Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-4 - Physician Services
Section 5160-4-02.3 - Exception for certain services provided by residents

Universal Citation: OH Admin Code 5160-4-02.3

Current through all regulations passed and filed through September 16, 2024

(A) The provisions set forth in paragraph (B) of rule 5160-4-02 of the Administrative Code do not apply when both of the following criteria are met:

(1) A healthcare service is provided by a resident participating in an approved graduate medical education (GME) program; and

(2) The conditions specified in 42 C.F.R. 415.174 (October 1, 2020) are satisfied.

(B) No separate payment will be made for services rendered by an unsupervised resident at a location not specified in 42 C.F.R. 415.174 (October 1, 2020).

Replaces: 5160-4-05

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