Section 51240 - Utilization of Nonphysician Medical Practitioners(a) Each primary care physician, organized outpatient clinic or hospital outpatient department which utilizes a qualified nonphysician medical practitioner shall complete a "Medi-Cal Nonphysician Medical Practitioner and Licensed Midwife Application," DHS 6248 (Rev. 07/05) for enrollment in the Medi-Cal program pursuant to Section 51000.30.(b) The number of nonphysician medical practitioners who may be supervised by a single primary care physician shall be in accordance with applicable professional licensing statutes and regulations.(c) A primary care physician, an organized outpatient clinic or a hospital outpatient department shall not utilize more nonphysician medical practitioners than can be supervised within the limits stated in (b).(d) Each primary care physician organized outpatient clinic or hospital outpatient department which utilizes a nonphysician medical practitioner shall develop a Physician-Practitioner Interface specifically establishing the scope and limits of services to be rendered by, and related to the functions of, each nonphysician medical practitioner.(1) A Physician-Practitioner Interface includes the following:(A) In the case of registered nurses, standardized procedures, as required by Title 16, Article 7, Division 14, California Code of Regulations, commencing with Section 1470.(B) In the case of physician assistants, a written delegation of medical services and written supervisory guidelines, as required by Section 1399.540 and Section 1399.545(e), Title 16, California Code of Regulations.(C) All written protocols issued by collaboration between the physician and the nonphysician medical practitioner.(D) All written standing orders of the physician.(E) All written special orders given by the physician.(2) Agreements reached in developing the Physician-Practitioner Interface shall be retained on file at the provider's office, readily available for review by the Department.Cal. Code Regs. Tit. 22, § 51240
1. New section filed 8-1-78 as an emergency; effective upon filing (Register 78, No. 31).
2. Certificate of Compliance filed 8-9-78 (Register 78, No. 31).
3. Change without regulatory effect amending subsection (f)(1)(B) filed 7-7-94 pursuant to section 100, title 1, California Code of Regulations (Register 94, No. 27).
4. Editorial correction of subsection (d) (Register 95, No. 45).
5. Amendment filed 11-10-2005; operative 11-10-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 45).
6. Amendment of subsection (b), repealer of subsections (b)(1)-(4) and (e)-(e)(2)(B) and amendment of NOTE filed 5-17-2012; operative 6-16-2012 (Register 2012, No. 20). Note: Authority cited: Sections 10725, 14043.15, 14105 and 14124.5, Welfare and Institutions Code; and Section 20, Health and Safety Code. Reference: Sections 14043, 14043.1, 14043.2, 14043.47, 14132.4, 14132.41 and 14132.966, Welfare and Institutions Code.
1. New section filed 8-1-78 as an emergency; effective upon filing (Register 78, No. 31).
2. Certificate of Compliance filed 8-9-78 (Register 78, No. 31).
3. Change without regulatory effect amending subsection (f)(1)(B) filed 7-7-94 pursuant to section 100, title 1, California Code of Regulations (Register 94, No. 27).
4. Editorial correction of subsection (d) (Register 95, No. 45).
5. Amendment filed 11-10-2005; operative 11-10-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 45).
6. Amendment of subsection (b), repealer of subsections (b)(1)-(4) and (e)-(e)(2)(B) and amendment of Note filed 5-17-2012; operative 6-16-2012 (Register 2012, No. 20).