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PRIMARY CARE PHYSICIAN
All Temporary/Relief Care Physicians assigned to CDCR must have the minimum experience outlined
1. Twelve (12) continuous months of experience within the last three (3) years performing services similar
in scope to those defined herein in a public or private institution.
2. Specialty Services – In addition to the above requirements, Temporary/Relief Primary Care Physicians
who are requested to work in a specialized area such as emergency medicine, surgery, etc., shall also
have at least two (2) years of experience within the last three (3) years providing patient care within that
setting and possess any required certificates. Clinical competencies must be current and validated for
the area in which Temporary/Relief Primary Care Physician will be assigned.
3. Obstetrics/Gynecology – Temporary/Relief Primary Care Physicians provided to female
Institutions/Facilities must also have at least one (1) year of experience within the last five (5) years
rendering obstetric and gynecological nursing or patient care services in a healthcare setting in addition to
the above qualifications. Clinical competencies must be current and validated for the area in which
Temporary/Relief Primary Care Physician will be assigned.
4. All Temporary/Relief Primary Care Physicians shall licensed to practice medicine in the State of
California as defined in the Medical Practice Act, Chapter 5, commencing with Section 2000 of the
Business and Professions Code and possess a valid Physician license as issued by the Medical
Board/Osteopathic Board of California. Temporary/Relief Primary Care Physician must be a Medical
Doctor or Doctor of Osteopathy (M.D./D.O.), Board Certified, maintain Advanced Cardiovascular Life
Support (ACLS) certification, maintain current Drug Enforcement Administration (DEA) Certification and
maintain active CCHCS credentialing status.
5. A Fictitious Name Permit (FNP) must be on file with the California Department of Consumer Affairs
under the name of the Medical Corporation being used, as specified in the Medical Practice Act, Chapter
5, commencing with Section 2000 of the Business and Professions Code.
of the Business and Professions Code.
6. Business and Profession Code 2072
Notwithstanding any other provision of law and subject to the provisions of the State Civil Service Act, any
person who is licensed to practice medicine in any other state, who meets the requirements for
application set forth in this chapter and who registers with and is approved by the Division of Licensing
may be appointed to the medical staff within a state institution and, under the supervision of a physician
and surgeon licensed in this state, may engage in the practice of medicine on persons under the
jurisdiction of any state institution. Qualified physicians and surgeons licensed in this state shall not be
recruited pursuant to this section. No person appointed pursuant to this section shall be employed in any
state institution for a period in excess of two years from the date the person was first employed and the
appointment shall not be extended beyond the two-year period. At the end of the two-year period, the
physician shall have been issued a physician’s and surgeon’s certificate by the board in order to continue
employment. Until the physician has obtained a physician’s and surgeon’s certificate from the board, he
or she shall not engage in the practice of medicine in this state except to the extent expressly permitted
7. Any Temporary/Relief Primary Care Physician providing services through this Agreement must be
proficient in the English language and be able to communicate effectively with the CDCR/CCHCS. All
Temporary/Relief Primary Care Physicians must be able to speak, understand oral and written
communication and write effectively in the English language. Any Temporary/Relief Primary Care
Physician who fails to meet the minimum qualifications shall not be permitted to perform services.
Service Delivery Requirements
Under the direction of the Institution/Facility CEO/CME or designee, the Temporary/Relief Primary Care
Physician shall provide services as permitted within the scope of practice for Primary Care Physician
services in accordance with Institution/Facility policies and procedures.
A. Standards of Obligation
To assist CDCR/CCHCS in its exercise of its duty to provide and manage medical healthcare services for
the patient/youth of the State of California, Temporary/Relief Primary Care Physicians shall provide high
quality services, consistent with the terms and conditions under this Agreement and consistent with
established and commonly accepted standards and principles of medical practice. Nothing in this
Agreement shall supersede the common law rules for the interpretation of established and commonly
accepted standards and principles of medical practice.
Temporary/Relief Primary Care Physicians shall adhere to the CDCR/CCHCS medical staff by-laws,
rules, regulations, policies and procedures, and comply with universal infection control precautions.
