405.2415—Services and supplies incident to nurse practitioner and physician assistant services.
(a)
Services and supplies incident to a nurse practitioner's or physician assistant's services are reimbursable under this subpart if the service or supply is:
(2)
Of a type commonly rendered either without charge or included in the rural health clinic's bill;
(3)
Furnished as an incidental, although integral part of professional services furnished by a nurse practitioner, physician assistant, nurse midwife, or specialized nurse practitioner;
(4)
Furnished under the direct, personal supervision of a nurse practitioner, physician assistant, nurse midwife, specialized nurse practitioner or a physician; and
(5)
In the case of a service, furnished by a member of the clinic's health care staff who is an employee of the clinic.
(b)
The direct personal supervision requirement is met in the case of a nurse practitioner, physician assistant, nurse midwife, or specialized nurse practitioner only if such a person is permitted to supervise such services under the written policies governing the rural health clinic.
(c)
Only drugs and biologicals which cannot be self-administered are included within the scope of this benefit.