| (B) Locum Tenens Arrangements. When the substitute
physician sees patients in the billing physician's practice under
a locum tenens arrangement, the billing physician may bill for services
furnished by the substitute physician during a period that does not
exceed 90 continuous days. Except as provided in clause (iii) of this
subparagraph, services furnished by the substitute physician after
the 90th day must be billed under the substitute physician's own Medicaid
provider number.
(i) When the billing physician is absent for more than
90 days, the billing physician may bill for services furnished by
a different substitute physician for each consecutive continuous 90
day period.
(ii) The billing physician may only bill for services
furnished by a substitute physician on a temporary basis. Except as
provided in clause (iii) of this subparagraph, the billing physician
may not bill for services furnished by a substitute physician to address
long-term vacancies in a physician practice.
(iii) When the billing physician is absent or unavailable
due to active duty as a member of a reserve component of the U.S.
Armed Forces, the billing physician may bill for the services of a
substitute physician for 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. Medicaid may
reimburse the billing physician for services provided by the substitute
physician until the billing physician is no longer on active duty
as a member of a reserve component of the Armed Forces.
|
| Source Note: The provisions of this §354.1062 adopted to be effective May 30, 1977, 2 TexReg 1929; amended to be effective February 14, 1984, 9 TexReg 583; amended to be effective October 8, 1984, 9 TexReg 4975; amended to be effective September 1, 1986, 11 TexReg 3301; amended to be effective March 16, 1988, 13 TexReg 1107; amended to be effective August 1, 1988, 13 TexReg 3528; amended to be effective July 1, 1989, 14 TexReg 2685; amended to be effective September 1, 1989, 14 TexReg 4133; amended to be effective November 5, 1990, 16 TexReg 1934; transferred effective September 1, 1993, as publishedin the Texas Register September 7, 1993, 18 TexReg 5978; amended to be effective August 24, 1998, 23 TexReg 8681; amended to be effective April 1, 2000, 25 TexReg 2630; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561; amended to be effective August 5, 2009, 34 TexReg 5059; amended to be effective July 14, 2014, 39 TexReg 5353; amended to be effective January 1, 2015, 39 TexReg 9881; amended to be effective October 15, 2015, 40 TexReg 7055 |
