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. Law 333.16625 Despite the ambiguity of the justification or legal basis for the amendment, The Bulletin states that a cooperation agreement between an NP/CNS and a physician: May 1, 2019, The Medical Services Administration of the Michigan Department of Health and Human Resources (“MDHHS”), which manages the Michigan Hospital Program, has issued MSA 19-10 (the “”), which contains new general information on the registration, billing and reimbursement of a Clinical Nurse Specialist (NSC). CNS is a relatively new category of special certifications available to a registered nurse (“RN”) in Michigan (click here to access MSA 19-10). The registration and coverage rules of the CNS Medicaid essentially reflect those that apply to a nurse practitioner (“NP”), a long-standing specialized certification for RNA in Michigan. NPNs, NSC members and certified specialized nurses (“CNMs”) fall into the Category of Advanced Practice Registered Nurse or APRN, which have an expanded scope of independent practice as a result of recent changes to the Michigan Public Health Code (“Code”). 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.
NPNs can be entrusted by a doctor and functions and must be within the scope of the NNP. me. Comp. Law 333.16215 A PA who has a practice agreement with a physician may prescribe schedule II-V controlled drugs and substances in accordance with the procedures and protocols established by the rule. me. Comp. Act 333.17076 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. 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. A practice agreement is required between the medical assistant and the doctor.