[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR441.22]



[Page 272]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 441_SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC 

 

                      Subpart A_General Provisions

 

Sec.  441.22  Nurse practitioner services.



    With respect to nurse practitioner services that meet the definition 

of Sec.  440.166(a) and the requirements of either Sec.  440.166(b) or 

Sec.  440.166(c), the State plan must meet the following requirements:

    (a) Provide that nurse practitioner services are furnished to the 

categorically needy.

    (b) Specify whether those services are furnished to the medically 

needy.

    (c) Provide that services furnished by a nurse practitioner, 

regardless of whether the nurse practitioner is under the supervision 

of, or associated with, a physician or other health care provider, may--

    (1) Be reimbursed by the State Medicaid agency through an 

independent provider agreement between the State and the nurse 

practitioner; or

    (2) Be paid through the employing provider.



[60 FR 19862, Apr. 21, 1995]