Locum Tenens Procedure

"Locum tenens provider" is defined as a physician filling in for a specified time or temporarily taking the place of another physician for a period of less than 6 months. Coverage periods exceeding 6 months do not qualify for locum tenens status. In all circumstances, the ultimate responsibility for ensuring the use of an appropriately trained and qualified locum tenens provider rests with the utilizing provider or facility.
See the Priority Health Locum Tenens Policy for more details.

Locum Tenens, Less Than 60 Days
If you need to use a locum tenens physician for less than 60 days, bill for services with the Q6 modifier. Note: Per Medicare guidelines, the Q6 modifier may not be used by a Certified Registered Nurse Anesthetist (CRNA).

Locum Tenens, 60 Days to 6 Months
If your office or facility needs to use a locum tenens physician for more than 60 days, mail or fax Priority Health Provider Contracting with the information listed below on the locum tenens provider in writing, at least 30 days in advance.

When this information is complete, the provider will be identified in the Priority Health claims payment system as locum tenens and will not be loaded or maintained in the Credentialing computer system.

• The physician's name, date of birth and social security number
• A start and end date the locum tenens physician will be providing service
  
• A description of the services the locum tenens physician will be providing
• Current Curriculum vitae of locum tenens provider
• Copy of valid Michigan Physician and Controlled Substance licenses, and DEA certificate (as applicable)
• Copy of malpractice insurance coverage meeting Priority Health limit requirements of $100,000 per occurrence and $300,000 aggregate
• Copy of board certification confirmation, or letter
• Completed W-9 Form.

Priority Health may check, upon its discretion, the validity of certain items such as:

• Licenses
• Query with National Practitioner Data Bank
• Board certification
• Federation of State Medical Boards