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CMS-1403-FC (3) Appropriate for individuals entitled to benefits under part A or enrolled under Part B. (b) In making determinations under paragraph (a) of this section regarding the coverage of a new preventive service, the Secretary may conduct an assessment of the relation between predicted outcomes and the expenditures for such services and may take into account the results of such an assessment in making such national coverage determinations. 11. Section 410.75 is amended by revising paragraph (b) to read as follows: §410.75 Nurse practitioners’ services. * * * * * (b) Qualifications. For Medicare Part B coverage of his or her services, a nurse practitioner must be a registered professional nurse who is authorized by the State in which the services are furnished to practice as a nurse practitioner in accordance with State law, and must meet one of the following: (1) Obtained Medicare billing privileges as a nurse practitioner for the first time on or after January 1, 2003, and meets the following requirements: 1104
CMS-1403-FC (i) Be certified as a nurse practitioner by a recognized national certifying body that has established standards for nurse practitioners. (ii) Possess a master’s degree in nursing or a Doctor of Nursing Practice (DNP) doctoral degree. (2) Obtained Medicare billing privileges as a nurse practitioner for the first time before January 1, 2003, and meets the standards in paragraph(b)(1)(i) of this section. (3) Obtained Medicare billing privileges as a nurse practitioner for the first time before January 1, 2001. * * * * * 12. Section 410.76 is amended by revising paragraph (b)(2) to read as follows: §410.76 Clinical nurse specialists’ services. * * * * * (b) * * * (2) Have a master’s degree in a defined clinical area of nursing from an accredited educational institution or a Doctor of Nursing Practice (DNP) doctoral degree; and * * * * * 13. Section 410.78 is amended by-- A. Revising the introductory text of paragraph (b). B. Adding paragraphs (b)(3)(vi), (vii), and (viii). The revision and additions read as follows: 1105
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<strong>CMS</strong>-1403-FC<br />
(i) Be certified as a nurse practitioner by a<br />
recognized national certifying body that <strong>has</strong> established<br />
standards for nurse practitioners.<br />
(ii) Possess a master’s degree in nursing or a Doctor<br />
of Nursing Practice (DNP) doctoral degree.<br />
(2) Obtained Medicare billing privileges as a nurse<br />
practitioner for the first time before January 1, 2003, and<br />
meets the standards in paragraph(b)(1)(i) of this section.<br />
(3) Obtained Medicare billing privileges as a nurse<br />
practitioner for the first time before January 1, 2001.<br />
* * * * *<br />
12. Section 410.76 is amended by revising paragraph<br />
(b)(2) to read as follows:<br />
§410.76 Clinical nurse specialists’ services.<br />
* * * * *<br />
(b) * * *<br />
(2) Have a master’s degree in a defined clinical area<br />
of nursing from an accredited educational institution or a<br />
Doctor of Nursing Practice (DNP) doctoral degree; and<br />
* * * * *<br />
13. Section 410.78 is amended by--<br />
A. Revising the introductory text of paragraph (b).<br />
B. Adding paragraphs (b)(3)(vi), (vii), and (viii).<br />
The revision and additions read as follows:<br />
1105