Chpt 2 page 15

"each patient’s care must be under the supervision of a physician directly affiliated with the clinic. To meet this requirement, a physician must see the patient at least once, prescribe the type of care provided, and, if the services are not limited by the prescription, periodically review the need for continued care"

"physician must assume professional responsibility for the services provided and assure that the services are medically appropriate"

This would greatly impact CSB's abilities to provide timely outpatient counseling services and be a huge burden on rural communities who are already struggling with providing enough available doctor time to cover clients who are in need of medication management. This requirement would be very restricting to whom we could provide outpatient therapy services to.