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Major Medical Equipment
Title 16, Chapter 93 of the Delaware Code requires that a Certificate of Public Review be obtained prior to the acquisition of "major medical equipment." This requirement is irrespective of whether the acquisition is made by a "health care facility."
Major medical equipment is defined as follows:
A single unit of medical equipment or a single system of components with related functions which is used for the diagnosis or treatment of patients and which:
  1. Entails a capital expenditure as set forth in this chapter which exceeds $5,800,000 or some greater amount which has been designated by the Board following an annual adjustment for inflation;
  2. Represents medical technology which is not yet available in Delaware; or
  3. Represents medical technology which has been designated by the Board as being subject to review.
The following medical technologies have been designated by the Delaware Health Resources Board as being subject to review per (3.) above:
  • Cardiac Catheterization
  • Megavoltage Radiation Therapy
  • Extracorporeal Shock Wave Lithotripsy
  • Positron Emission Tomography (PET)
  • Magnetic Resonance Imaging (MRI)
  • Computed Tomography (CT)


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