Medical Residents Sample Clauses

Medical Residents. The Contractor shall comply with SDOH Guidelines for use of Medical Residents as found in Appendix I, which is hereby made a part of this Agreement as if set forth fully herein.

Medical Residents. Medical Residents as Primary Care Providers. MCOs may utilize medical residents as participants (but not designated as 'primary care providers') in the care of Enrollees as long as all of the following conditions are met:

Medical Residents. AS SPECIALTY CARE PROVIDERS (1) Residents may participate in the specialty care of Medicaid managed care patients in all settings supervised by fully licensed and MCO/PHSP credentialed specialty attending physicians. (2) Only the attending physicians, not residents or fellows, may be credentialed by the MCO. Each attending must be credentialed by each APPENDIX I OCTOBER 1, 2004 I-3 MCO with which they will participate. Residents may perform all or many of the clinical services for the Enrollee as long as these clinical services are under the supervision of an appropriately credentialed specialty physician. Even when residents are credentialed by their program in particular procedures, certifying their competence to perform and teach those procedures, the overall care of each Enrollee remains the responsibility of the supervising MCO-credentialed attending. (3) It is understood that many Enrollees will identify a resident as their specialty provider but the responsibility for all clinical decision-making remains with the attending physician of record. (4) Enrollees must be given the name of the responsible "attending physician in writing and be told how they may contact their attending physician or covering physician, if needed. This allows Enrollees to assist "in the communication between their primary care provider and specialty attending and enables them to reach the specialty attending 'if An emergency arises in the course of their care. Enrollees must be Made aware of the resident/attending relationship and must have a right to be, cared for directly by the responsible attending physician, if requested. (5) Enrollees requiring ongoing specialty care must be cared for in a continuity of care setting. This requires the ability to make follow-up appointments with a particular resident/attending physician, or if that provider team is not available, with a member of the provider's coverage group in order to insure ongoing responsibility for the patient by his/her MCO credentialed specialist. The responsible specialist and his/her specialty coverage group must be identifiable to the patient as well as to the referring primary care provider. (6) Attending specialists must be available for emergency consultation and care during non-clinic hours. Emergency coverage may be PROVIDED by residents under adequate supervision. The attending or a member of the attending's coverage group must be available for telephone and/or in-person consultation when necessary. (7) ...