US · guidance
CMS SOM App. M, Tag L592
§418.64(b)(2) If State law permits registered nurses to see, treat, and write orders
for patients, then registered nurses may provide services to beneficiaries receiving
hospice care.
Interpretive Guidelines §418.64(b)(2)
If an R.N., including a nurse practitioner, advanced practice nurse, etc., is permitted by
State law and regulation to see, treat, and write orders, then the R.N. may perform this
function while providing nursing services for hospice patients. Hospices are free to use
the services of all types of advanced practice nurses within their respective scopes of
practice to enhance the nursing care furnished to its patients. Services provided by a
nurse practitioner (NP) who is not the patient’s attending physician, are included under
nursing care.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
5e01e2e1b51383e1a522fbe00b933288fb71e775135685296d56924080eb2613
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