Primary Care Physician

To assist CDCR/CCHCS in its exercise of its duty to provide and manage medical healthcare services for

the patient/youth of the State of California, Temporary/Relief Primary Care Physicians shall provide high

quality services, consistent with the terms and conditions under this Agreement and consistent with

established and commonly accepted standards and principles of medical practice. Nothing in this

Agreement shall supersede the common law rules for the interpretation of established and commonly

accepted standards and principles of medical practice.

Temporary/Relief Primary Care Physicians shall adhere to the CDCR/CCHCS medical staff by-laws,

rules, regulations, policies and procedures, and comply with universal infection control precautions.

B. Authorization

1. Authorization for Treatment

Temporary/Relief Primary Care Physician shall agree that, as required by law, excluding emergency and

primary care services, prior authorization must be obtained in writing from the respective CDCR/CCHCS

Institution/Facility CEO/CME or designee, in accordance with CCHCS's Utilization Management Plan.

Temporary/Relief Primary Care Physician shall complete and return all forms required by CDCR

regarding treatment of patient/youth. Authorization must be documented in the patient/youth medical

record in all cases of essential services before considering any non-emergency specialty treatment, or

any consultations by specialty Physicians, Physician Assistants, and/or Nurse Practitioners or diagnostic

procedures not specifically stated in a CDCR/CCHCS prior authorization form.

2. Authorization for Transportation/Transfers

Temporary/Relief Primary Care Physician shall agree that, as required by law, CDCR/CCHCS retains full

authority to determine the manner in which a patient/youth is transported to the CDCR/CCHCS

Institutions/Facilities or transferred to other healthcare facilities, after the course of treatment or therapy

has been implemented or completed.

Temporary/Relief Primary Care Physician shall not transfer a patient/youth to any Institution/Facility

without prior written authorization from the appropriate CDCR/CCHCS Institution/Facility CEO/CME or

designee.

3. Experimental and Investigational Drugs and Procedures

Temporary/Relief Primary Care Physician shall not perform on or administer to any patient/youth any

experimental or investigational treatment, therapy, procedure or drug. Such treatment, unless it is

otherwise permissible under law, is prohibited under Penal Code, Section 3502, and thus, must have prior

authorization by the Institution/Facility CEO/CME or designee and CDCR's Office of Legal Affairs.

Temporary/Relief Primary Care Physician shall agree to perform or administer only those medical

services which are recognized as being in accord with generally accepted professional medical

standards, or as being safe and effective for use in the treatment of an illness, injury or condition at issue,

subject to the limitations described in this Agreement.

4. Exclusions and Limitations

a. Temporary/Relief Primary Care Physician shall agree that no healthcare service or treatment shall be

provided for those conditions specifically listed in California Code of Regulations (CCR), Title 15, Division

3, Chapter 1, Subchapter 4, Article 8, Section 3350.1. Physicians provided by the Vendor may request

individual case exceptions for excluded or limited healthcare service or treatment by seeking prior

approval of the Institution/Facility's CEO/CME or designee.