Utah Admin. Code R414-10-2 - Definitions
In addition to the definitions in Rule R414-1, the following definitions apply to this rule.
(1)
"Assistant to surgery" means a physician or non-physician practitioner who
actively assists the physician in charge of a case in performing a surgical
procedure.
(2) "Family planning"
means diagnosis, treatment, medications, supplies, devices, and related
counseling in family planning methods to prevent or delay pregnancy.
(3) "Global surgical procedures" means
preoperative office visits and preparation, the operation itself, local
infiltration, topical or regional anesthesia when used, and normal follow-up
care.
(4) "Non-physician
practitioner" means covered member healthcare providers who practice either in
collaboration with or under the supervision of a physician, including physician
assistants and nurse practitioners.
(5) "Nurse practitioner" means an individual
who performs professional services within the scope of licensing of a nurse
practitioner pursuant to Title 58, Chapter 31b, Nurse Practice Act.
(6) "Physician services", whether furnished
in the office, the member's home, a hospital, a skilled nursing facility, or
elsewhere, means services performed by a Medicaid provider that meet the
following standards:
(a) services are
performed within the scope of the physician's license as defined in Title 58,
Occupations and Professions;
(b)
services are performed by a doctor of medicine or osteopathy, a doctor of
dental surgery or of dental medicine, a doctor of podiatric medicine, a doctor
of optometry, a chiropractor, or;
(c) services include medical care, or any
other type of remedial care furnished by licensed practitioners.
(7) "Physician assistant" means:
(a) an individual who performs professional
services within the scope of licensing in accordance with Title 58, Chapter
70a, Utah Physician Assistant Act.
(8) "Services" means the types of medical
assistance specified in Subsection 1905(a) of the Social Security Act and
interpreted in 42 CFR 440.
Notes
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