[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR440.166]



[Page 242-243]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 440_SERVICES: GENERAL PROVISIONS--Table of Contents

 

                          Subpart A_Definitions

 

Sec. 440.166  Nurse practitioner services.



    (a) Definition of nurse practitioner services. Nurse practitioner 

services means services that are furnished by a registered professional 

nurse who meets a State's advanced educational and clinical practice 

requirements, if any, beyond the 2 to 4 years of basic nursing education 

required of all registered nurses.



[[Page 243]]



    (b) Requirements for certified pediatric nurse practitioner. The 

practitioner must be a registered professional nurse who meets the 

requirements specified in either paragraphs (b)(1) or (b)(2) of this 

section.

    (1) If the State specifies qualifications for pediatric nurse 

practitioners, the practitioner must--

    (i) Be currently licensed to practice in the State as a registered 

professional nurse; and

    (ii) Meet the State requirements for qualification of pediatric 

nurse practitioners in the State in which he or she furnishes the 

services.

    (2) If the State does not specify, by specialty, qualifications for 

pediatric nurse practitioners, but the State does define qualifications 

for nurses in advanced practice or general nurse practitioners, the 

practitioner must--

    (i) Meet qualifications for nurses in advanced practice or general 

nurse practitioners as defined by the State; and

    (ii) Have a pediatric nurse practice limited to providing primary 

health care to persons less than 21 years of age.

    (c) Requirements for certified family nurse practitioner. The 

practitioner must be a registered professional nurse who meets the 

requirements specified in either paragraph (c)(1) or (c)(2) of this 

section.

    (1) If the State specifies qualifications for family nurse 

practitioners, the practitioner must--

    (i) Be currently licensed to practice in the State as a registered 

professional nurse; and

    (ii) Meet the State requirements for qualification of family nurse 

practitioners in the State in which he or she furnishes the services.

    (2) If the State does not specify, by specialty, qualifications for 

family nurse practitioners, but the State does define qualifications for 

nurses in advanced practice or general nurse practitioners, the 

practitioner must--

    (i) Meet qualifications for nurses in advanced practice or general 

nurse practitioners as defined by the State; and

    (ii) Have a family nurse practice limited to providing primary 

health care to individuals and families.

    (d) Payment for nurse practitioner services. The Medicaid agency 

must reimburse nurse practitioners for their services in accordance with 

Sec. 441.22(c) of this subchapter.



[60 FR 19861, Apr. 21, 1995]