Starting March 27, 2019, Michigan dentists will be able to practice under the supervision of a dentist in a wide range of environments, including, but not limited, prisons, school health centers and state-ized qualified health centers. NPNs can be entrusted by a doctor and functions and must be within the scope of the NNP. Me. Comp. Law 333.16215 Current Requirements. Existing Medicaid cooperation agreements are only written for NPNs, as the new CNS certification category has not previously been processed by Medicaid. Currently, Medicaid requires an NP to have a “formal document” outlining the conditions under which NP and the physician provide medical services, as well as all transfer and consultation criteria. The document must be renewed annually and updated if necessary. All services provided under the cooperation agreement must fall within the legal scope of each practitioner. Medicaid`s Practitioner/Physician Agreement (DCH-1575), developed for this purpose, will be removed in accordance with the new requirements of the Bulletin. New requirements. As of June 1, 2019, an NCS and NP must certify that they have a valid cooperation agreement with a Medicaid-registered physician as part of the Medicaid registration and recertification process. Surprisingly, the revised requirements for Medicaid NP/CNS cooperation agreements are identical to those required by the code of “practice agreement” between a physician and a medical assistant.
The justification and legal basis for this approach is unclear, given that a Palestinian Authority does not have an independent area of practice outside the practice agreement (which does not apply to an NSC/NP that applies under a cooperation agreement) and that a PaPa is not in a delegation/monitoring relationship with any aspect of Palestinian Authority practice (such as. B an NCS/NP, such as the control of delegated medical tasks such as prescribing. It is also not known why Medicaid does not apply the same collaborative requirements to NMCs that, like NPs and NSCs, also fall under the APRN code. Despite the ambiguity of the justification or legal basis for the amendment, the Bulletin states that a cooperation agreement must be reached between an NP/CNS and a physician: a PA who has a practice agreement with a physician may prescribe Schedule II-V drugs and controlled substances in accordance with the procedures and protocols established by the rule. Me. Comp. Act 333.17076 These new requirements will come into effect on June 1, 2019. NPNs and NSCs that are registered or considering enrolling in Medicaid should act now to comply with their cooperation agreements. The Palestinian Authority may provide medical services under the authority of a physician and only if medical care falls within the scope of the physician responsible for monitoring and is delegated by the medical physician. Me.
Comp. Act 333.17076 A dental hygienist may practice in a public or non-profit facility or school or nursing home that manages a dental program for a population underserved by teeth. They must have continuous availability of direct communication with a dentist and can provide the full range of licensed dental sanitary services under general control. Me. Comp. Laws 333.16625 The NP/CNS must notify MDHHS if the cooperation agreement is denounced by one of the parties, which may lead to the opt-out of Medicaid by the NP/CNS. On May 1, 2019, the Medical Services Administration of the Michigan Department of Health and Human Services (“MDHHS”), which manages the Michigan Medicaid program, issued MSA 19-10 (the “Bulletin”), which contains new general information on the registration, billing and reimbursement of a clinical nurse (“CNS”). CNS is a relatively new category of special certifications available to a registered nurse (“RN”) in Michigan (click here to access MSA 19-10).