Certify a Portable X-Ray Supplier

Purpose: This procedure briefly describes the steps necessary to certify a portable X-ray supplier service in North Carolina. The federal requirements are contained in the Code of Federal Regulations (CFR) at 42 CFR 486.100-486.110.

Contacts: For questions regarding any part of this process, please contact the appropriate sections of the N.C. Division of Health Service Regulation:

Acute and Home Care Licensure and Certification Section 919-855-4620
Certificate of Need Section 919-855-3873


  1. Obtain a certificate of need, if necessary: Certificate of Need Section
    1. The applicant who is proposing to develop a portable X-ray service first contacts the Certificate of Need Section to obtain a determination as to whether the proposal requires a certificate of need.
    2. The Certificate of Need Section makes its determination based on the proposed capital expenditure for the project. A copy of the determination is sent to the Acute and Home Care Licensure and Certification Section.
  2. Obtain certification: Acute and Home Care Licensure and Certification Section
    1. Suppliers of portable X-ray services must contact the section three months prior to operation for an application packet.
    2. The applicant completes the application and returns it to the section. Suppliers of portable X-ray services are required to have their equipment meet state licensure standards. This verification must be obtained prior to certification from the Radiation Protection Section at 919-814-2252.
    3. As soon as the applicant is ready for operation, they contact the section to request an on-site survey.
    4. The Medicare application (CMS Form 855) is forwarded by the provider to the fiscal intermediary for approval.  An initial survey will be scheduled with approval of the application by the fiscal intermediary.
    5. If the provider has deficiencies during the initial survey, the effective date for participation is the date that the section receives an acceptable plan of correction signed by the provider.
    6. The section assigns the Center for Medicare & Medicaid Services Certification Number (CCN) and notifies the fiscal intermediary.