The following words and terms shall have the following meaning
when used in this division unless the context clearly indicates otherwise.
(1) Direct supervision--The supervising physician must
be in the same office, building, or facility when and where the service
is provided and must be immediately available to furnish assistance
(2) Personal supervision--The supervising physician
must be physically present in the room when and where the service
is being provided.
(3) Substitute physician--A physician who provides
services in place of another physician under either a reciprocal or
locum tenens arrangement. These arrangements must comply with Medicaid
policy, billing, reporting, and documentation requirements.
(A) Reciprocal arrangements--of a substitute physician
covering for the billing physician on an occasional basis when the
billing physician is unavailable to provide services, and limited
to a continuous period of coverage that is no longer than 14 days.
Reciprocal arrangements do not have to be in writing.
(B) Locum tenens arrangements--of a substitute physician
assuming the practice of a billing physician for a temporary period
of no longer than 90 days when the billing physician is absent for
reasons such as illness, pregnancy, vacation, continuing medical education,
or active duty in the U.S. Armed Forces. When the reason is due to
active duty in the Armed Forces, the temporary period may extend over
a longer continuous period during all of which the billing physician
has been called or ordered to active duty as a member of a reserve
component of the Armed Forces. Locum tenens arrangements must be in