Any APN involved in school health must be very familiar with all the provisions in Chapter 38, Education Code, because this chapter contains all the statutes related to Health & Safety in schools. The Education Code and TEA Rules also contain a few references to sections of the Family Code and defer to the Department of State Health Services on certain issues, such as establishing the immunization schedule for students admitted to schools.
| Agency or Topic |
CFR Citation |
Centers for Medicare and Medicaid Services (CMS) |
42 CFR 400-429 |
NPs, CNSs & CNMs may order diagnostic tests |
42 CFR 410.32 (a) (3)
|
Payment for Medicare part B for physicians and other health care providers
CNMs are paid at 65%
NPs and CNSs are paid at 85%. Assistant at surgery 75%
CRNAs are paid at 100%
Medically directed CRNAs at 50%
|
42 CFR 414.1-414.1001
42 CFR 414.54
42 CFR 414.56
42 CFR 414.60
42 CFR 414.46 (d) (3) |
Hospice Care
Physician must certify terminal illness
NP may act as attending physician
|
42 CFR 418.1-418.405
42 CFR 418.22 (b)
42 CFR 418.3 (1) (ii) |
NPs & CNSs may certify need for physical & speech therapy
|
42 CFR 424.24 (a) (3) |
Hospital Conditions of Participation in Medicare
CNMs may admit patients without medical supervision
Physician or LIP must order restraints
Orders for drugs, biological and medical devices may be signed by practitioners
Anesthesia Services
|
42 CFR 482.1-482.66
42 CFR 482.1 (a) (5)
42 CFR 482.18 (e)
42 CFR 482.23 (c)
42 CFR 482.52 |
Only physicians may order home health services |
42 CFR 484.18 |
