Rule 5160-4-02.3 | Exception for certain services provided by residents.

• Effective: September 1, 2021
• Promulgated Under: 119.03

(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).

Last updated September 1, 2021 at 8:28 AM

Supplemental Information

Authorized By: 5164.02
Amplifies: 5164.02
Five Year Review Date: 9/1/2026
Prior Effective Dates: 4/7/1977, 12/21/1977, 12/30/1977, 7/1/1980, 10/1/1987, 9/1/1989, 1/1/2001, 9/1/2005, 2/12/2006, 4/1/2016