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Mammography Certification Program

Table of Contents

Obtaining a New Mammography Certification

To obtain a new mammography certification, choose either the State of Texas Mammography Accreditation Program or the American College of Radiology (ACR) as the facility's mammography accreditation body.

If the State of Texas will be the mammography accreditation body:

  • Contact the Mammography Accreditation Program at (512) 218-7087 at least 30 days prior to facility opening date, for information regarding the required documents, the correct forms and fees.

If the ACR will be the mammography accreditation body:

  • Contact the ACR at 1-800-227-6440 or review their 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(s) 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 shall have and implement written operation and safety procedures in accordance with Title 25 of the Texas Administrative Code (TAC) §289.230(hh)(3).

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 (u) & (u)(1)(B)(i)
    • Policy for the Retention of Clinical Images for current, closed, or terminated facilities. §289.230 (t)(4)
    • Policies for self-referral if providing self-referral mammography services
    • Requested documents if providing mobile mammography services
  • 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 

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 Renewals

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. 

Facilities Accredited with the State of Texas

Facilities accredited with the State of Texas will receive the renewal application, invoice, and instructions via email 8 months prior to the expiration date listed on the facility’s mammography certificates. If renewal email is not received by 6 months of the expiration date, contact the Texas Mammography Accreditation Program at (512) 218-7087.

Name and/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 and/or Physical Use Location Address(s)

Mammography Equipment Changes

To Add a Mammography Unit

If accredited with State of Texas

  • Contact Mammography Accreditation Program at (512) 231-5700 at least 30 days prior to installation of the mammography unit, for information regarding the required documents, the correct forms and fees.

If accredited with the American College of Radiology (ACR)

Dual modality mammography machines (2D and DBT) are considered two separate units.  Both modalities must be accredited.  Contact your accreditation body for instructions.

To Delete a Mammography Unit

Personnel Changes (Including RSO, LIP and Other Personnel Changes)

  • Radiation Safety Officer (RSO) - Notify the agency in writing within 30 days by completing and submitting either of the following forms:
     
    Required Forms for Mammography Radiation Safety Officer (RSO) Changes
    Document Number Document Title
     RC 230-02  Mammography Certification Application Amendment 
     RC 42-R  Radiation Safety Officer (RSO) Form 
  • Lead Interpreting Physician (LIP) - Notify the agency in writing within 30 days by completing and submitting either of the following forms:
     
    Required Forms for Mammography Lead Interpreting Physician (LIP) Changes
    Document Number Document Title
     RC 230-02  Mammography Certification Application Amendment
     RC 230-LIP  Lead Interpreting Physician 
  • Other Personnel Changes (Interpreting Physicians, Mammography Technologists and/or Medical Physicists) - Notify the agency in writing within 30 days of additions or deletions of personnel. Do not submit credentials with the request. Include the facility’s mammography certification number.  Letter must be signed by the RSO, LIP, or CEO of he facility.
  • Accreditation Contact Person - Contact the State of Texas Mammography Accreditation Program (see the Mammography Accreditation page for more information) or the American College of Radiology.

Self-Referral Authorization

Self-referral authorization must be obtained prior to 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 prior to 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:

  • Contact the facilities mammography accreditation body (State of Texas Mammography Accreditation Program or the American College of Radiology - ACR).
  • Complete and submit RC 17-M Mammography Termination.

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

Radiation Control

Radiation Control

Mammography