Monday February 13, 2012
On January 13, 2012 CMS published a
pair of transmittals that revise Chapter 8, section 40.1 of the
Medicare Benefit Policy Manual to add physician assistants to the
list of practitioners that can perform the
required initial certification and periodic recertifications of the
need for skilled nursing facility (SNF) level of
On January 13, 2012 CMS issued Transmittal
entitled -"Allowing Physician Assistants to Perform Skilled Nursing
Facility (SNF) Level of Care Certifications and
Recertifications". The transmittal provides guidance
on the ability of physician assistants to perform level of care
certifications and recertifications in skilled nursing facilities.
The guidance implements Section 3108 of the Affordable Care
Act. According the guidance, a physician assistant may
now perform the certification or recertification if the physician
assistant collaborates with the physician but does not have a
direct or indirect employment relationship with the facility.
Please review the following two
attachments for details.
January 13, 2012