Medicaid Collaboration Agreement

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. 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. Despite the ambiguity of the motivation or the legal basis for the amendment, the Bulletin states that a cooperation agreement must be concluded between an NP/CNS and a doctor: the NP/CNS must notify MDHHS if the cooperation agreement is denounced by both parties, which may lead to the disinscribing of the Medicaid NP/CNS. . If you want to know how lexology can advance your content marketing strategy, please email enquiries@lexology.com. New cooperation agreement requirements for NSCs and PNs. 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).

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»). Registration and reimbursement for Clinical Nurses Specialists Read Michigan Medicaid Program MSA Bulletin 19-10 for more information. «As a corporate secretary, I find these articles very useful and appropriate, and I also share them with the lawyers and paralgales of the department.» Requirements for collaboration with the agreement for certified nurse specialists.