Cal. Code Regs. Tit. 22, § 51240 - Utilization of Nonphysician Medical Practitioners
(a) Each primary care physician, organized
outpatient clinic or hospital outpatient department which utilizes a qualified
nonphysician medical practitioner shall complete a "Medi-Cal Nonphysician
Medical Practitioner and Licensed Midwife Application," DHS 6248 (Rev. 07/05)
for enrollment in the Medi-Cal program pursuant to Section
51000.30.
(b) The number of nonphysician medical
practitioners who may be supervised by a single primary care physician shall be
in accordance with applicable professional licensing statutes and
regulations.
(c) A primary care
physician, an organized outpatient clinic or a hospital outpatient department
shall not utilize more nonphysician medical practitioners than can be
supervised within the limits stated in (b).
(d) Each primary care physician organized
outpatient clinic or hospital outpatient department which utilizes a
nonphysician medical practitioner shall develop a Physician-Practitioner
Interface specifically establishing the scope and limits of services to be
rendered by, and related to the functions of, each nonphysician medical
practitioner.
(1) A Physician-Practitioner
Interface includes the following:
(A) In the
case of registered nurses, standardized procedures, as required by Title 16,
Article 7, Division 14, California Code of Regulations, commencing with Section
1470.
(B) In the case of physician assistants, a
written delegation of medical services and written supervisory guidelines, as
required by Section
1399.540 and Section
1399.545(e),
Title 16, California Code of Regulations.
(C) All written protocols issued by
collaboration between the physician and the nonphysician medical
practitioner.
(D) All written
standing orders of the physician.
(E) All written special orders given by the
physician.
(2) Agreements
reached in developing the Physician-Practitioner Interface shall be retained on
file at the provider's office, readily available for review by the
Department.
Notes
2. Certificate of Compliance filed 8-9-78 (Register 78, No. 31).
3. Change without regulatory effect amending subsection (f)(1)(B) filed 7-7-94 pursuant to section 100, title 1, California Code of Regulations (Register 94, No. 27).
4. Editorial correction of subsection (d) (Register 95, No. 45).
5. Amendment filed 11-10-2005; operative 11-10-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 45).
6. Amendment of subsection (b), repealer of subsections (b)(1)-(4) and (e)-(e)(2)(B) and amendment of NOTE filed 5-17-2012; operative 6-16-2012 (Register 2012, No. 20).
Note: Authority cited: Sections 10725, 14043.15, 14105 and 14124.5, Welfare and Institutions Code; and Section 20, Health and Safety Code. Reference: Sections 14043, 14043.1, 14043.2, 14043.47, 14132.4, 14132.41 and 14132.966, Welfare and Institutions Code.
2. Certificate of Compliance filed 8-9-78 (Register 78, No. 31).
3. Change without regulatory effect amending subsection (f)(1)(B) filed 7-7-94 pursuant to section 100, title 1, California Code of Regulations (Register 94, No. 27).
4. Editorial correction of subsection (d) (Register 95, No. 45).
5. Amendment filed 11-10-2005; operative 11-10-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 45).
6. Amendment of subsection (b), repealer of subsections (b)(1)-(4) and (e)-(e)(2)(B) and amendment of Note filed 5-17-2012; operative 6-16-2012 (Register 2012, No. 20).
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.