N.Y. Comp. Codes R. & Regs. Tit. 10 § 47-2.2 - Practice requirements/eligibility
(a) A new pediatric practitioner may be
eligible to contract with the program if the practitioner:
(1) agrees to provide pediatric services
full-time in a designated pediatric area;
(2) agrees that the ratio of the practice's
target patient population to the total patient population will be equal to or
greater than the ratio of the target population in the designated area to the
total population in that designated area;
(3) agrees to provide medical care in
accordance with accepted medical standards (for example, standards accepted by
the American College of Pediatricians);
(4) has the education, training and access to
health care facilities to provide pediatric services to the eligible population
(or, for a pediatric nurse practitioner, a practice arrangement with a
pediatric practitioner who meets such requirements) including:
(i) hospital admitting privileges;
(ii) arrangements for 24-hour backup
coverage; and
(iii) has purchased
medical malpractice insurance from a medical liability insurer; and
(5) is responsible for paying
his/her own malpractice insurance premiums or is a member of a partnership or
professional corporation which is responsible for paying his/her malpractice
insurance premiums.
(b)
An additional service obstetric practitioner may be eligible to contract with
the program if the practitioner:
(1) agrees to
increase the number of the target population provided comprehensive obstetrical
services over the number served preceding the application;
(2) agrees to provide medical care in
accordance with accepted medical standards (for example, standards accepted by
the American College of Obstetricians and Gynecologists, the American Academy
of Family Practitioners, or the American College of Nurse-Midwives);
(3) has the education, training and access to
health care facilities to provide obstetric services to the eligible population
(or, for obstetric nurse practitioners, a practice arrangement with an
obstetric practitioner who meets such requirements) including:
(i) hospital admitting and delivery
privileges in a hospital with maternity services or practice privileges in a
birth center; and
(ii) arrangements
for 24-hour backup coverage; and
(iii) has purchased medical malpractice
insurance from a medical liability insurer; and
(4) is responsible for paying his/her/their
own malpractice insurance premiums or is a member of a partnership or
professional corporation which is responsible for paying his/her malpractice
insurance premiums.
(c)
A disproportionate share obstetric practitioner may be eligible to contract
with the program if the practitioner:
(1)
agrees to maintain his/her/their current high number of the target population
provided comprehensive obstetrical services: the number of deliveries required
to be performed to be considered a group providing a disproportionate share of
services is the sum of those required for each individual to be a
disproportionate share provider;
(2) agrees to provide medical care in
accordance with accepted medical standards (for example, standards accepted by
the American College of Obstetricians and Gynecologists, the American Academy
of Family Practitioners, or the American College of Nurse-Midwives);
(3) has the education, training and access to
health care facilities to provide obstetric services to the eligible population
(or for obstetric nurse practitioners, a practice arrangement with an obstetric
practitioner who meets such requirements) including:
(i) hospital admitting and delivery
privileges in a hospital with maternity services or practice privileges in a
birth center;
(ii) arrangements for
24-hour backup coverage; and
(iii)
has purchased medical malpractice insurance from a medical liability insurer;
and
(4) is responsible
for paying his/her/their own malpractice insurance premiums or is a member of a
partnership or professional corporation which is responsible for paying
his/her/their malpractice insurance premiums.
Notes
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