Section 140.410 Physicians' Services

Section 140

TITLE 89: SOCIAL SERVICES

CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES

SUBCHAPTER d: MEDICAL PROGRAMS

PART 140 MEDICAL PAYMENT

SECTION 140.410 PHYSICIANS' SERVICES

Section 140.410  Physicians'

Services

a)         Payment shall be made only to physicians licensed to practice

medicine in all its branches.

b)         The restrictions and limitations which shall apply to

physician participation include the following:

1)         Interns are not eligible to participate;

2)         Residents are eligible to participate where, by terms of their

contract with the hospital, they are permitted to and do bill private patients

and collect and retain the payments received for their services;

3)         Hospital based specialists who are salaried, with the cost of

their services included in the hospital reimbursement costs, are eligible to

participate when their contractual arrangment with the hospital provides for

them to make their own charges for professional services and they do, in fact,

bill private patients and collect and retain payments made;

4)         Physicians holding non-teaching administrative or staff

positions in hospitals and/or medical schools are eligible to participate to

the extent that they maintain a private practice and bill private patients and

collect and retain payments made; and

5)         Teaching physicians who provide direct patient care are

eligible to participate if the salaries paid them by hospitals or other

institutions do not include a component for treatment services.