C.
When no education and training ADO exists at the time of an MSP
agreement execution, the ADO for MSP is served concurrently with the MSP agreement period
and all other non-education and training ADOs. In addition, if the MSP agreement is executed
before the start date of fellowship training and no other education and training ADO exists, the
MSP ADO is served concurrently with the MSP agreement period. However, if the MSP
agreement is executed on or after the start date of the fellowship training, the physician is
obligated for the full fellowship period and the MSP ADO will begin one day after the
fellowship ADO is completed. Once a physician has begun to serve an MSP ADO it will be
served concurrently with any existing ADO including obligations for other special pay
agreements or medical education and training obligations incurred after the execution date for
that particular MSP agreement.