Mammography Certification Program

Radiation Control

Radiation Control

Mammography

Mammography Certification Program

Table of Contents

Obtaining a New Mammography Certification

To obtain a new mammography certification, you must be accredited by the American College of Radiology (ACR).

  • Contact the ACR at 1-800-227-6440 or review the ACR website for information. 

Complete and submit to the Mammography Certification Program the following forms with the appropriate fee:

 
Document Number Document Title
 RC 230-01  Mammography Certification Application New & renewal 
 RC 226-01  Business Information Form  
 RC 42-R  Radiation Safety Officer (RSO) Form 
 RC 230 234-01  New Facility Invoice

Application, documentation, and appropriate fees must be submitted at least three weeks prior to providing mammography services.

***Note: Hold the Equipment Section of the application until the mammography unit is installed. Submit the completed Equipment Section page with the medical physicist survey report and mammography equipment evaluation. Forty-eight hours after receipt of the application page, medical physicist survey report, and mammography equipment evaluation, the mammography certificates will be issued.

Each registrant must have and implement written operation and safety procedures in accordance with Title 25 of the Texas Administrative Code (TAC) §289.230(t).

Documentation to be submitted with the completed application:
  • Policies/procedures requested in Sections 2 of the application:
    • Corrective action procedure for poor image quality, and process for feedback from interpreting physicians: §289.230 (k) & (k)(1)(B)(i)
    • Policy for the Retention of Clinical Images for current, closed, or terminated facilities. §289.230 (j)(7)
    • Policies for self-referral if providing self-referral mammography services
    • Requested documents if providing mobile mammography services
    • LIP oversight policy (this is the review of physicist surveys within 60 days of receipt and review of QC every 3 months)
  • Personnel credentials requested in Section 3 - As an option the following forms may be used for guidance for acceptable documents of personnel credentialing:
  • Current medical physicist’s survey report for each mammography unit and each review workstation utilized by the facility.

Fee Schedule for Mammography Certification

Each application for a new mammography certification shall be accompanied by a one-year non-refundable fee. An invoice will be mailed annually for the mammography certification fee. Fee payments by check or money order shall be made payable to Texas Department of State Health Services.

Fee Schedule for Certification of Mammography Systems (screening & diagnostic mammography)
Certification of Mammography Systems (screening & diagnostic mammography) Fee
First machine $2,010
Each additional machine listed on certification $240

Annual Fees for Mammography Certification

Annual fees must be paid each year in order to continue operating mammography devices. The fee covers all direct and indirect costs associated with licensing a company or individual.

For detailed information on annual fees and payment methods accepted, see Payment of Annual Fees for Mammography Certification or Interventional Radiography.

Mammography Certification Renewal

Mammography certification renewal documentation shall be submitted every three years.

The agency will send a renewal reminder letter and application by mail 2-3 months prior to the expiration date of the mammography certification. Items requested for a mammography certification renewal are:

Required forms for mammography certification renewal
Document Number Document Title
 RC 230-01 Mammography Certification Application - New & Renewal  
 RC 226-01  Business Information Form  

Documentation to be submitted with the completed application:

  • Applicable policies/procedures requested in Section 2 of the application.
  • Current medical physicist’s survey report for each mammography unit. 

Name or Ownership Change

Due to all of the variables in an ownership and/or name change, contact the Mammography Certification Program at (737) 218-7087 for more information.

To Change a Mailing or Physical Use Location Address

Mammography Equipment Change

To Add a Mammography Unit

To Delete a Mammography Unit

Personnel Change

  • Radiation Safety Officer (RSO) - Notify the agency in writing within 30 days by completing and submitting the required form:
     
    Required Forms for Mammography Radiation Safety Officer (RSO) Change
    Document Number Document Title
     RC 42-R  Radiation Safety Officer (RSO) Form 
  • Lead Interpreting Physician (LIP) - Notify the agency in writing within 30 days by completing and submitting the following form:
    Document Number Document Title
     RC 230-LIP  Lead Interpreting Physician 
  • Accreditation Contact Person - Contact the American College of Radiology.

Self-Referral Authorization

Self-referral authorization must be obtained before initiating self-referral mammography services.

To add self-referral authorization to the certification, submit:

To remove self-referral authorization:

  • Notify the agency in writing by submitting a signed letter requesting removal of self-referral authorization.
  • Include the facility’s mammography certification number.

Mobile Services Authorization

Mobile service authorization must be obtained before providing mobile mammography services.

To add mobile service authorization to the certification, submit:

To remove mobile service authorization:

  • Notify the agency in writing by submitting a signed letter requesting removal of mobile service authorization.
  • Include the facility’s mammography certification number.

Terminating a Mammography Certification

To terminate a mammography certification:

Mammography Certification Contact Information

Mailing Address (U.S. Postal Service)

Texas Department of State Health Services
Radiation Section, Mammography Branch MC 1986
PO Box 149347
Austin, Texas 78714-9347

Mailing Address (Overnight Address)

Texas Department of State Health Services
Radiation Section, Mammography Branch MC 1986
1100 West 49th Street
Austin, Texas 78756

Phone: (737) 218-7087
Fax: (512) 206-3787

Additional Information

For additional information see Frequently Asked Questions about Mammography Certification, or contact the Mammography Certification Program at (737) 218-7087

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