1. Authorization for Treatment
Temporary/Relief Primary Care Physician shall agree that, as required by law, excluding emergency and
primary care services, prior authorization must be obtained in writing from the respective CDCR/CCHCS
Institution/Facility CEO/CME or designee, in accordance with CCHCS's Utilization Management Plan.
Temporary/Relief Primary Care Physician shall complete and return all forms required by CDCR
regarding treatment of patient/youth. Authorization must be documented in the patient/youth medical
record in all cases of essential services before considering any non-emergency specialty treatment, or
any consultations by specialty Physicians, Physician Assistants, and/or Nurse Practitioners or diagnostic
procedures not specifically stated in a CDCR/CCHCS prior authorization form.
2. Authorization for Transportation/Transfers
Temporary/Relief Primary Care Physician shall agree that, as required by law, CDCR/CCHCS retains full
authority to determine the manner in which a patient/youth is transported to the CDCR/CCHCS
Institutions/Facilities or transferred to other healthcare facilities, after the course of treatment or therapy
has been implemented or completed.
Temporary/Relief Primary Care Physician shall not transfer a patient/youth to any Institution/Facility
without prior written authorization from the appropriate CDCR/CCHCS Institution/Facility CEO/CME or
3. Experimental and Investigational Drugs and Procedures
Temporary/Relief Primary Care Physician shall not perform on or administer to any patient/youth any
experimental or investigational treatment, therapy, procedure or drug. Such treatment, unless it is
otherwise permissible under law, is prohibited under Penal Code, Section 3502, and thus, must have prior
authorization by the Institution/Facility CEO/CME or designee and CDCR's Office of Legal Affairs.
Temporary/Relief Primary Care Physician shall agree to perform or administer only those medical
services which are recognized as being in accord with generally accepted professional medical
standards, or as being safe and effective for use in the treatment of an illness, injury or condition at issue,
subject to the limitations described in this Agreement.
4. Exclusions and Limitations
a. Temporary/Relief Primary Care Physician shall agree that no healthcare service or treatment shall be
provided for those conditions specifically listed in California Code of Regulations (CCR), Title 15, Division
3, Chapter 1, Subchapter 4, Article 8, Section 3350.1. Physicians provided by the Vendor may request
individual case exceptions for excluded or limited healthcare service or treatment by seeking prior
approval of the Institution/Facility's CEO/CME or designee.
b. Temporary/Relief Primary Care Physician agree that any excluded healthcare service or treatment
needed for pre-existing conditions shall be provided only in the event that the condition has become
aggravated in such a manner that it poses a significant threat to the patient's/youth's current health and if
not treated would result in morbidity and/or mortality. Temporary/Relief Primary Care Physician shall
acknowledge that the appeal must be recognized as medically necessary.
c. The CDCR/CCHCS Medical Standards of Care shall be used as a reference when prior authorization is
5. Clinical Reviews
At the request of the Institution/Facility's CEO/CME or designee, Temporary/Relief Primary Care
Physician shall perform clinical reviews to determine the quality of clinical care delivered. This includes
clinical reviews of index cases (deaths, adverse outcomes etc.) for the purposes of determining clinical
quality. As part of the clinical review process, Temporary/Relief Primary Care Physician can also be
required to participate in Professional Practice Committee activities and may be called as witnesses in
Professional Practice activities. The process of clinical reviews may include the examination of written
health records, discussion with Physicians, Physician Assistants, and/or Nurse Practitioners and
CDCR/CCHCS supervisors and direct patient/youth examinations. The Temporary/Relief Primary Care
Physicians who perform clinical reviews are required to be skilled in the preparation of written clinical
6. CCHCS shall provide a copy of the CDCR/CCHCS's formulary to be kept on file by the
Temporary/Relief Primary Care Physician. Temporary/Relief Primary Care Physician shall consult with
CDCR physicians to assure that whenever possible only those medications which are on the CDCR's
formulary are prescribed unless prior authorization is given by the Institution/Facility's CEO/CME or
designee for deviation.
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