Ga. Comp. R. & Regs. R. 195-19-.02 - General Surgery Residency Capitation Funding
(1) For the annual provision of capitation
funds to designated General Surgery Residency Programs, the Board requires the
following conditions be met:
(a) Notification
of the total number of residents to be trained during an academic
year;
(b) Maintenance of approval
of the Program by the ACGME;
(c)
Compliance with all Board guidelines, rules, and regulations;
(d) Submission of all reports including, but
not limited to, a graduate practice location report, and such other documents
as may be reasonably required by the Board and/or outlined in the Georgia Board
of Health Care Workforce Report Guidelines;
1.
Practice Location of Graduates. The Medical School and/or General Surgery
Residency Program shall annually submit a report to the Board indicating the
practice location of each graduate to assist the Board in evaluating the
effectiveness of the Program in meeting the need for physicians in Georgia.
(i) Graduate practice location reports shall
be due no later than September 1st of each year and
include the practice location (city/state), additional training being pursued
(e.g., fellowship), military service obligation, other state or federal service
obligation (e.g., Georgia Board of Health Care Workforce, National Health
Services Corp, etc.), or other activity of those residents completing their
medical education and training at the Medical School or General Surgery
Residency Program.
(ii) The Medical
Schools and/or General Surgery Residency Programs shall be expected to monitor,
update, and report to the Board, any changes in the practice status of
graduates for a period of three years post-graduation.
(e) Development and maintenance of
procedures to encourage residents to establish practices in areas of Georgia
where unmet need exists for General Surgery physicians; and collaboration to
maximize state resources, where appropriate, to carry out said
activities.
(2) Payment
Process. Based on the Resident Monthly Updates submitted by the General Surgery
Residency Program, the Board shall authorize disbursement of General Surgery
residency capitation funding in quarterly installments.
(a) The Program shall report on the Resident
Monthly Updates, resident's name, social security number, anticipated date of
graduation, post-graduate year, and indication of resident participation during
report period. Such reports shall be submitted no later than the tenth (10) day
of the following month.
(b)
Capitation payment shall not be made for any one resident in excess of sixty
months.
(c) Payment will not be
made for any resident on an unpaid leave of absence.
(d) Payment for a resident who must extend
his/her training over a period in excess of five (5) years will be authorized
by the Board pending availability of funds.
(3) State Audit. The Medical School and/or
General Surgery Residency Program shall be subject to an audit of the financial
records relating to the General Surgery Residency Capitation Funding upon
request of the Board or other duly authorized officer or employee of the State
of Georgia upon reasonable request. For this purpose, the Medical School and/or
General Surgery Residency Program shall:
(a)
Maintain for three (3) years after receipt of General Surgery Residency
Capitation Funding, all directly pertinent books, documents, papers, and
records involving related transactions;
(b) To account for the State funds received
through the General Surgery Residency Capitation Agreement in the next
"Certified Independent Auditors Report" or in "Audited Financial Statements" of
the Hospital.
(c) Retain sufficient
records for the conduct of an audit for any year for which payments are in
dispute until such dispute is resolved;
(d) Be subject to reduction in payment of
General Surgery Residency Capitation Funding based on the findings of a state
audit disallowing any previous such payment; and
(e) Maintain a permanent personnel file on
each resident who graduates from the Program which shall include a record of
the resident's experience during the training period and evaluations of their
performance by faculty and other supervisors.
(4) Retention of Graduates. The practice
location of graduates will be monitored by the Board for five (5) years from
date of graduation. In the event retention of graduates practicing in Georgia
should fall below an acceptable number, over any five (5) consecutive year
period, the Board shall have the authority to adjust the rate of capitation
paid to said Program. The acceptable rate of retention will be determined by
the Board from time to time and set forth in the Agreement between the Board
and the Medical School and/or General Surgery Residency Program.
Notes
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