Services and Supplies Furnished Incident to NP, PA, and CNM

140 - Services and Supplies Furnished Incident to NP, PA, and CNM Services (Rev. 13600; Issued: 02-20-26; Effective: 01-01-26; Implementation:03-23-26) Services and supplies that are integral, though incident to an NP, PA, or CNM service are: • Commonly rendered without charge or included in the RHC or FQHC payment • Commonly furnished in an outpatient clinic setting; • Furnished under the direct supervision of an NP, PA, or CNM, except for authorized care management services which may be furnished under general supervision; and • Furnished by a member of the RHC or FQHC staff. NOTE: The direct supervision requirement is met in the case of an NP, PA, or CNM who supervises the furnishing of the service only if such a person is permitted to exercise such supervision under the written policies governing the RHC or FQHC. Services and supplies covered under this provision are generally the same as described in section 120 as incident to a physician’s services and include services and supplies incident to the services of an NP, PA, or CNM. For services provided under direct supervision, the requirement that the supervising physician or practitioner must be immediately available to provide assistance and direction throughout the procedure may be satisfied through virtual presence using real-time, interactive audio and video telecommunications.