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      Commercial Physician & Provider Manual

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    • Overview of Coverage: CT
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    • Billing of Members
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    • Introduction
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    • Modifiers: CPT & HCPCS Level II
    • In Office Laboratory & Radiology
    • Credentialing Recredentialing
    • Program Overview (Practitioners & HDOs)
    • Recredentialing (Practitioners only)
    • Reassessment Program (HDOs only)
    • Site Visits (Practitioners only)
    • Standards for Performing Medical Record Review (Practitioners only)
    • Leave of Absence Policy (Practitioners only)
    • Locum Tenens Policy (Practitioners only)
    • Physician Compliance
    • Compliance (Practitioners & HDOs)
    • Termination & Appeals (Practitioners & HDOs)
    • Appendix: CT
    • Appendix: MA
    • Appendix: NY
    • Glossary










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    • Commercial - Credentialing Recredentialing

      Locum Tenens

      1. If a locum tenens is replacing a participating ConnectiCare practitioner, notice of leave of absence or reduction in practice by the practitioner on leave must be sent to the Credentialing Department at ConnectiCare, as described under the leave of absence policy, discussed earlier in this section.
      2. The practitioner on leave should provide ConnectiCare a notice of locum tenens, including:
        • anticipated beginning and end dates
        • written documentation outlining an admitting arrangement by which ConnectiCare members under the care of the physician on leave are referred to participating ConnectiCare practitioners and facilities
      3. Notice of locum tenens practitioners must be received at ConnectiCare no later than thirty (30) days prior to start date. The only exceptions to this requirement are in the case of illness, injury or need for family medical leave by the participating practitioner.
      4. ConnectiCare will accept coverage by a locum tenens provider for a period no longer than twelve (12) months. After this time period, locum tenens must apply to become a participating practitioner. Locum tenens physicians who intend to apply to ConnectiCare’s panel must do so at least 60 days prior to their one (1) year locum tenens anniversary date. Failure to do so may result in denial of claims.

      PPM/2.10

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