W. Va. BMS Provider Manual § 509.3.4

The following functions may be performed by a physician designee including a physician employee,

volunteer physician, or a contracted physician:

•

Hospice medical director services (must be an MD or DO);

•

Physician services related to the palliation and management of the member’s terminal illness and

related conditions;

•

Care for general medical needs when the attending physician is not available (if the member has

an attending physician); and

•

Physician participation in the IDT (must be an MD or DO).

The Hospice or the physician member of the IDT may designate another physician or other physicians to

be “on call” during the hours the IDT assigned physician is not on duty:

•

The on-call physician may assist with urgent, emergency or otherwise unscheduled plan of care

revisions.

•

The Hospice or the IDT assigned physician member of the IDT may not designate substitute

physicians to routinely assist with initial plans of care and scheduled plan of care reviews and

revisions.

•

When the “on call” physician provides a service to a member, it must be documented in that

member’s health record.