Dedicated PET Scanners can be fixed or mobile.(d) Mobile PET Scanner means a PET scanner and transportingequipment which is moved to provide services at two or morehost facilities.History Note: Authority G.S. 131E-176(25); 131E-177(1);131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6370 FIXED MAGNETIC RESONA<strong>NC</strong>E IMAGING SCANNERS NEED DETERMINATION BASEDON FIXED MRI SCANNER UTILIZATION (REVIEW CATEGORY H)(a) It is determined that there is a need for 14 additional fixed Magnetic Resonance Imaging (MRI) Scanners based on fixed MRIScanner utilization in the following Magnetic Resonance Imaging Scanners Service Areas. It is determined that there is no need for anadditional fixed MRI Scanner in any other service area in the State, other than the additional scanners provided in 10 <strong>NC</strong>AC 03R.6371 and 10 <strong>NC</strong>AC 03R .6372.Magnetic Resonance Imaging Scanners Service Areas(Constituent Counties)Fixed MRI ScannersNeed Determination4 (Ashe, Avery, Watauga) <strong>16</strong> (Rutherford, Cleveland) 18 (Gaston) 29 (Cabarrus, Montgomery, Rowan, Stanly) 110 (Iredell) 111 (Alleghany, Davie, Forsyth, Stokes, Surry, Wilkes, Yadkin) 213 (Caswell, Durham, Granville, Person, Vance, Warren) 117 (Anson, Mecklenburg, Union) 118 (Cumberland, Hoke, Moore, Robeson, Sampson) 219 (Franklin, Harnett, Johnston, Wake) 123 (Beaufort, Bertie, Greene, Hyde, Martin, Pitt, Washington) 1(b) Magnetic Resonance Imaging Scanners. "Fixed magnetic resonance imaging (MRI) scanners" means MRI Scanners that are notmobile MRI Scanners, as that term is defined in 10 <strong>NC</strong>AC 03R .2713(5).History Note:Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6371 MAGNETIC RESONA<strong>NC</strong>E IMAGING SCANNERS NEED DETERMINATION FOR ADEDICATED FIXED BREAST MRI SCANNER (REVIEW CATEGORY H)(a) It is determined that there is a need for one dedicated fixed breast MRI scanner, exclusively used in mammographic studies inMRI Scanners Service Area 17 (Anson, Mecklenburg, Union Counties). The MRI will not be counted in the regular inventory <strong>of</strong>MRIs. The applicant shall demonstrate that the MRI scanner shall not be used for general diagnostic purposes and the projected costsfor procedures to patients and payors shall be lower than the costs associated with conventional MRI procedures. It is determined that<strong>16</strong>:<strong>15</strong> NORTH CAROLINA REGISTER February 1, 20021703
TEMPORARY RULESthere is no need for an additional fixed MRI scanner in any other service area in the state other than the additional scanners providedin 10 <strong>NC</strong>AC 03R .6370 and 10 <strong>NC</strong>AC 03R .6372.Magnetic Resonance Imaging Scanners Service Areas(Constituent Counties)Dedicated Fixed Breast MRI ScannerNeed Determination17 (Anson, Mecklenburg, Union) 1(b) Magnetic Resonance Imaging Scanners. "Fixed magnetic resonance imaging (MRI) scanners" means MRI Scanners that are notmobile MRI Scanners, as that term is defined in 10 <strong>NC</strong>AC 03R .2713(5).History Note:Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6372 FIXED MAGNETIC RESONA<strong>NC</strong>E IMAGING SCANNERS NEED DETERMINATION BASEDON MOBILE MRI SCANNER UTILIZATION (REVIEW CATEGORY H)(a) It is determined that there is a need for four additional fixed Magnetic Resonance Imaging (MRI) Scanners based on utilization <strong>of</strong>mobile MRI Scanners in the following Magnetic Resonance Imaging Scanners Service Areas. It is determined that there is no needfor an additional fixed MRI Scanner in any other service area in the State, other than the additional scanners provided in 10 <strong>NC</strong>AC03R .6370 and 10 <strong>NC</strong>AC 03R .6371.Magnetic Resonance Imaging Scanners Service Areas(Constituent Counties)Fixed MRI ScannersNeed Determination3 (Buncombe, Madison, McDowell, Mitchell, Yancey) 110 (Iredell) 1<strong>15</strong> (Davidson, Guilford, Randolph & Rockingham) 121 (Bladen, Brunswick, Columbus, Duplin, New Hanover, Pender 1(b) Magnetic Resonance Imaging Scanners. "Fixed magnetic resonance imaging (MRI) scanners" means MRI Scanners that are notmobile MRI Scanners, as that term is defined in 10 <strong>NC</strong>AC 03R .2713(5).History Note:Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6373 NURSING CARE BED NEED DETERMINATION (REVIEW CATEGORY B)It is determined that there is no need for additional Nursing Care Beds anywhere in the State.History Note:Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6374 ADULT CARE HOME BED NEED DETERMINATION (REVIEW CATEGORY B)It is determined that the counties listed in this Rule need additional Adult Care Home Beds as specified. It is determined that there isno need for additional Adult Care Home Beds in any other county.CountyNumber <strong>of</strong> Adult Care Home Beds NeededAshe 60Cherokee 120Dare 60Gates 30Graham 10Greene 30Halifax 40Jones 30Macon 130Madison 20Mitchell 80Pender 80Tyrrell 20<strong>16</strong>:<strong>15</strong> NORTH CAROLINA REGISTER February 1, 20021704