Provider Qualifications. 4.1 Provider states it consists of health care providers who: a) Maintain current licenses, certifications, and permits required for such health care services in accordance with Federal statutes and regulations; and b) Are physicians, physician assistants and/or nurse practitioners who are general practice or are board eligible or certified in family medicine, general internal medicine or general pediatrics, or are specialized in other areas of medicine but practicing in a more general capacity and, in either case, are authorized to serve as PCPs. 4.2 Provider, if employing a medical resident(s) serving as a PCP, states: a) He/she is licensed to practice medicine; b) He/she is at the Post-Graduate (PG-2) level or higher; c) He/she serves as a PCP only within his/her continuity clinic (e.g., family practice residents may only serve as CMs within the family practice residency clinic setting); and d) He/she works under the supervision of a licensed attending physician.
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Provider Qualifications. 4.1 Provider states it consists of health care providers who:
a) Maintain current licenses, certifications, and permits required for such health care services in accordance with Federal statutes and regulations; and
b) Are physicians, physician assistants and/or nurse practitioners who are general practice or are board eligible or certified in family medicine, general internal medicine or general pediatrics, or are specialized in other areas of medicine but practicing in a more general capacity and, in either case, are authorized to serve as PCPs.
4.2 Provider, if employing a medical resident(s) serving as a PCP, states:
a) He/she is licensed to practice medicine;
b) He/she is at the Post-Graduate (PG-2) level or higher;
c) He/she serves as a PCP only within his/her continuity clinic (e.g., family practice residents may only serve as CMs within the family practice residency clinic setting); and;
d) He/she works under the supervision of a licensed attending physician.
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Provider Qualifications. 4.1 Provider PROVIDER states it consists of health care providers who:
a) Maintain current licenses, certifications, and permits required for such health care services in accordance with Federal statutes and regulations; and;
b) Are physicians, physician assistants and/or nurse practitioners who are general practice or are board eligible or certified in family medicine, general internal medicine or general pediatrics, or are specialized in other areas of medicine but practicing in a more general capacity and, in either case, are authorized to serve as PCPs.
4.2 ProviderPROVIDER, if employing a medical resident(s) serving as a PCP, states:
a) He/she is licensed to practice medicine;
b) He/she is at the Post-Graduate (PG-2) level or higher;
c) He/she serves as a PCP only within his/her continuity clinic (e.g., family practice residents may only serve as CMs within the family practice residency clinic setting); and;
d) He/she works under the supervision of a licensed attending physician.
Appears in 2 contracts
Provider Qualifications. 4.1 Provider states it consists of health care providers who:
a) Maintain current licenses, certifications, and permits required for such health care services in accordance with Federal statutes and regulations; and
b) Are physicians, physician assistants and/or nurse practitioners who are general practice or are board eligible or certified in family medicine, general internal medicine or general pediatrics, or are specialized in other areas of medicine but practicing in a more general capacity and, in either case, are authorized to serve as PCPs.
4.2 Provider, if employing a medical resident(s) serving as a PCP, states:
a) He/she is licensed to practice medicine;
b) He/she is at the Post-Graduate (PG-2) level or higher;
c) He/she serves as a PCP only within his/her continuity clinic (e.g., family practice residents may only serve as CMs PCPs within the family practice residency clinic setting); and
d) He/she works under the supervision of a licensed attending physician.
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Sources: Reimbursement Agreement