Ga. Comp. R. & Regs. R. 195-7-.03 - Pediatric Residency Capitation Funding
(1) For the annual provision of capitation
funds to established Pediatric Residency Programs, the Board requires the
following conditions be met:
(a)
Specification 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 and reports including,
but not limited to, a graduate practice location, 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 teaching hospital and/or Pediatric
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 teaching hospital or Pediatric Residency
Program.
(ii) Teaching
hospitals/Pediatric 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 five years post-graduation.
(e) Development and maintenance of procedures
to encourage residents to establish practices in areas of Georgia where unmet
need exists for pediatricians; 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 Pediatric Residency Program, the Board shall
authorize disbursement of pediatric 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 thirty-six 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 three (3) years will be authorized by the Board pending availability of
funds.
(3) State Audit.
The Teaching Hospital and/or Pediatric Residency Program shall be subject to an
audit of the financial records relating to the Pediatric 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 Teaching
Hospital and/or Pediatric Residency Program shall:
(a) Maintain for three (3) years after
receipt of Pediatric Residency Capitation Funding, all directly pertinent
books, documents, papers, and records involving related transactions;
(b) To account for the State funds received
through the Pediatric 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
Pediatric 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 Teaching Hospital and/or Pediatric Residency Program.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.