May NPPs employed by the NF perform the initial comprehensive visit, sign initial orders, or perform other federally required visits in NFs?
A6. No. The statute specifies that the NPPs are prohibited from providing these services when employed by the facility. The Social Security Act states at section 1919(b)(6)(A) that the health care of every resident must be provided under the supervision of a physician or under the supervision of an NPP not employed by the facility who is working in collaboration with a physician. Q7. May NPPs perform the initial comprehensive visit in SNFs? A7. No. The Social Security Act states at Section 1819(b)(6)(A) “that the medical care of every resident must be provided under the supervision of a physician.” Congress did not extend this benefit to NPPs in an SNF as was done under 1919(b)(6)(A).
