Ala. Admin. Code r. 560-X-21-.06

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-21-.06 - Required Written Records

(1) When a patient is accepted for monthly services, the midwife's care must include plans for a delivery to be accomplished in a licensed hospital. In an emergency, delivery may be accomplished elsewhere. The plans need not be submitted to Medicaid but the midwife's file should contain written evidence that such plans existed for each patient accepted for global care.

(2) All nurse midwife services must be rendered under appropriate physician supervision. The physician may not bill for these supervisory services. The written records that each midwife keeps should include records naming the physician(s) with whom she works, and stating the working arrangement with the physician. The statement of the working arrangement need not be a formal contract, but it must contain the signature of both parties and must show the date on which it was signed.

(3) A complete medical record shall be maintained for each recipient for whom the nurse midwife provides services.

Author:

Ala. Admin. Code r. 560-X-21-.06

Rule effective October 1, 1982. Emergency rule June 14, 1993. Effective August 12, 1993. Amended: Filed February 7, 1994; effective March 15, 1994.

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§440.165, 440.210, 440.220, 441.21; Code of Ala. 1975, §§ 34-19-2, etseq.