Ohio Admin. Code 5160-1-80 - Substitute practitioners (locum tenens)
(A) Definitions.
(1) "Practitioner," for purposes of this
rule, is a collective term for the following professionals:
(a) Doctor of medicine or
osteopathy;
(b) Advanced practice
registered nurse;
(c)
Dentist;
(d) Optometrist;
(e) Podiatrist; or
(f) Chiropractor.
(2) "Regular practitioner" is a practitioner
enrolled in the Ohio medicaid program who regularly takes care of an
individual's health care needs.
(3)
"Substitute practitioner" is a practitioner who generally does not maintain an
individual practice and who works in place of a regular practitioner when the
regular practitioner is absent;
(B) Coverage and
limitations.
(2) Payment for a substitute
practitioner is not available if a regular practitioner is a member of a
practice arrangement involving more than one practitioner of the same scope or
specialty.
Notes
Promulgated Under: 119.03
Statutory Authority: 5164.02
Rule Amplifies: 5164.02
Prior Effective Dates: 10/01/2018, 01/01/2020
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