CMS is updating the requirements when an agency is working with a nurse practitioner for home health orders or the care plan.
 
The new language, added to Chapter 7 §30.2.1 in the benefit policy manual, notes:
 
"In the absence of State law governing collaboration, collaboration is to be evidenced by the NPs documenting their scope of practice in the medical record, and indicating the relationships that they have with physicians to deal with issues outside their scope of practice."
 
The change was issued April 27, 2022, and will be implemented beginning May 26, according to CMS.
 
See the related MLN article for more information: https://go.cms.gov/3y0QZyk