Common use of Physician Extenders Clause in Contracts

Physician Extenders. In accordance with Indiana law, the following physician extenders are licensed to provide care in Indiana:  Advanced practice nurses, including nurse practitioners, nurse midwives and clinical nurse specialists;  Physician assistants; and  Certified registered nurse anesthetists. The Contractor shall implement initiatives to encourage providers to use physician extenders. Examples of these types of initiatives include, but are not limited to:  Educating providers about the benefits of physician extenders;  Educating providers about reimbursement policies for physician extenders; and  Offering financial or non-financial incentives to providers who increase their use of physician extenders. Any financial incentives must be positive, not punitive. State Medicaid programs are required to make nurse practitioner services available to Medicaid recipients in accordance with 42 CFR 441.22. The Contractor shall permit members to use the services of nurse practitioners out-of-network if no nurse practitioner is available in the Contractor’s network. If nurse practitioner services are available through the Contractor, the Contractor must inform the member that nurse practitioner services are available.

Physician Extenders. In accordance with Indiana law, the following physician extenders are licensed to provide care in Indiana:  Advanced practice nurses, including nurse practitioners, nurse midwives and clinical nurse specialists;  Physician assistants; and  Certified registered nurse anesthetists. The Contractor shall implement initiatives to encourage providers to use physician extenders. Examples of these types of initiatives include, but are not limited to:  Educating providers about the benefits of physician extenders;  Educating providers about reimbursement policies for physician extenders; and  Offering financial or non-financial incentives to providers who increase their use of physician extenders. Any financial incentives must be positive, not punitive. EXHIBIT 1.M SCOPE OF WORK State Medicaid programs are required to make nurse practitioner services available to Medicaid recipients in accordance with 42 CFR 441.22. The Contractor shall permit members to use the services of nurse practitioners out-of-network if no nurse practitioner is available in the Contractor’s network. If nurse practitioner services are available through the Contractor, the Contractor must inform the member that nurse practitioner services are available.

Physician Extenders. In accordance with Indiana law, the following physician extenders are licensed to provide care in Indiana:  • Advanced practice nurses, including nurse practitioners, nurse midwives and clinical nurse specialists;  • Physician assistants; and  • Certified registered nurse anesthetists. The Contractor shall implement initiatives to encourage providers to use physician extenders. Examples of these types of initiatives include, but are not limited to:  • Educating providers about the benefits of physician extenders;  • Educating providers about reimbursement policies for physician extenders; and  • Offering financial or non-financial incentives to providers who increase their use of physician extenders. Any financial incentives must be positive, not punitive. State Medicaid programs are required to make nurse practitioner services available to Medicaid recipients in accordance with 42 CFR 441.22. The Contractor shall permit members to use the services of nurse practitioners out-of-network if no nurse practitioner is available in the Contractor’s network. If nurse practitioner services are available through the Contractor, the Contractor must inform the member that nurse practitioner services are available.

Physician Extenders. In accordance with Indiana law, the following physician extenders are licensed to provide care in Indiana:  Advanced practice nurses, including nurse practitioners, nurse midwives and clinical nurse specialists;  Physician assistants; and  Certified registered nurse anesthetists. The Contractor shall implement initiatives to encourage providers to use physician extenders. Examples of these types of initiatives include, but are not limited to:  Educating providers about the benefits of physician extenders;  Educating providers about reimbursement policies for physician extenders; and  Offering financial or non-financial incentives to providers who increase their use of EXHIBIT 1.M SCOPE OF WORK physician extenders. Any financial incentives must be positive, not punitive. State Medicaid programs are required to make nurse practitioner services available to Medicaid recipients in accordance with 42 CFR 441.22. The Contractor shall permit members to use the services of nurse practitioners out-of-network if no nurse practitioner is available in the Contractor’s network. If nurse practitioner services are available through the Contractor, the Contractor must inform the member that nurse practitioner services are available.