Payment from Medicaid funds can be made to the actual provider of service only. The only exceptions to this rule are payments made within the same group, or for substitute physicians.

Author: Janet B. Young; Debra Moore

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §§401, et seq.; State Plan.

History: Rule effective October 1, 1982. Amended effective March 12, 1987. Repealed October 13, 1992. New Rule: Filed February 7, 1994; effective March 15, 1994.