Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 130.1

NP, PA, and CNM Requirements

Last amended: 2016Year: 2016Length: 141 wordsOfficial source
130.1 - NP, PA, and CNM Requirements (Rev. 220, Issued: 01-15-16, Effective: 02-01-16, Implementation: 02-01-16) Services performed by NPs, PAs, and CNMs must be: • Furnished under the general (or direct, if required by state law) medical supervision of a physician; • Furnished in accordance with RHC or FQHC policies and any physician medical orders for the care and treatment of a patient; • A type of service which the NP, PA, or CNM who furnished the service is legally permitted to furnish by the state in which the service is rendered; • Furnished in accordance with state restrictions as to setting and supervision; • Furnished in accordance with written RHC or FQHC policies that specify what services these practitioners may furnish to patients; and • A type of service which would be covered under Medicare if furnished by a physician.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 130.1: NP, PA, and CNM Requirements | Justis AI