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216.925 Midlevel health care practitioner.
(1)
(2)
(3)
A midlevel health care practitioner may be qualified by:
(a) Being a health professional licensed or certified by a body granted such
authority by the Kentucky Revised Statutes and passing the qualifying
examination; or
(b) Working under the supervision of a family physician in a network for a
minimum of five (5) years and passing the qualifying examination.
To maintain a certification in good standing, a midlevel health care practitioner
shall:
(a) Complete annually a minimum of ten (10) medical education hours
recognized by the board; and
(b) Retake and pass the qualifying examination at least once every five (5)
years.
Midlevel health care practitioners may assist physicians in networks as follows:
(a) Provide management of a limited number of chronic conditions for which
protocols have been approved by the board and treatment plans
prescribed by a network physician. Each patient for whom services are
provided by a midlevel health care practitioner shall be examined at least
twice a year by a network physician. During such examinations, the health
care needs of the patient and the management regimen maintained by
the midlevel health care practitioner shall be evaluated and documented
in the patient's medical chart. No midlevel health care practitioner shall
see a patient for initial consideration of a patient's medical problem nor
shall a midlevel health care practitioner attempt to manage or treat a
patient for an acute condition. Every encounter between a midlevel health
care practitioner and a patient shall be reviewed by a medical chart
auditor on the day of the encounter and any deviation from the treatment
plan or protocol shall be immediately reported to the supervising network
physician;
(b) Cause maintenance medications used in the treatment of chronic
conditions to be dispensed to network patients solely within the confines
of the network in accord with the protocols and formulary approved by the
board and the treatment plan prescribed by a network physician at a
charge not to exceed the cost of the medication plus a one dollar ($1)
dispensing fee;
(c) Make referrals in accordance with the linkage agreements and follow-up
on referrals to assure they did occur;
(d) Provide patient education in accordance with the treatment plan; and
(e) Provide treatment as defined herein in either the primary facility of the
network or in network extension clinics, if physician consultation is
immediately available in person or by telephone. Midlevel health care
practitioners shall not provide treatment in hospitals, skilled-nursing
homes, nursing homes, intermediate-care facilities, personal care homes,
family care homes, outpatient clinics, ambulatory care facilities,
ambulatory surgical centers, emergency care centers, ambulances,
hospices, community facilities for mental health or individuals with an
(4)
intellectual disability, home health agencies, and kidney disease
treatment centers. A midlevel health care practitioner shall not replace
existing licensed, registered, or certified health care personnel.
Midlevel health care practitioners shall be utilized to expand the availability of
health services. They shall not be used to expand the economic base of any
network.
Effective:July 12, 2012
History: Amended 2012 Ky. Acts ch. 146, sec. 105, effective July 12, 2012. -Created 1990 Ky. Acts ch. 482, sec. 6, effective July 13, 1990.
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