{"ref":"MO-HSP-MD-01","title":"Medical Director and Physician Services","category":"Governance","summary":"Sets out the medical director's qualifications under Missouri's rule (a doctor of medicine or osteopathy licensed in Missouri or a bordering state, as a direct or contract employee), the six services the medical director or designee must provide, the annual review of standing orders, physician coverage when the medical director is unavailable, the attending physician's role and who may serve as attending physician in Missouri, and the contract terms for a contracted medical director.","inShort":["Dr. Morgan Sample is the medical director. When the medical director is away, Dr. Riley Sample acts in that role.","The medical director advises attending physicians on pain and symptom control and reviews whether each patient is appropriate for hospice.","The medical director routinely attends IDG meetings and reviews standing orders at least once a year.","If a patient's own doctor does not respond, call the medical director or the physician designee so the patient's medical needs are met.","Always tell the attending physician when a patient's hospice care ends, and write it in the record."],"primaryCitation":"19 CSR 30-35.010(2)(G)2","citations":["19 CSR 30-35.010(1)(A)1, 11, 22, 37","19 CSR 30-35.010(2)(G)2","19 CSR 30-35.010(2)(E)","19 CSR 30-35.010(2)(F)2.A","19 CSR 30-35.010(2)(D)1","19 CSR 30-35.010(1)(D)4","13 CSR 70-50.010(3)(A), (C)","13 CSR 70-50.010(7), (7)(C)"],"federalCitations":["42 CFR §418.102","42 CFR §418.3","42 CFR §418.22","42 CFR §418.25","42 CFR §418.64(a)","42 CFR §418.100(c)(2)"],"surveyorAsks":["Who is your medical director, and where is the evidence of the physician's license?","Who acts for the medical director when the medical director is not available?"],"forms":[{"ref":"MO-HSP-MD-01-A","title":"Medical Director and Physician Designee Designation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(G)2; 42 CFR §418.102)","5. Qualifications","6. What the Medical Director Does","7. Physician Coverage","8. The Medical Director Contract","9. Attending Physicians","10. Physician Services and Payment","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mo-hospice","state":"Missouri","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}