[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: 42CFR485.604]



[Page 617]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 485_CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS--Table of 

 

 Subpart F_Conditions of Participation: Critical Access Hospitals (CAHs)

 

Sec.  485.604  Personnel qualifications.



    Staff that furnish services in a CAH must meet the applicable 

requirements of this section.

    (a) Clinical nurse specialist. A clinical nurse specialist must be a 

person who performs the services of a clinical nurse specialist as 

authorized by the State, in accordance with State law or the State 

regulatory mechanism provided by State law.

    (b) Nurse practitioner. A nurse practitioner must be a registered 

professional nurse who is currently licensed to practice in the State, 

who meets the State's requirements governing the qualification of nurse 

practitioners, and who meets one of the following conditions:

    (1) Is currently certified as a primary care nurse practitioner by 

the American Nurses' Association or by the National Board of Pediatric 

Nurse Practitioners and Associates.

    (2) Has successfully completed a 1 academic year program that--

    (i) Prepares registered nurses to perform an expanded role in the 

delivery of primary care;

    (ii) Includes at least 4 months (in the aggregate) of classroom 

instruction and a component of supervised clinical practice; and

    (iii) Awards a degree, diploma, or certificate to persons who 

successfully complete the program.

    (3) Has successfully completed a formal educational program (for 

preparing registered nurses to perform an expanded role in the delivery 

of primary care) that does not meet the requirements of paragraph (a)(2) 

of this section, and has been performing an expanded role in the 

delivery of primary care for a total of 12 months during the 18-month 

period immediately preceding June 25, 1993.

    (c) Physician assistant. A physician assistant must be a person who 

meets the applicable State requirements governing the qualifications for 

assistants to primary care physicians, and who meets at least one of the 

following conditions:

    (1) Is currently certified by the National Commission on 

Certification of Physician Assistants to assist primary care physicians.

    (2) Has satisfactorily completed a program for preparing physician 

assistants that--

    (i) Was at least one academic year in length;

    (ii) Consisted of supervised clinical practice and at least 4 months 

(in the aggregate) of classroom instruction directed toward preparing 

students to deliver health care; and

    (iii) Was accredited by the American Medical Association's Committee 

on Allied Health Education and Accreditation.

    (3) Has satisfactorily completed a formal educational program (for 

preparing physician assistants) that does not meet the requirements of 

paragraph (c)(2) of this section and has been assisting primary care 

physicians for a total of 12 months during the 18-month period 

immediately preceding June 25, 1993.



[58 FR 30671, May 26, 1993, as amended at 62 FR 46037, Aug. 29, 1997]