US · guidance
CMS Pub. 100-02, ch. 13, § 130.1
NP, PA, and CNM Requirements
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.
History
(Rev. 220, Issued: 01-15-16, Effective: 02-01-16, Implementation: 02-01-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
fac764b0afc07143590b815c9fa1c4c34b8bebaefb2e1454a079c7854afad53c
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.