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Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs)
Memo #
Posting Date
Fiscal Year
This memorandum replaces Survey and Certification memorandum S&C-04-08 dated November 13, 2003, which discusses physician delegation of tasks in SNFs and NFs. Guidance revision: This memo provides clarification of Federal guidance related to physician delegation of certain tasks in SNFs and NFs to non-physician practitioners (NPPs; formerly “physician extenders”) such as nurse practitioners, physician assistants, or clinical nurse specialists Implements Section 3108 of the Affordable Care Act (ACA): Implements section 3108 of the Affordable Care Act, which adds physician assistants to the list of practitioners that can perform Skilled Nursing Facility (SNF) level of care certifications and re-certifications. Co-signing of orders: Clarifies policy on co-signing orders in SNFs and NFs.