Physician visits must conform to the following schedule:
(1) Licensed-only facility. Each resident must have
a medical examination at least annually by the resident's physician
and as necessary to meet the needs of the resident. Physician orders
must be reviewed and revised as necessary at least once every 60 days,
unless the resident's physician specifies, in writing in the resident's
clinical record, a different schedule for each review and revision.
(2) Medicaid-certified facilities and Medicare skilled
nursing facilities.
(A) The resident must be seen by a physician at least
once every 30 days for the first 90 days after admission, and at least
once every 60 days thereafter.
(B) A physician visit is considered timely if it occurs
not later than ten days after the date the visit was required.
(C) Except as provided in paragraph (3) of this section
and §19.1205(c) of this subchapter (relating to Physician Delegation
of Tasks), all required visits must be made by the physician personally.
(3) Medicare skilled nursing facilities. At the option
of the physician, required visits in Medicare skilled nursing facilities
after the initial visit may alternate between personal visits by the
physician and visits by a physician assistant or an advanced practice
registered nurse in accordance with §19.1205 of this subchapter.
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| Source Note: The provisions of this §554.1203 adopted to be effective May 1, 1995, 20 TexReg 2393; amended to be effective October 15, 1998, 23 TexReg 10496; amended to be effective March 24, 2020, 45 TexReg 2025; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |
