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Current as of January 01, 2023 | Updated by FindLaw Staff
Any physician seeking a designation as an essential community provider shall:
(1) Apply to the director of the department;
(2) Document to the department that at least forty percent of the physician's practice is comprised of:
(a) Medicaid or uninsured patients, or both; or
(b) A combination of paragraph (a) and Medicare or underinsured patients, or both;
(3) Serve a medically underserved area or a health professional shortage area;
(4) Serve a medically underserved population;
(5) Spend at least twenty hours per week at a principal site;
(6) Be available to a medically underserved population on evenings and weekends at a principal site;
(7) Hold hospital staff privileges with a participating network hospital of the health care insurer;
(8) Not be a direct employee of a health care insurer, a for-profit or a not-for-profit hospital or health services corporation; and
(9) Meet the following quality standards in accordance with guidelines established by the National Committee for Quality Assurance:
(a) A current valid license to practice;
(b) Clinical privileges in good standing at the hospital designated by the physician as the primary admitting facility;
(c) A valid Drug Enforcement Agency or Controlled Dangerous Substances certificate, if applicable;
(d) Graduation from medical school, and completion of a residency or board certification if applicable;
(e) Work history;
(f) Current adequate malpractice insurance according to the managed care organization's policy; and
(g) Professional liability claims history.
Cite this article: FindLaw.com - Missouri Revised Statutes Title XXIII. Corporations, Associations and Partnerships § 354.652. Designation as essential community provider, procedure, qualifications - last updated January 01, 2023 | https://codes.findlaw.com/mo/title-xxiii-corporations-associations-and-partnerships/mo-rev-st-354-652/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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